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- 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 X111 Charter Way_ ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stoc#cton. CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I D-# NIA ❑ Semi-Monthly Mileage <br /> County_ San Joaquin _ ® Weekly Budget Hours <br /> Project Manager Tim Anpn.��_ ❑ One Time Event Actual Hours ' <br /> Requesto ❑ Other Mob/Demob <br /> Field Tasks- For General Description <br /> Site requires weekly visits l <br /> Sample sstem Infl/Effl once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ Perform routine maintenance ' <br /> ➢ <br /> Complete attached data sheets <br /> ➢ O timize system performance based upon FID concentrations <br /> r <br /> Sample sstem once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ <br /> Notify en sneer of any problems <br /> Comments, remarks etc from Field Staff in ude rob#ems encountered and out-of-scope work <br /> Samples takenN-s—amples not required Sod vapor ❑ Groundwater [:1 Air Sparge <br /> rWeekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> T Cor oration Completed by Date • <br /> •I <br /> 1 <br />