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FIELD SERVICES 1 O& M REQUEST <br /> .V.3: <br /> SITE INFORMATION FORM <br /> 'a.=,.nL n .:r�2„ .y'....v�a�.•:,,: irn ��'^-r��.�..,.�rr'�,.�'iocas%-i^.s'i'r } �'ti"Nzi sfry f f <br /> I <br /> Identification Project Type Client ---fth <br /> Protect# 880-039 1A ❑ 1st Time Visitloom <br /> Client P O C Don Rodgers <br /> Task## 01020000 ❑ Quarterly Date of Request <br /> Site Address 515 W. Charter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station LD NIA ❑ Semi-Monthly TV <br /> County, _San Joaquin ® Weekly <br /> Protect Manage li , ❑ One Time Event <br /> Requestor ❑ Other <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 /> T ➢ 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-scone work) <br /> P�.Zamples taken ❑ Samples not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly �Kvonthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw L & I Inc. Completed by Date �3 h 0' b J <br />