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FIELD SERVICES 10 & M REQUEST <br /> • ..r r1r. ka,. .rbrf.✓.,,':r`.3:.'r-'fcC'. r x.....y. ... n , �r ,9 r�^sem.rrr''�•'r'`�`/.r.sr rr, <br /> SITE INFORMATION FORM <br /> '"r r }".-asrl{r;,...,. :.-,a,r-��;f r:ice,,,✓�,G7Fr•�7io-: .,., {'�;o � ,; ;, <br /> Identification Project Type Client <br /> Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers _ <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Sl to Address 51 a W-Charter Way ❑ 1st ❑ 2nd ❑ 3rd [34th Ideal Field Date(s) <br /> ,ftocCton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I.D# NIA ❑ Semi-Monthly <br />' County San Joaquin ® Weekly <br /> 1 Project Manager David Herzog ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks. For General Description <br /> ➢ Site requires weekly visits — <br /> ➢ Sample system (InfllEffl) once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> M ➢ Complete attached data sheets <br /> ➢ Optimize system performance based upon FID concentrations <br /> ➢ <br /> Sample sstem once a month and submit for GAS/BTEX analysts normal TAT <br /> ➢ <br /> Notify engineer of any problems <br /> Comments, remarks, etc from Field Staff include problems encountered and out-of-scope work <br /> �amples taken ❑ Samples not required ksoil vapor ❑ Groundwater ❑ Air Sparge <br /> eekl Semi-Monthly ❑ Quarterly ❑ Semi-Annual <br /> Y ❑ Y <br /> Shaw E & I Inc. Completed by __\L�)Date <br />