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FIELD SERVICES 1 O& M REQUEST <br /> ...J, <br /> SITE INFORMATION FORM <br /> Identification Project Type Client Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ 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 1.0# NIA ❑ Semi-Monthly <br /> County San Joaquin ® Weekly <br /> Protect Manager ❑ One Time Event <br /> Requestor ❑ Other <br />' Field Tasks: For General Description <br /> ➢ Site requires weekly visits _ <br /> ➢ Sample system (Infl/Effl) once a month and submit for GAS/BTEX analysis_normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets _ <br /> ➢ <br /> Optimize system performance based upon FID concentrations <br /> ➢ Sample system once a month and submit for GAS/BTEX 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 /> 1 amples taken ❑ Samples not required `Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw F & 1 Inc. Completed by Date 0 7 <br />