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REMOVAL_1989
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0503097
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REMOVAL_1989
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Entry Properties
Last modified
2/10/2021 4:31:57 PM
Creation date
11/5/2018 9:13:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1989
RECORD_ID
PR0503097
PE
2381
FACILITY_ID
FA0005684
FACILITY_NAME
CITY OF TRACY FIRE STATION #2*
STREET_NUMBER
301
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
301 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\301\PR0503097\REMOVAL 1989.PDF
QuestysFileName
REMOVAL 1989
QuestysRecordDate
5/7/2013 8:00:00 AM
QuestysRecordID
155183
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN CU)NTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL H9WgH DIVISION <br /> 1, UGST WORKSHEET FOR SITE CLOSURE EVALUATION ATE 1 /3 <br /> AME OF FACILITY C�rzf <br /> ' Z EEPS CODE Ald k <br /> DDRESSI 501 ANK ID # <br /> ANK SIZE 0 O :a UEL TYPE `�� <br /> II. GENERAL SITE HISTORY <br /> Is permit current? es o }(,' ermit # acil ity Status Code oc.Soil/GW Cont es o <br /> umber of Tanks at facility one, ge of Tanks(if available) 1i <br /> ype of Tank reel x Fbrgl I ngl Dual <br /> 111. TANK HISTORY <br /> as Tank tested? es X IHO ailed precision test ? ITas Ixo If yes, give date(s) Gl/ r— <br /> as a repair made to the tank system? 1Yas No f yes, what was repaired? I /I.tr2 <br /> ns repair time under inspection? es No ere soil samples analyzed? ITas )o TXE I IF <br /> PH-GI IT PH-D b/EDO <br /> ype of failure/discharge atastrophic Long-term leakage I vertill Town k 10 ther: <br /> IV. REMOVAL HISTORY (ATTACH INSPECTION REPORT FOR SITE DETAILS/COLLECT DATA FOR LEACHING POTENTIAL ANALYSIS) <br /> Foil Samples Received <br /> as o epth to Ground eater i� of/Year /9�(; verage Annual Precipitation = 4 10-25 <br /> -Site Wells) es I o ,K umber 8 Type Irr om ub <br /> S core S Score 5 Score <br /> istance to Wells) from Tank ft; ft; ft C 10 pts C 9 pts C 5 pts <br /> 0 if 0 if 0 if <br /> R zondit ion R condit ion R ondition <br /> V. Site Feature - Leaching Potential Analysis E is met E is met E is met <br /> inimum Depth to groundwater from the Soil Sample (feet) >100 1-100 25-50\1 <br /> ractures in subsurface (applies to foothills or mountain areas) Q None Unknown resent <br /> verage Annual Precipitation (inches) KXXXXX <10 9 10-25 KXXXxxx 26-40\2 <br /> an-Made conduits which increase vertical migration <br /> f leachate (i.e., septic systems, water wells, ponds) None Unknown resent <br /> )nique site features: Recharge area, coarse soil, nearby wells. At Least ore than <br /> xxxxx None one one <br /> COLUMN TOTALS>>>TOTAL POINTS 2(J + / + O <br /> ample Result: (D T X OR E) RANGE OF TOTAL POINTS 9 pts or more 41 - 48 pts 40 pts or Less <br /> B T X E 8T X E <br /> MAXIMUM ALLOWABLE a-T-X-E LEVELS (PPM) 1 50 50 50 .3 .3 1. 1. NA\3 <br /> Sample Result: ASOLINE 1000 100 10 <br /> AXIMUM ALLOWABLE TPH LEVELS (PPM) <br /> TPN IE SEL 1 10,000 1 7000 100 <br /> OOTNOTES: ***If documented soil and/or ground water contamination is present, do not complete the leaching potential <br /> analysis. (i.e., site is currently on UGT Contamination List for soil or ground water.) <br /> \1 If depth is > 5 ft. and < 25 ft., score 0 points. If depth <=5 ft., do not use table. <br /> \2 If precipitation is > 40 inches, score 0 points. <br /> \3 Levels for BTXBE are not applicable at a TPH concentration of 10 ppm (gasoline) or 100 ppm (diesel)./ G( <br /> V1. STAFF RECOMMENDATION/CONCLUSION —Fx-j'Z .'(J IQ <br /> 1. Are BTX 8 E or TPH Concentrations > Allowable Levels Yes oLfr <br /> �('A,b (okz 5 <br /> I V1g � i i r'CCe l+; <br /> 2. Recommend Site Closure as o If Yes, Refer to Site Mitigation luation �/ u� LAN ydAleS a:/� <br /> tK�O/OW}o✓ <br /> vll. REVIEW EVALUATION - TO BE COMPLETED BY A SUPERVISOR/SENIOR (lam,-.00e <br /> .ONCUR WITH STAFF RECOMMENDATION FOR CLOSURE 'ES 0 EFERRED TO SITE MITIGATION FOR EVALUATION ES JO <br /> ATE REFERRED / / ATE CLOSURE LETTER MAILED <br /> AME OF _ �2 <br /> .VALUATOR <br /> EH 23 80 (uOTWKSHT)\5/90 <br /> EH 29 80 -�2.0 <br />
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