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' FIELD SERVICES 10 & M REQUEST <br /> SITE INFORMATION FORM <br /> 1 <br /> Identification Project Type Client <br /> Don Rodgers <br />' Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ 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 Analytical _ <br />' Station 1.13# 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 />' <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 wow <br /> I <br /> ISamples taken ❑ Samples not required Sod vapor ❑ Groundwater ❑ Air Sparge <br /> lei Weekly ❑ Semi-Monthly ,Monthly ❑ Quarterly ❑ Semi-Annual <br /> ITCorporation Completed by Date <br />