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FIELD SERVICES 1 O & M REQUEST <br /> OF717777cSITE INFORMATION FORM .' k. '` f- , , � �~ x' ' r°='�`;«`�;'::;�.�r�, <br /> J [ <br /> Proj ect Type Client Don Rodgers <br /> Identification <br /> Project# 880-039 1 A ❑ <br /> 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address: 515 W. Charter Wa ❑ 1st ❑ 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 1 <br /> Project Manager Tim Anenson ❑ One Time Event Actual Hours <br /> Requestp� � fi __ F-1 Other Mob/Demob <br /> Field Tasks: For General Description 1 <br /> ➢ Site requires weekly visits <br /> ➢ Sample sstem Infl/Effl once a month and submit for GAS/BTEX analysis nominal TAT 1 <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets <br /> • ➢ Optimize system performance based upon FID concentrations 1 <br /> ➢ Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ <br /> N <br /> __Notify engineer of any problems 1 <br /> - 1 <br /> 1 <br /> Comments remarks etc from Field Staff include roblems encountered and out-of-sco a work <br /> 1 <br /> amples taken ❑ Samples not required xSoil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Cor oration Completed by <br /> Date �� <br />