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UCS[ LL ..AERP FCR SIic CLCS RE -/FL'lAtICN bAIc <br /> CF.FAC:L:i! I`/�✓or�/, //�C arm P j/ :!L �� s:_�T ( X063' <br /> 51:51/'Y av000 FUEL rTPE 1 e,)4 <br /> ERAL SITE YISTCRT <br /> raic currimV ilea 01 ar.ni; t I - �aeility Scacus Cadel Pee.SO)t/Tj Ccnc lyes �e I <br /> r of Tants at facitityl �ge of Tanks(if svoi lable) l Type of nark steel r �.rgl ±ql Ovall <br /> NX NISTCR! <br /> ank ;eved? Iles I �0sited precision test t 4n o I III yes, give dates) <br /> repair .node ;o ;he ;ark system? Iln I Na kf yes, +mac was repaired? I <br /> ecair done --der inspee:iw) fes 101 here soil samples analysed? Yes 1 i a I txF R-0I ,—FTPr1.01 /M8 <br /> of failure/discharge I ratan:rapnieI It erg-cera leakage I �erfilt I �tnklrown I Pther: <br /> OVAL AISTCRT (ATTAC3 INSPECTICN lt?car FCR SITE OETAILS/COLLECT DATA FCR LEACXINC POTENTIAL ANALTSIS) <br /> iareles Received Ites I ) a I �epch :a :reared 'la ear I Z,��tef/Tear 1 Au , llverage Arrn:al precipitation I» I�G X70-ZS <br /> :a VeLL(s) fesl i4al k.,cer1 Type) Itrr Peal d <br /> S I cart S �coro S pcoro <br /> rete :a :eL I(s) frac tank I ft; ft; fc C 40 pts C 9 its C pea <br /> Cfit 0 lif 0 sf <br /> 2 orditiw R cY%dI iw R zed I ion <br /> ice Fzature - Leaching Potential "Lysis Iis me E lis .net PTs net <br /> am I'mch ;a gr=Tl-wacsr frac ;he Sail Saacta (.`tell I >AO I IST-lO0 I LCA' IZS-50\1 <br /> Bras in subsurface (app(ies to foothills a aaancain areas) I J�o 1 None 1 I Unknown I resent <br /> qe ArruaL Precipitation (inches) I <10 I 9 1 IO-ZS IJciAAA= I 26-00\Z <br /> act :eecLi;s vsiah increase vertleal n)Sration I <br /> aeha:t (i.e., septic systems, rater welts, ponds) I Iwo I I UnkrANn resent <br />'.e size features: Ractarge area, coarse sail, nearoy wells. I I I At lease , fare than <br /> 1Sts/u:z Yane enc we <br /> C'MUM TOTAL'S7WOTAL POINTS <br /> e .Ttsul;: (3 T X CR V UNCI OF TOTAL POINTS h9 PCs or =Ft I 41 - 4a pts GO pts or less <br /> `WCT`3]t ALLCVadIS 3•r•X-E LEVELS (PPN) ) I SO 150 50 I .S L5 <br /> z Renal-: I CIASCLIAE 1000 I 100 I 10 <br /> 11 fM.LXFe.7t TALL=Agtz TPR LEVELS (PPM) <br /> NC TP4 — V I IESEL 10,000 1 1000 10Q <br />[Ores: ^•If deetaeneed sail and/or grad water ewemineeiw is present, do roe complete the leaalinq pacane)al <br /> analysis. (I.t., site is cwrmcly 0n U0r Concminaciw list for sail ar grard water.) <br /> \i If depth is > 5 !c. and a Z5 ft., scare 0 points. If depth "i ft., do hoc use :able. <br /> \Z If precipitation is > CO indles, wort 0 points. : <br /> \3 Levels for 3=g are roc applicable at a TPM -mcancracicn of IO ppe (gasoline) ar ICO X= :diesel). <br />,FF TECC7ME.WAtICN/CFIC.:JS ICN n (!/ X1,�� �. ,SA_ �I <br /> Are 3TX L e or TPI Corxsnmciaro > 'owabie Leets �Tea I o <br /> zeco ft, site Ctostae lyes I o I �tt Yes, Nefer ca Slce Mitigation for Svaluatiw <br />:'IIS iiVALWTICX TO 3E Cf041tHTEO 3T A St9E3V15CA/1Se.YICR <br /> 7.;2 'lITN iTAFF .lECCNe£YOAT ION FCR CCOSLDtE fEi l �/Q i ?9'!.UEO TO SITE 4(TICATICN FCR 71ALVATICR feel 40I I <br /> i£FE33E9 I / / Arc a=RE LETTE3 :AILED I d / l <br /> :F <br />