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k <br /> FIELD SERVICES 1 O & <br /> M REQUEST <br /> ti} .w u` £J� i rrr rhi'l v tinrr 4tit x� Yin�r'i-ti v4}(v3.YrrN+�v.`+rn` `}` <br /> SITE INFORMATION FORM `. n<,<= '�,'••`°. ` ,M,m nyNrH h ;.`s.4<�`: 4 . jk xsr. ,{. n <br /> i <br /> Identification Protect Type Client Don Rod ers , <br /> Project# 880-039 1 A r[I <br /> 1 st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 Quarterly Date of RequestSite Address 515 W.Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1.0,# lel{A ❑ Semi-Monthly Mileage <br /> Canty, San Joaquin ® Weekly Budget Hours t <br /> Project Manager Tom Allan ❑ One TlmeaEvent Actual Hours <br /> Requestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks: For General Descri tion , <br /> ➢ Site requires weekly visits <br /> ➢ Sam les stem Infl/Effl once a month and submit for GAS/BTEX analysis normat TAT <br /> Perform routine maintenance <br /> • ➢ Complete attached data sheets <br /> O timize s stem performance based upon FID concentrations• ' <br /> Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> 9 Notify engineer of any problems <br /> Comments remarks etc from Field Staff 11include oroblems encountered and out-of-scope work <br /> ❑ Samples taken _7�amples not required -Soil vapor ❑ Groundwater ❑ Air Sparge <br /> r-?�+—Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual ' <br /> • <br /> IT Corporation Completed by'- Date n /f <br />