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FIELD SERVICES 10 & M REQUEST <br /> TE INFORMATION FORM <br /> Identification Project Type <br /> Client Dan Rodgers <br /> 1 Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address 515W Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I D# N/A ❑ Semi-Monthly Mileage <br /> County San Joaquin ® Weekly Budget Hours <br /> Project Manager Tim Anenson ❑ One Time Event Actual Hours <br /> tRequestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks: For General Descriotion <br /> I ➢ Site requires weekly visits <br /> ➢ Sample system (InfllEffl) 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 work) <br /> ❑ Samples taken Samples not required /S Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> I <br /> IT Cor oration Completed by tom! Date rZ O <br />