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1. r <br /> FIELD SERVICES ! O & M REQUEST N ry <br /> ITE INFORMATION FORM <br /> Identification Protect Type Client <br /> Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address 515 W Chaster 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 /> Requestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks: For General Description <br /> ➢ Site requires weekly visits <br /> ^ ➢ Sample sem InfllEffl once a month and submit for GASBTEX anal is normal TAT <br /> A Perform routine maintenance <br /> ➢ <br /> Complete attached data sheets <br /> _ A Optimize system performance based upon FID concentrations <br /> ➢ Sample system once a month and submit for GASBTEX analysis normal TAT <br /> T ➢ Notify engineer of any problems <br />' Comments, remarks, etc from Field Staff include problems encountered and out-of-scone worms <br /> 1 ❑ Samples taken Samples not required ,Soil vapor ❑ Groundwater [IAir Sparge <br /> TA-Weekly ❑ SemFMonthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Cor oration Completed by Date 112,27 0 <br />