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FIELD SERVICES 10 & M REQUEST -} x <br /> ;, �•kn��;=�;� ,,�A,�n •.�� ��3, <br /> SITE INFORMATION FORM <br /> PAM <br /> Identification Protect Type Client Don Rodgers <br /> Project# 880-039 1 A ❑ 1 st Time Visit Client P O C _Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address; 515 W- Chaster My ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stoddon, GA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I it R ❑ Semi-Monthly Mileage <br /> County: San.loaquin _ ® 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 Description ' <br /> ➢ Site requires weeklyvisits <br /> ➢ Sam les stem 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 s stem performance based upon FID concentrations <br /> ➢ Sample sstem once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ <br /> Notify,enineer of any problems ' <br /> Comments remarks etc from Field Staff include Problems encountered and out-of-scope work <br /> S Z <br /> a rn D- <br /> ❑ Samples taken P4amples not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT COC oration Completed by Date �� <br />