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FIELD SERVICES 1 O & M REQUEST <br /> SITE INFORMATION FORM v =" <br /> Identification Pro ect Type Client <br /> Don Rodgers .� <br /> Project# 880-039 1A ❑ 1st Time Vint Client P O C Don Rodgers <br /> Task# 0$030000 ❑ Quarterly Date of Request <br /> Site Address: 515 W. Charter Way _ ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> tStockton, CA ❑ Monthly Laboratory Sequoia Anal ical <br /> Station I_D# NIA ❑ Semi-Monthly Mileage <br /> County= San Joaquin ® Weekly Budget Hours <br /> Project Manager Tom Allan ❑ One Time Event Actual Hours <br />' Requestor Kathleen Waldo ❑ 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 GAS/BTEX analysis normal TAT _ <br /> ➢ Perform routine maintenance <br /> Complete attached data sheets <br /> ➢ Optimize system performance based upon FID concentrations <br /> ➢ Sample system once a month and submit for GAS/BTEX analysis normal TAT <br />' ➢ Noti engineer of any problems <br /> Comments. remarks. etc froField Staff[include problems encountered and out-of-scope work <br /> m <br /> n ,Vk -e j <br /> Samples taken ❑ Samples not required oil vapor ❑ Groundwater ❑ Air Sparge <br /> %�Weekly ❑ Semi-Monthly Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by 1 ' L" Date 0/(SA/ <br />