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FIELD SERVICES 1 O & M REQUEST <br /> UB.A.A <br /> SITE INFORMATION FORM <br /> rw <br /> 10) <br /> Identification Project Type Client Don Rodgers <br /> Project# 880-039 1A 7Quarterly <br /> e Visit Client P O C Don Rodgers <br /> Task# 03030000 Date of Request <br />' Site Address 515 W=Charter Wa ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton CA ❑ Monthly Laboratory Sequoia Analytical <br />' Station I D# NIA ❑ Semi-Monthly Mileage <br /> county San Joaquin ® Weekly Budget Hours <br />' Project Manager Tim Anenson ❑ One Time Event Actual Hours <br /> Requestor Kathleen Waldo G ❑ Other Mob/Demob <br /> Field Tasks: For General Descri tion <br />' ➢ Site requires weekly Visits <br /> ➢ Sample sstem Infl/Effl once a month and submit for GASIBTEX analysis normal TAT <br />' ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets <br /> ➢ optimize system performance based upon FID concentrations <br /> rAft ➢ Sample sstem once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ Notif en sneer of anv oroblems <br /> t <br /> 1 <br /> Comments remarks etc from Field Staff include problems encountered and out-of-scope work <br /> 1 <br />' El samples taken ,Samples not required Sod vapor ❑ Groundwater ❑ Air Sparge <br /> flMeekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> 1110TCOrporation Completed by <br /> to `7 l7 <br />