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If ' <br /> 1 <br /> FIELD SERVICES 10 & M REQUEST <br />' SITE INFORMATION FORM v <br />' <br /> Identification Pro ect Type I va client <br /> Don Rodgers <br /> Project# 880-039 1A ❑ 1 st Time Visit Client P O C Don Rodgers <br />' Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address _515 W_ Charter Way. Ell st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br />' Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I D# N/A ❑ 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 system (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 /> ➢ Sample system once a month and submit for GASIBTEX analysis normal TAT <br />' ➢ Notify engineer of any problems <br /> 1 <br />' Comments remarks, etc from Field Staff include problems encountered and out-of-scope work) <br /> L� <br /> staken E] Samples not required ASoil vapor ❑ Groundwater E] Air Sparge <br />' <br /> A-Samples. <br /> Weekly ❑ Semi-Monthly Xmonthly ❑ Quarterly ❑ Semi-Annual <br /> Corporation IT <br /> Cor ion Completed by Date /OA`/� <br />