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t <br /> - Leaking unaergrounu -.6 -ate-- ; -� s <br /> • = <br /> ZII.~ Release and Site Charact,erizatian Information (conti.nued) <br /> Maximum Documented Contamin Concentrations--Before and Af Cleanup i <br /> Water (ppm) Contaminant Soil (Ppm) Water (ppm) <br /> Contaminant Soil <br /> (ppm) Before After Before After <br /> Before After Before After , <br /> TPH (Gas) Xylene <br /> TPH (Diesel) Ethylbenzene <br /> Benzene oil. & Grease <br /> enHeavy metals <br /> Tolue <br /> 4 <br /> Other <br /> other <br /> I <br /> Comments (Depth of Remediation, etc.) : i <br /> Iv. closure I 4 <br /> Does completed corrective action protect existing benefillial uses per the Regional Board <br /> Basin Plan? Yes No <br /> Does completed corrective action protect potential beneficial, uses per the Regional Board <br /> Basin Plan? Yes Na <br /> Does corrective action protect public health for currentilaad use? Yes No <br /> ' Site management requirements: <br /> i' <br /> I1 � <br /> Should corrective action be reviewed if land use changes? Yes No rr <br /> Monitoring wells Decommisioned: Yes No Number Deco tmIsioned: Number Retained: F <br /> List enforcement actions taken: <br /> List enforcement actions rescinded: <br /> v. Local Agency Representative Data <br /> E <br /> Na-e: Title: i. <br /> Date: <br /> Signature: <br /> V1. RWQCB Notification <br /> i Date Submitted to RB: RB Response: <br /> I� S <br /> RWQCB Staff Name: Title: Date: <br /> vil. Additional Comments, Data, etc. <br /> ij <br /> it <br /> This document and the related CASE CLOSURE LETTER, shall be retained by the lead agency <br /> as part of the official site file. (08/24/93) il. <br /> Exhibit N Page 2 of 2 <br /> i� <br /> I� <br /> I <br /> x <br />