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SAN XACUIR CCU4TT P' 4EALTH Sc'RV ICE S/ENV IRCNM.EH RAL 4EAL1`4 01Vj ) <br />UCST 41L ,MgET FCR SITE CLOSLRE EVALUATICH AfE <br />:E CF FAC(LITy <br />Oac 55 . vri �.Y7_ ! /- ANX 10 Y �Q <br />Al ✓I / <br />NX SIZE UEL Tv.PE <br />G<HE.LAL SITE 44TC6Y <br />Permit currenC7 i4 as o <br />ever of Tanks at facility <br />-,ANX HISTORY <br />e 41 F <br />pge of Tanks(if available) <br />It icy Status Code <br />i yoe of rank <br />Sail/Gv Cane es <br />J:bral ncl 1 Oual <br />MEN <br />Tank tested? Res <br />1LI0 <br />ailed ?recision test 1 es <br />verage Arnual Precipitation = p4 0-25 <br />o <br />Pan <br />If yes, give date(s) <br />'b <br />a repair .node to <br />the lark system? IYesHo <br />f yes, what <br />was repaired? <br />repair done under <br />inspection? IT es 1 1,10 <br />Jere soil samples <br />analyted7 Yes <br />a <br />TXE <br />I <br />IrPH-(; <br />I PH -o I 6/E08 <br />core <br />pts <br />e of failure/discharge acastrophie <br />long -tens leakage <br />vertill ( n <br />cher- <br />REMOVAL 4ISTCRT (ATTACH INSPECTION REPORT FOR SITE OETAILS/COLLECT DATA FOR LEACHING POTENTIAL AHALTSIS) <br />ILL Samples Receivedi as o <br />epch co Grotnd 'later t?IJ of/Tear <br />verage Arnual Precipitation = p4 0-25 <br />Site Uelt(s) Yes I a ber i Type Ilrr <br />Pan <br />'b <br />r <br />lum <br />S <br />C <br />core <br />0 pts <br />S core <br />C pts <br />S <br />C <br />core <br />pts <br />tante to VeMs) frac Tank <br />ft; ft; ft <br />O <br />R <br />if <br />�ondition <br />O if <br />R ondition <br />O <br />R <br />I f <br />condition <br />Site Feature - Leaching Potential Analysis <br />E <br />1s .net <br />E is met <br />E <br />s net <br />i,x Depth to grcundwater from the Soil Saaple (feet) <br />I>100 <br />1-100 <br />I <br />125-50\1 <br />ecures in subsurface (applies to foothills or =o &ain areas) <br />I Hone <br />I <br />Unknown <br />I <br />present <br />rage Am at Precipitation (inches) <br />xxxx <br />( <to <br />I 9 <br />110-25 <br />zxssxx <br />ZS•CO\2 <br />•made conduits which increase Vertical migration <br />leachate (i.e., septic systLans, water welts, ponds) <br />Hone <br />y <br />Unknown <br />res en[ <br />n,:e site features: Recharge area, coarse soil, nearby wells. <br />xxxx <br />Hone <br />I <br />At Leas: <br />one <br />I .lore <br />than <br />one <br />* <br />Jlc� <br />� <br />v <br />CCCLROI TOTALS»>TOTAL POINTS <br />le Result: IS T X CR E) <br />RANGE OF TOTAL POINTS <br />9 pts <br />or ,more <br />G7 - <br />48 <br />40 pts or less <br />"t171 <br />3 T <br />c <br />4AXIY.IN ALLCVAgIE 3•T -X -E LEVELS (P PH) <br />1I 50 Ix <br />50 <br />5 <br />.3 <br />.3 <br />1. <br />1. <br />NA\3 <br />plc Resul:: <br />II ASCLIHE <br />1CCO <br />100 I <br />10 <br />f1AXImUH ALLCI:ASLE TPH LEVELS (PPH) <br />,�D TPH <br />I( IEScl 1 <br />10,000 <br />1000 <br />100 <br />iTNOTES: if doctmenced soil and/or grand water contami"rion is present, ,mc complete c leaching potential <br />op '✓) analysis. (f.e., site is currently on UCT Contamination List oil a cud water.) <br />7-W-20 <br />\1 if depth is > 5 ft. and < 25 ft., score 0 points. If depth <=5 ft., do not use cable. <br />\2 If precipitation is > 4-0 inches, scary 0 points. <br />\3 Levels tar 3TXEc are not applicable at a TPH concentration of 10 ppo (gasoline) or 100 ppm (diesel). <br />TIFF RECCWSOATICN/CCUCLUSION <br />Are 3TX L E or TPH Concentration > Allowable Levels yes a <br />Ar_amierd Site Ctosure Yes I Ilo If Yes, Refer to Site Hitigation for Evaluation <br />.REVIEV EVALUATICH . TO 3E CC17PLETEO 3Y A SL'P5RVISC9/SENICR <br />NC'R 'JITA STAFF AECCHMENOATICN FCR CLOSURE HES 0 I Itin AED i0 SITE m1iIGAiICN FOR E'/ALUAIICN iI I 0 <br />Rc FRREO I / / PATE CLOSURE LETTER MAILED ( Y, . / I <br />I CF <br />ALUATCR . <br />23 aO (UCT:KSAT)\5/90 <br />