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SAN JOAQUIN COUNTY PURL' EALTH SERVICES/EWIRONMENTAL HEALTH DIVIS� <br /> UGST L.CRKWT FOR SI7E CLOSURE EVALUATION <br /> FACILITY yy / ; � _ EEPS CCOEyp�g <br /> ANK 10 7 <br /> In UEL TYPE �� <br /> RAL SITE HISTORY �• <br /> mi; current? as o ermit 3 acidity Status Code oc.Soil/GW Cont ) as to <br /> of Tanks at facility ge of Tanks(if available) ype of Tank teal brgl ngl Dual <br /> K HISTORY <br /> ink tested) as o ailed precision test ? es o If yes, give date(s) <br /> repair made to the tank system? !Y as No f yes, what was repairecil <br /> pair done under inspection) I Ias 1 01 Jere soil saeotes analyzed? i as l Uo I TXE PH-G PH-0 b/E00 <br /> f failure/discharge atastraphicl long-tens Leakage pvertilt I noun I 110 Cher: <br /> 'AL HISTORY (ATTACH INSPECTION REPORT FOR SITE DETAILS/COLLECT :ATA FOR LEEAC411IG POTENTIAL ANALYSIS) <br /> amoles Received as o eoch to Ground water � i of/Year F3 verage Arcual Precipitation 10.25 <br /> e Wal t(s) 4 a 0 unbar S Type Irr Doe L o <br /> i core S core S core <br /> .ce to Well(s) from Tank ft; fr ft C 0 pts C9 pts C pts <br /> 0 't 0 Iif 0 -f <br /> R Pondition R candition R ondicion <br /> ite Feature leaching Potential Analysis _ its met E lis met E s net <br /> Depth to groundwater from the Soil Samote (feet) I >100 1.100 "yi- 25-50\1 <br /> res in sutsurface (applies to foothills or mountain areas) D .vone Unknown resent <br /> e Annual Precipitation (inches) sxxx I c10 I 9 10.25 xxxxxx 26-40\2 <br /> aCe conduits which increase vertical migration <br /> acndte (i.e., septic systema, water wells, ponds) None Unknow resent <br /> e site features: Recharge area, coarse soil, nearby wells. At least ore than <br /> %xxx More one ane <br /> COLUMN TOTALS»>iOTAI POINTS 4 (.) I • C 1 <br /> e Result: (3 T K OR "c) RANGE OF TOTAL POINTS 9 PCs or more :1 - :a PCs l pts or les <br /> L SO .J=-(V 3 T % E 3 7 X c ._ . <br /> V TP MAXIMUM ALLOWABLE 0•T-X-E LEVELS (PPM) 1 50 50 50 .3 .3 1. 1. NA\3 <br /> e Result: Gj MESLE11 <br /> NE 1000 100 10 <br /> <�D A%I MIM ALLOWABLE TPH LEVELS (PPM) <br /> I M TPNt7 10,000 I 1000 100 <br /> CT-S: ...if documented soil and/or around water contamination is present, do not coeblate the leaching potential <br /> analysis. (i.e., site is currently an UGT Contamination List for soil or grouts water.) <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 > GO inches, score 0 points. <br /> \3 Levels for 3TX8E are not applicable at a TPH concentration of 10 X= (gasoline) or 100 ppm (diesel). <br /> FF RECOe<ENDATION/CONCLUSION 1 <br /> Are 3TX i E or TPN Concentrations > Allowable Levels Yes ho Tt.t' ✓� V .///'"","r^""""' <br /> Recommend Si to closure ea o I It Yes, Refer to Site Mitigation for Evaluation 'tD T2 •S _ <br /> VIEW EVALUATION - TO 3E COIPLETEO 3Y A SUPERVISOR/SENIOR <br /> rRWITH STAFF RECIOMME40ATION fOR CLOSURE 1YE5 EFERREO TO SITE MITIGATION FOR EVALUATIONESRED YAlc CLOSURE LETTER MAILED <br />