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FIELD SERVICES 1 O & M REQUEST <br /> SITE INFORMATION FORM <br /> Identification Project Type Client <br /> Don Rodgers <br /> Project# 880-039 1 A ❑ 1 st Time Visit Client P O C -Don Roomers <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 /> 1 Station I D# N/A ❑ Semi-Monthly <br /> County San Joaquin ® Weekly <br /> Project Manager David Herz ❑ One Time Evert <br /> Requestor ❑ Other <br /> Field Tasks- For Genera! Description <br /> ➢ Site requires weekly visits <br /> ➢ <br /> Sample sstem 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 /> I � _ <br /> ❑ Samples taken -.Samples not required CSoil vapor ❑ Groundwater ❑ Air Sparge <br /> 04-Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> ShawE & I Inc. Completed by Date 7 <br />