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FIELD SERVICES 10 & M REQUEST <br /> SITE INFORMATION FORM <br /> Identification Protect 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 [:] 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <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 /> tRequestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks: For General Descnption <br /> Site requires weekly visits <br /> Sample sstem 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 GAS/BTEX analysis normal TAT <br />' > Notify engineer of any problems <br /> i <br /> t <br />' Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br /> 1 <br /> ❑ Samples taken Samples not required ❑ Soil vapor ❑ Groundwater ❑ Air Sparge <br />' ❑ Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> • <br /> IT Corporation Completed by Date <br />