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SAN :CAtX:IM C ''NTT X ::1'.iL;N i<t'/tc-WEAV-I.tC.4. E. r'ALA n�:i Utv( t Z <br />/ UCST •.L ..NEc; FCR it lE CLCSRE E`!AC'JATICN Ara <br />CF :AC:L:;. I :.✓ .mit' _ �/., 'S_;c-CPS <br />/� <br />P'/ '� _ ✓�1 _ f-�.... fS. "n n: /I TANK I0 s I 0 7— ,Z 0 <br />S(_c <br />I . ©C)O FUEL <br />TTPE <br />epir Cafe •sxxr insceeeim7 Yes �7a I Iitere soil samples analY;edT as <br />I I o I TXE <br />C8 <br />SITE MISTCRT <br />of failure/dlsGharSel roust: aphie Il crg-cera Geakagel Pverfill I i�xrkrwnl I then. <br />l;r <br />ISNt <br />Oval <br />[E.IUAL <br />nic currencT lyes a <br />of Tack! at facili;yl <br />enai: i <br />Age of <br />ael tY ca:usae�.Cont <br />i <br />TutksCiF swilable) I (Type of Tani, Octel Fbr;l <br />yr urn-ro• <br />I I <br />uni<,n <br />vw <br />I resent <br />arktested? Yes I 40sited ?raeisim tes: T iT'S �ta I <br />I[f yes, give dacew I / <br />repair cede to the ;ark syscen7 lyes I va kf yea, Wifat was repaired? <br />epir Cafe •sxxr insceeeim7 Yes �7a I Iitere soil samples analY;edT as <br />I I o I TXE <br />C8 <br />Ile feature Leaching Poeenclat Am LYsiz _ lis MC E IIS aeC <br />of failure/dlsGharSel roust: aphie Il crg-cera Geakagel Pverfill I i�xrkrwnl I then. <br />gnu ar<�raY "Yllrt fWSPer!•nN le_1CRT FCR St Tc CIUAILS/CRL_(;r OArA Fac lcAl.ttnu ru.e.i lwl ,......, .... <br />Samoles Received lyes I a �epch to Cectml ':aver I Zf'ieWear I z r Average Arrn:al Precipiacion <br />I <br />:e 'tell CS) as I 4o I lytarber t Type �Irr I <br />i acare <br />S Scare S car. <br />nae to ':etl(S) from Lank I fq fC; ft c 50 PCs e 9 PCS c Pts <br />0 <br />0 tf 0 �f <br />�andi:ian cion <br />tf <br />2 X limdicion X Candi <br />Ile feature Leaching Poeenclat Am LYsiz _ lis MC E IIS aeC <br />7epch w y'rar n!�acar frain :he SOIL Sam9le (feet) P,S `13'� <br />I>1C0 I <br />1.;00 <br />urea in mmsurfaee Capplies to foachills ar m<.ncain areas) <br />I `� <br />e <br />More <br />I I <br />uni<,n <br />vw <br />I resent <br />I <10 <br />I 9 I <br />f0-25 <br />Iftzssxzs I ?5-c0\2 <br />ge ArrnraL Precipitation (inches) <br />ace :arc4sits ,.hich increase vertical nigratian <br />I <br />I Mone <br />UnYno<n <br />I rzent <br />scha:e (i.e., septic systems, Water Wells, Pmdsl <br />e Sire features: Xachar;e area, coarse soil, nearby Wells. <br />I <br />Mme <br />I I <br />At least•iar_ <br />me <br />:hon <br />One <br />I4_zzzzz <br />II <br />CLCL47t TOTAL? TOTAL POINTS <br />o <br />' <br />Z <br />- <br />I f <br />e .2esult: (3 T X CR =) XANC2 Of TOTAL POIgTS <br />�9 pts ar mre <br />I At C3 pts <br />t0 pts or less <br />ND t fyFF��� <br />\3 <br />uXI 12t ALL=111LE 3-r•X•E LEVELS Will <br />1 <br />50 <br />5a 50 <br />.3 <br />.3 <br />1. 1.p <br />GASCic00 <br />I O10 <br />1 ,r,, `l <br />id <br />�_AXJ" <br />AILC:ABIE TPN LEVELS (7PN7YTP9 <br />[ESeL <br />10,000 <br />I 1cC0 <br />I 100 <br />Orfs: ---If dace eed sail and/or grotafd Water cmcauimciart is Presant, de roe c ece the leaching potential <br />aralyfis. (I.e., site is curremeLY on U0T Concanimclon List for soil or 3rould voter.) <br />\1 If depth is > 5 ft. and a 25 ft., scare 0 Points. If depth -5 ft., do not se :able. <br />\2 If Precipitation is > GO inches, scare 0 Points. <br />\3 Levels far 3DI2'c are roc applicable at a TPN caneenerratien of 1(' Ppm (gasoline) or ice ;¢m Cdiesell. <br />Fi .2ECCYMEMOA7[C11/CCNC.JS lOR / -Fi <br />Are 3TX L ° dr TPN Careencrations >.ALLawbie Lwels t'Tn o -•� <br />zr_smerd ii cc Ctoswe Yes I o I �it Tel, infer to site Mitigation for 2"Luacion <br />f1E''J EVAUUTICR - TO 3E CCfttPUTO 3Y A "SAVI=JSENICIt <br />J2 ':1 TN iTA;F AECCMYi!IOATICN FCR CLOSLME"ES I �R) I I�EF ME0 i0 SITE Al MCAT ICN FCR VIACUAT ICN I!_o I �10I <br />3EF5AREa !! / �AT! SCS'RE LETTE.2 MAILED I l' / <br />cArcz I ?Z' 1l ; <br />AyLy -�7' <br />U <br />