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FIELD SERVICES/O & M REQUEST <br /> SITE INFORMATION FORM <br /> r:rte� ✓.�`o,ar f�'�f>:s:' s ��' o �`° `'o: :lr' <� :Sr'.';,F''J^at r, r rJ rc <br /> rr4}6istirJ4 M1'"M h ^vSvaaG i`,}`+,r,�yv: S,6fEV�r rrti.} y 4 y 4l.. rr vi{y+^C}}f 'riv{�r ixrt r <br /> F <br /> Identification Prosect 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 /> Site Address: 515 W.Charter splay ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I'D# N/A ❑ Semi-Monthly ' <br /> County, San Joaquin—----- ® Weekly <br /> Project Manager David Herzog ❑ One Time Event <br /> Req uestor T _ ❑ Other <br /> Field Tasks- For General Description <br /> A Site requires weekly visits ' <br /> D Sample system (lnfllEffl) once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets �T <br /> ➢ Optimize stem performance based upon FID concentrations <br /> _. - analysis normal TAT t amp e�stem once a month and submit for GASIBTEX _ _ _- <br /> nal sis <br /> ➢ Notify engineer of any problems <br /> Comments remarks etc from Field Staff include Problems encountered and out-of-scope work ' <br /> ❑ _Samples taken N-6amples not required Sod vapor ❑ Groundwater ❑ Air Sparge <br /> IFA-Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by i`I _ Date 2(k 3 AN <br />