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FIELD SERVICES 1 O & M REQUEST <br /> . .SITE INFORMATION FORM n n n n <br />' Identification Prosect Type Client <br /> Don Rodgers <br />' Project# 880-0391A ❑ 1st Time Visit Client P O C _Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Slte Address 515 W_Charter Way [list ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br />' Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1,13# N/A ❑ Semi-Monthly Mileage <br />' County. Sari 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 /> D Site requires weekly visits <br /> Sample s rystc''t 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 /> 1 <br />' Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work <br />' ❑ Samples taken ❑ Samples not required ❑ Soil vapor ❑ Groundwater ❑ Air Sparge <br /> ❑ Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> • <br /> 1T Corporation Completed by I Date 10-0 <br />