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FIELD SERVICES / Q & M REQUEST <br /> SITE INFORMATION FORM <br /> .. •<`` -. . f*^' `4ic3 {�7.YSGccs,6o'F'..^c�..r�w' u��'c <br /> Identification Project Type Client <br /> Don Rodgers <br /> Protect# 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 LD# N/A ❑ Semi-Monthly Mileage <br /> County San Joaquin __ ® Weekly Budget Hours <br /> Protect Manager Tom Allan ❑ One Time Event Actual Hours , <br /> Requestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks: For General Descn tion <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 /> Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br /> Samples taken ❑ Samples not required OT—Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly D--Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by ;T� Date AZJ ti/ <br />