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I <br /> FIELD SERVICES /O & M REQUEST <br /> SITE INFORMATION FORM <br /> Identification Project Type <br /> Client Don Rodgers <br /> Protect# 880-039 1A ❑ 1 st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address 515 W.Charter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br />' Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I D# NIA ❑ Semi-Monthly <br />' County- San Joaquin ® Weekly <br /> Protect Manager Tom Allan ❑ One Time Event <br /> Requestor Kathleen Waldo ❑ 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 /> 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 /> t <br /> ❑ Samples taken A�-Samples not required WSod vapor ❑ Groundwater ❑ Air Sparge <br /> WWeekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> 1T Cor oration Completed by �J �'� Date <br />