My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
REMOVAL REMOVAL 1989
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
5363
>
2300 - Underground Storage Tank Program
>
PR0502330
>
REMOVAL REMOVAL 1989
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/6/2020 4:42:33 PM
Creation date
11/7/2018 5:24:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
REMOVAL 1989
RECORD_ID
PR0502330
PE
2381
FACILITY_ID
FA0005404
FACILITY_NAME
LA MER ASSOCIATES
STREET_NUMBER
5363
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
5363 E MAIN ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\5363\PR0502330\REMOVAL 1989 .PDF
QuestysFileName
REMOVAL 1989
QuestysRecordDate
10/6/2017 7:31:15 PM
QuestysRecordID
3669891
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
35
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SAN JOAOUIIINTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL *H DIVISION <br /> I. <br /> UGST WORKSHEET FOR SITE CLOSURE EVALUATION ATE <br /> MANKSIZ:El� <br /> TY <br /> L_1a I11`=Y > SO ' �,(;1IZ�. WEEPS CODE <br /> L <br /> 5 55 CSS t �� S'i. ANK ID p <br /> 5 � UEL TYPE1 11 GS / <br /> 11. GENERAL SITE HISTORY <br /> Is permit current? es o ermit q - acidity Status Code oc.Soil/GW Cont es o <br /> umber of Tanks at facility ge of Tanks(if available) ype of Tank teal Fbrgl ngl Dual <br /> 111. TANK HISTORY <br /> as Tank tested7 as o ailed precision test 7 es o If yes, give date(s) <br /> as a repair made to he tank system? es No f yes, what was repaired? <br /> as repair done under inspection7 as o ere soil snip les analyzed? es o 3TNE I PH-G PH-O b/EDB <br /> ype of failure/discharge otastroph is long-term leakage verf ill nknoun ther: <br /> IV. REMOVAL HISTORY (ATTACH INSPECTION REPORT FOR SITE DETAILS/COLLECT DATA FOR LEACHING POTENTIAL ANALYSIS) <br /> Sell Samples Received as ., 0 epth to Ground Water of/Year (4 ; i; U verage Annual Precipitation 4 0-25 <br /> -Site Wells) es o umber 8 Type Irr an ub <br /> S core S core S core <br /> Distance to Well(s) from Tank ft; ft; ft C O. pts C pts C - pts <br /> 0 f 0 f 0 if <br /> A "o diti on R ondition R ondition <br /> Site Feature - Leaching Potential Analysis E is met E is met E is met <br /> inimun Depth to groundwater from the Soil Sample (feet) rti""q - q >100 -1-100 C 25-5011 <br /> ractures in subsurface (applies to foothills or mountain areas) i �� None Unknown resent <br /> verage Annual Precipitation (inches) xxxxxx <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 /> pique site features: Recharge area, coarse soil, nearby wells. At Least ore than <br /> xxxxx None one one <br /> COLUMN TOTALS»>TOTAL POINTS <br /> ample Result: (B T X OR E) RANGE OF TOTAL POINTS 9 pts or more41 4D pts 40 pts or less <br /> .� B T % E B T X E <br /> /Y 1' (4-1 • �� MAXIMUM ALLOWABLE B-T-X-E LEVELS (PPM) 1 50 50 50 .3 .3 1. 1. NAI <br /> ample Result: GASOLINE 1000 100 tg <br /> AXIMUM ALLOWABLE TPN LEVELS (PPM) <br /> TPH DIESEL 10,000 1000 100 <br /> FOOTNOTES: <br /> ---If documented soil and/or ground water contamination is present, do not caiplete the leaching potential <br /> analysis. (i.e., site Is currently on UGT Contamination List for soil or groud water.) <br /> Ll If depth is > 5 ft. and < 25 ft., score 0 points. If depth <=5 ft., do not use table. <br /> L If precipitation is > 40 inches, score 0 points. <br /> 13 Levels for BTXBE are not applicable at a TPN concentration of 10 ppm (gasoline) or 100 ppm (diesel). <br /> VI. STAFF RECOMMENDATION/CONCLUSION <br /> 1. Are 8TX 8 E or TPM Concentrations > Allowable Levels Yes IN <br /> o 1- ' <br /> I2. Recommend Site ClosureYes I�`_ �(o I plf Yes, Refer to Site Mitigation for Evaluation <br /> VII. REVIEW EVALUATION - TO BE COMPLETED BY A SUPERVISOR/SENIOR <br /> CONCUR WITH STAFF RECOMMENDATION FOR CLOSURE ES I L+01 <br /> EFERRED TO SITE MITIGATION FOR EVALUATION FS I 0 <br /> ATE REFERRED / / ATE CLOSURE LETTER MAILED <br /> AME OF 1Z <br /> VALUATOR /) <br /> EH 23 80 (UGTWKSHT)\5/90 <br />
The URL can be used to link to this page
Your browser does not support the video tag.