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SAN :CAC01N CQ1NT7 Pf 4EAL74 SERVICES/E4VIRCNMENTAL HEALTH 0(V{ 1 <br /> UGST L't 4EET FCR SITE CLOSLRE EVALVAi;CN A(E <br /> .E CF FAC%t7Y <br /> Y <br /> RSSSI 5 14ANK 10 Y .� <br /> K SIZE I j � pUEL TYPE e <br /> ENERAL SITE Al STORY <br /> ;emit current7 des a ermit Y - �aciticy Status Code roe.Soil/GU Ccnc es o I <br />-ben of Larks at facility Inge of (anks(iF available) yTx of Lank �teel IFhr gl rgl Dual <br /> LANX 4ISTCRT <br /> Lank tested? des I o ailed precision test 7 ilfes �0 If yes, give date(s) <br /> a repair rode to the tank system? es I No f yes, what was repaired? <br /> repair done under inspection? 1 as I Mere soil sanoles analytedt yes o ( TXE y'P4-1 I IIYP4.0 b/E03 <br /> e of failure/discharge I acastraphie long-term leakage verfill I known Cher: <br /> EMOVAL 41STCRT (ATTAC3 14SPECTICN REPCRT FOR SITE OETAILS/COLLECT DATA FCR LEACHING POTENTIAL ANALYSIS) <br /> l Sarales Received 4e <br /> es a pepch ;0 arcd Vater of/Year ) rtvcrage Arnual Precipitation �_ < h0.25 <br /> Site 'lel L(s) yesl a iurber S Typel trr I b <br /> S care S core S core <br /> stance to Vell(s) frac Tank ft; ft; ft C 0 pts C pts C PCs <br /> 0 if 0 it O Ia( <br /> R cndicion R crdi tiro R kor'di Cion <br /> Site Feature - Leaching Potential Analysis c is .met E is :net E Lyy3 ,net <br /> rimun Oepth to grourdwater tram the Sail Sample (feet) >100 I Iii-100 I 125-50\1 <br /> c-ures in subsurface Capplies to foothills or mountain areas) None I Unknown I present <br /> rage Annual Precipitation (inches) zzzX I <10 I 9 110-25 zszzzz 125-40\2 <br /> i-4ade conduits which increase Vertical migration <br /> leachate (i.e., septic systems, water wells, pords) None Unknown resent <br /> gae site Features: Recharge area, coarse sail, nearby wells. <br /> zzzz NoneI At least ) . I4ero than <br /> ere one <br /> CCLLVN TOTALS»,TOTAL POINTS e Zrr <br /> ole Result: (3 TT XX OR E) RANGE OF TOTAL POINTS 9 pts or .mare 41 48 pts 40 PCs or less <br /> /Z 44 `IMA6" 3 i X 3 T X E <br /> /�r'" HAX if4.H ALLCVASLE 3-T-X•E LEVELS (PP4) 1 SO 50 I S I .3 .3 1. t. NA <br /> ate Result: r,� I IFASCLINE 1000 100 I 10 <br /> AXI M;M AL LCVA3lE LPH LEVELS (PPM) <br /> I°•� ` TPR' IT IESEL 10,000 1000 I 100 <br /> INCITES: •••If dccuoenced soil and/or ground water cmcamiratien is present, de l -the leaching potential <br /> analysis. (I.e., site is currently on LOT Contamiracion List for soil or groud water.) <br /> \1 if depth is > 5 ft. and < 25 ft., score 0 points. If depth <a5 ft., do not use table. <br /> \2 If precipitation is > 40 inches, score 0 points. <br /> \3 Levels for 3TXU are not applicable at a TPH concentration of to ppm (gasoline) or 100 ppm (diesel). <br /> TAFF RECVHENOATICN/CCNCLUSICN <br /> Are 3TX i E or TP4 Concentration > Allowable Levels Tes I o <br /> A r_ommerd Site Closure lY es I Ito I if Yes, Refer to Site Mitigation for -Evaluation <br /> 1EVIEV EVALUATICH - TO 3E CCMPLETEO 3T A S'PE311ISCR/SENIOR <br /> IC'R VITA STAFF dECCMHENOATICN FCR CLOSURE YESI rO I �EFERREO 70 SITE HITICAT(CN FCR EVALUAiICN LYES 0 <br /> E REF ERREO / / ATE CLOSC)RE LETTER YAIIED <br /> i <br /> c CF y <br /> LUATCR <br /> 23 20 (UG11:.atiaT)\5/90 <br />