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1 � <br /> FIELD SERVICES I O & M REQUEST <br /> SITE INFORMATION FORM ``""'n" <br /> sN. wfyry.v <br /> Identification Project Type Client <br /> Don Rodgers <br />' Project# 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 ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical _ <br /> Station I-D,# NIA ❑ Semi-Monthly Mileage <br />' Gourity, 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 Descri tion <br /> Site requires weekly visits <br /> Sample sstem Infi/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 GASIBTEX analysis normal TAT <br /> Notify engineer of any problems - <br />' Comments, remarks, etc.from Field Staff(include problems encountered and out-of-scope world <br /> Samples taken ❑ Samples not required 1*6oil vapor ❑ Groundwater ❑ Air Sparge <br /> [_Weekly ❑ Semi-Monthly Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by- Date f <br />