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FIELD SERVICES 1 O$ M REQUEST <br /> I <br /> /y.F�:`d" o s ,,vscw,. r tJ t'~ % rYE}"%'>rr o :,. `n,`a.<,,• , r_ <br /> ,;7k ,7,77L 7,7 :SITE INFORMATION FORM >_r <br /> f <br /> 1 Identification Pro ect Type <br /> Chest <br /> l <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Stte Address- 515 W Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4#h Ideal Field Date(s) <br /> Stockton, OA ❑ Monthly Laboratory Sequoia Analytical <br /> Station #_Q# NIA ❑ Semi-Monthly <br /> county Safi Joa uln ® Weekly <br /> Project Manage "" ❑ One Time Event <br /> iRequestor ❑ Other <br /> Field Tasks For General Description <br /> ➢ Site requires weekly visits _ <br /> ➢ Sample system (Intl/Effl) once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br />�� ➢ Complete attached data sheets <br /> ➢ <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 /> i <br /> Comments remarks, etc from Field Staff(include [problems encountered and out-of-scopq work) <br /> r <br /> 1 <br /> ❑ Samples takent9-samples not required oil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly E] Monthly El Quarterly LlSemi-Annual <br /> Shaw E & I Inc. Completed by Date <br /> r <br />