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• r <br /> FIELD SERVICES / O & M REQUEST <br /> SITE INFORMATION FORM <br /> Identification Project Type Client <br /> Don Rodgers <br /> Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request 02/03/2000 <br /> Site Address 515 W Charter Waw ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical- <br /> Station I D# NIA ❑ Semi-Monthly Mileage <br /> County San Joaquin ® Weekly Budget Hours 1 <br /> Protect Manager Chet Zaven ❑ One Time Event Actual Hours <br /> Requestor Chet Zaven ❑ Other Mob/Demob <br /> _Field Tasks, For General Description <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 /> Y Optimize system performance based upon FID concentrations <br /> Sample sstern 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-sco a work <br /> ❑ Samples taken ❑ Samples not required ❑ Soil vapor ❑ Groundwater ❑ Air Sparge <br /> ❑ Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by Date <br />