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IFIELD SERVICES 1 O& M REQUEST <br /> EliE INFORMATION FORM s= F n. ± Kj` f :: ` <br /> Identification Proiect Tyne-- Y Client <br /> Don Rodgers <br /> 1 Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarfedy Date of Request <br /> Site Address 515 W_Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory <br /> Station I # N/A ❑ Semi-Monthly Since!c� �l <br />' County San Joaquin � ® Weekly <br /> Protect Manager David_ Herzog ❑ One Time Event <br /> IRequestor ❑ nther <br /> Field Tasks: For General Description <br />' ➢ Site requires weekly visits <br /> ➢ Sample system (Infl/Effl) once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets <br /> ➢ Optimize system performance based upon FID concentrations <br /> ➢ Sample system once a month and submit for GAS/BTEX analysis normal TAT - - — <br /> ➢ Notify engineer of any problems <br /> Comments, remarks, etc from Field Staff(include problems encountered_and out-of-scope work) <br /> tf-samples taken ❑ Samples not required [Soil vapor ❑ Groundwater ❑ Air Sparge <br /> ❑ Weekly [Semi-Monthly (N. Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw Completed b A) Date �3 <br /> E � Ilnc. tJ y <br />