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FIELD SERVICES 10 & M REQUEST <br /> SITE INFORMATION FORM :f <br />' Identification Proiect Type Client Don Rodgers <br /> Project# 880-0391A ❑ 1 st Time Visit Client P O C Don Rodgers <br /> ' Task# 01020000 ❑ Quarterly Date of Request <br /> Site Address 515 W. Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory Sequoia_AnalyticaI <br /> Station I_D# N/A ❑ Semi-Monthly <br /> County Sart Joaquin _ ® Weekly <br /> Project Manager David Herzog ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks: For General Description <br /> ' ➢ Site requires weekly visits <br /> ➢ Samples stem (Infl/Effl) once a month and submit for GAS/BTEX analysis normal TAT <br /> ' ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets <br /> Optimize system performance based upon FID concentrations <br /> ➢ Sample sstem once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ Notify engineer of any problems <br /> ' Comments remarks etc from Field Staff finclude problems encountered and out-of-scope work <br /> ❑ Samples taken Jam'q _Zamples not required t�Soil vapor E] Groundwater ❑ Air Sparge <br /> Weekly El Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by Date 1 n <br />