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M 11 <br /> FIELD SERVICES 1 O&M REQUEST Work Order # 5 2 1 4 <br /> SITEE INFORMATION 1O:M <br /> . <br /> �Idl�enttlfi <br /> no.n_� Project Type <br /> Projec <br /> ❑ 1 st Time Visit Client P O C <br /> Station # <br /> ❑ Quarterly Date of Request <br /> Site Address / <br /> ❑� 1st [D 2nd El 3rd ❑ 4th ideal field date(s)a J <br /> / ❑ Monthly <br /> County _ _ ❑ Semi-Monthly Check Appropriate Cate o <br /> Project Manager _ _ ❑ eekly Budget Hrs , <br /> Requestor6� One time event Actual rs ��7 Lr►'�si <br /> Client Other Mob de Mo <br /> Field Tasks: For General Description A/C <br /> crrdeone �Priority 1 (emergency, must be done within 24 hrs), 2 (next visit), 3 (when avarlable� �' <br /> Zo <br /> �1 <br /> mmn remarks, frmFil ff (inglude problemsn n r and out-of-scgpp wrk <br /> ❑ Samples taken T Samples not required ❑ soilvapor ❑ Groundwater <br /> ❑ Weekly Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> PACIFIC ENVIRONMENTAL GROUP, INC Completed by Date <br /> Checked by <br /> White CoDv-Originator Yellow CODy 0 R M Tech Pink Coav File <br />