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f F <br /> FIELD SERVICES 1 O& M REQUEST <br /> SITE INFORMATION FORM <br /> Identification Pro ect Type Client Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers ^ <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address: 515 W_ Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton CA ❑ Monthly Laboratory Sequoia Analylical <br /> Station LD# 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 ❑ Other Mob/Demob ' <br /> Field Tasks: For General Descn tp ion ' <br /> ➢ Site requires weekly visits <br /> ➢ Sample sstem lnfl/Effl once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ <br /> Complete attached data sheets <br /> ➢ Optimize system performance based upon FID concentrations <br /> ➢ Sample sstem 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 /> -t e <br /> Samples taken ❑ Samples not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Cor oration Completed by v Date <br />