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. y <br /> FIELD SERVICES 1 O & M REQUEST <br /> �raw.ws„r rd`u'.�s,''y iy1 i , �"•as,. ;ur'.y�Gwc su.,,, ..t r+r.$ <br /> �(" <br /> SITE INFORMATION FORM N `%« `„x,�. :. xh�,An,. .�m AryN r ¢y� „n <br /> s•+ <`c =" -,�+rsy'y%S ss,'.s �°�c,mac. ,..�,"`141�rs/ss`"._``' ^'�"cr:,Gti•'�Gr usr?.na1N <br /> Ua4%c:" sw ` s':ry..,.s��+v}},cF..` ,,.� s�d+srr' rrr,.r ¢rA`,'A3;t; <br /> Identification Pro ect Type Client Don Rodgers <br /> Project# 880-0391A ❑ 1st Time Visit Client P O C Don Rod ers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Site Address T516 W. Charter Allay ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Sto*ton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1 D# NIA ❑ Semi-Monthly <br /> County Sett Joaquin_ ® Weekly <br /> Project Manager David Herzog ❑ One Time Event <br /> Requestor ❑ Other ' <br /> Field Tasks: For General Description <br /> ➢ Site requires weekly visits <br /> _Sample system (lnfi/Effl) once a month and submit for GAS/BTEX analysis normal TAT 1 <br /> Perform routine maintenance <br /> ➢ Complete attached data sheets <br /> ➢ Optimize system performance based upon FID concentrations <br /> Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> Notify engineer of any problems <br /> �i <br /> Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br /> ❑ Samples taken `3amples not required Soil vapor ❑ Groundwater ❑ Air Sparge _ <br /> P!I Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed byDj� Date (F 3 <br />