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FIELD SERVICES 1 O & M REQUEST <br /> VINFORMATION FORM ':FZ <br /> ntification Protect 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 /> ISite Address- 515 W. Charter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Statron LD# N/A ❑ Semi-Monthly Mileage <br /> County: San Joaquin ® Weekly Budget Hours <br /> Protect Manager Tim Anenson ❑ One Time Event Actual Hours <br /> - <br /> Request��Kathleen, a¢�� ❑ Other Mob/Demob <br /> Field Tasks For General Description <br /> ➢ Site requires weekly visits _ <br /> ➢ Sample stem (Infl/Effl) once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ <br /> Complete attached data sheets <br /> ➢ Optimize system performance based upon FID concentrations <br /> ➢ <br /> Sample sstem 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 /> a re-;-e <br /> ❑ Samples taken ]?�—Samples not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> 0-Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> 4tA,)IT Cor oration Completed byDate f <br />