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v it <br />SAN )CACUIN C PUBLIC :1EALT1 SuIYICES/E4VIRCNN TAL SEAL-�V'.S:CN <br />,. <br />%mX3NE FCR Slia CLOSURE c/ALUATICN <br />:1 <br />OATEI I <br />INANE CF FACI LO (�/_ <br />:TT I `I„ el I Q� `T ICJ <br />vV, 11 <br />"°°REisl 30 ll Pn� ` r , <br />. "�-'�'" �' l LL C -1C� lT- elf --1 (vJ>�TAN7C to <br />X SI!~I IO,Ooi% IFVEL TTPEI �� <br />(I. GCNE.LIL SITE 3ISTCRT <br />I(s xnic v:rrent? Yesl/IMoI IPeni: 3l <br />IFaetiliry Staten Cade) IOae.Soi Veli C:aci Yesi ReI <br />Macer of ;anis at faeitiryl 3 IA9e of iants(if a"iladle) T <br />II:- TANX NISTCR7 <br />I Yp. dt is klStaellx FaarVll ISngllpptull <br />Ya3 Tank :ncedTl Yes NING IFai lad ;reeisidn test TIYes INGIh Iif Yea, live dace(s) / <br />IVa3 a repair ssedo :a :Oe tank systaYllyesl No Iif Yes, 'eeec vas rapairadTi <br />IVas repair done czar irnpeetion7Iynl IN0I lye" Sail sso/n argil edT lyes) INOI STX�I ITP!1-G T?9-0 <br />Yt I I I IPb/E78l <br />Type of failure/discsarel Icatastroceicl tan -tam lukagel Ioverfilll Irl ;Lear: <br />.1.°fRWAL 3ISTCRT (ATTAC3 ()ISPEC:CN iEPCRT FCR SITE DETAILSIC LFt': RAT; :ro , e.'n........-... <br />IS°il 'aatDln AeeaivadlYeslx INOI IpeptO co Creed Vatarl(g�IRetrearl <br />, (Average Aayssal Pre ;.picationlAell4 <br />I10 -?S <br />'Orli:; 'lell(s)I7n No INtAroar I lc� I IPWI <br />�Oispne3 :a ':elks) from Tank{ ft; ft S Score S Sc:". S <br />ft; <br />C 0 ;ci0 <br />if 0 ifV. <br />L=',: <br />Si:e Faanua - lasezin9 Poeeneial Analysis ? undicion R crditiond3tion <br />- 13 set is mec <br />INTRImA 'JepGt :o Grota+eraCer fraz :':e Soil Satcle <br />act <br />(!"C) I I >Ica I IST-ip0 I <br />I x.,p�i I <br />jFrae:.aes in sucsurfaes (sco(fp :d fadedlls or aoenea in areas) <br />I rrr�� I l../ <br />I None <br />I I' <br />IPrasenc I <br />rage Arrest Pw_-Moi cation (incn) <br />I <10 <br />9 ( <br />6 <br />ISI <br />c5 -40"\.Z <br />iNan-4ade C==ics vtsiet increase verc;eal migration <br />Of l3aCnate (t A., sqC:° syitas' sCar wits, ponds) <br />j O <br />I Rey <br />`/ <br />Prasenc <br />URICUS site fasmre.. Reesar;a arae, parse soil, nary calls. <br />(� <br />A l <br />:i� <br />�! <br />Nona <br />-I I <br />moil <br />IN°re <br />± <br />I <br />=UM :OTALS>, D=AL POINTS <br />?(� I <br />I V I I� 3� <br />Saia(e .3es&A:: C3 T X = 3)) IANrc 'JF TOTAL POINTS <br />49 ;Ca w more I <br />:i - :a :G <br />T - X E r(T&� <br />;its II ;ts w less <br />ND o, 0466'C�F4 1. <br />3� T I <br />—.-_ I .NAXI)UI ALLCliARI_ 3 -T -X-? LEVELS a"] <br />t 0 ;01 i0 <br />Sadble .XOSUA:: 17= <br />i)UXI)l71 se r.vam1G.LIRE <br />- rax -�s vPM) <br />1000 ( Ica 19 <br />ta,aap tacp <br />I I 100 I <br />CIESEL <br />'F«TNOTES: "'If do m Ced sail and/or grunt wtw =1Cam'RMc4on is ;resent, do not Cxm;lata cse Lasesi <br />analysis. (I.A., site is =n-nmanly on = Cantasirt.tion List far sail or 9rdazd "car4),vcmcial <br />\i if dw= is > S ft. d < Z ft., a <br />sun ;dints. It depot ei ft-, do Mac :zs cab/;. <br />l2 If ;rocfaitaeion is > :0 inc:tes, sura Cl ;dints. <br />\3 Laves for 37)ZE an rot ocol =Ls at A TPx moneantntidn <br />of IO Xm Cgoe tine) or 100 .aps Cdinel). I <br />Ar_ TTX L : or TPR Cartc;EIZ& <br />e.�to Levels I -?=I <br />�. iecsmerc Sits C:osunlf Tei, tater :a Site N1t1 <br />9ation far 3valuat3onl <br />.. L^lfEY ?/ALUAT:Cm - :O 3E =0`q—Zi7 3T A 49I3Y1 2' ISENICR <br />./C3 'ltTN i,.iFF LCC)v¢)tDAT:CN :-CI 7.`.+me(Tey CI NIT:= -:CX FCR .JALUATICN1TCS1 INOI <br />OAI_ IE-.iRE7I / / IOATE '.'-SME.'<a NAiL�I <br />!NAME CF <br />_/AL_Arc:21 mi- <br />