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+ FIELD SERVICES 1 O 8. M REQUEST <br /> SITE INFORMATION FORM <br /> Identification Project TYRe 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 ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I.O# N/A ❑ Semi-Monthly Mileage <br /> minty Sats Joaquin ® Weekly Budget Hours , <br /> Project Manager Tim Anenson ❑ One Time Event Actual Hours <br /> Reque _ E] Other Mob/Demob ' <br /> Field Tasks: For General Descrition ' <br /> r Site re uwres weekly visits <br /> Sample sstem Infl/Effl once a month and submit for GAS/BTEX analysis normal TAT ' <br /> ➢ Perform routine maintenance <br /> Complete attached data sheets <br /> O timize 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 iro <br /> eld S ff include blems encu ntered and out-of-scope work <br /> gee< � <br /> 5 r-e_ - AAOV Vb� l9eeof oC'Qr4 i s <br /> Samples taken ❑ Samples not required ❑ Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly (' onthly ❑ Quarterly ❑ Semi-Annual I <br /> IF Cor oration Completed by <br /> Date <br /> 1 <br />