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Le u <br /> TABLE 1 - CHECKLIST OF REQUIRED DATA <br /> �. FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br /> �Site Name and Location: MITA4,1_ 54y4RS Gfo a/A2$T SmcKTaAv CA <br /> 1, _Z Distance to production weals for municipal, domestic, agriculture, industry and other uses within 2000 <br /> feet of the site; <br /> 2. Site maps, to scale, of area impacted showing locations of former and existing tank systems, <br /> excavation contours and sample locations, boring and monitoring well elevation contours, gradients, <br /> and nearby surface waters, buildings, streets, and subsurface Utilities; <br /> 3. Figures depicting lithology (cross section), treatment system diagrams; <br /> f. Y,4 Stockpiled soil remaining on-site or off-site disposal (quantity); <br /> w <br /> 5. Monitoring wells remaining on-site, fate; <br /> i. Tabulated results of all groundwater elevations and depths to water, <br /> L47. Tabulated results of all sampling and analyses: <br /> Detection limits for confirmation sampling <br /> Lead analyses <br /> a, Concentration contours of contaminants found and those remaining in soil and groundwater, both on- <br /> site and off-site: <br /> V <br /> Lateral extent of soil contamination <br /> _ Vertical extent of soil contamination <br /> A61 Lateral extent of groundwater contamination <br /> ,A Vertical extent of groundwater contamination <br /> Zone of influence calculated and assumptions used for subsurface remediation system and the zone <br /> ti.9 of capture attained for the soil and groundwater remediation system; <br /> .10. Reports I information <br /> ,/ Unauthorized Release Form (URF) <br /> ,Ig QMRs (Dates) <br /> v y4 PAR 14VD1PUf-90 4_1D RPS 1.191tsT/6A7-7ddJ 40D R1.40g,41- RFpoRr -�A z <br /> NQ FRP 4PN46d 2r sires Asr"s _e u7- RdPv�er _T" .�, J642 <br /> Other (report name) fyt .jk&9a&A0D S7V"94 M.VZ e4PAWRe AT' cya SAV snutT S7D6K?V".J <br /> Well and boring logs eAilFooe,WA, a o►oox Ptrscr ,vo. j5,r-?o, Aasver zo, zooz.. <br /> Best Available Technology (BAT) used or an explanation for not using BAT; <br /> Reasons why"background"was/is unattainable using BAT; <br /> �3. ✓ Mass balance calculation of substance treated versus that remaining; <br /> 14. ✓ Assumptions, parameters, calculations and modef used in risk assessments, and fate and transport <br /> modeling; <br /> 'r5, ✓ Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and <br /> WET or TCLP results <br /> Comments: <br /> La <br /> Lty: <br />