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1 <br /> ' TABLE 1 <br /> CHECKLIST OF REQUIRED DATA FOR NO FURTHER ACTION REQUESTS <br /> Site Name and Location: Mountain House Development Site#6, Mountain House, San Joaquin County, <br /> California <br /> ' ® 1. Distance to production wells for municipal, domestic, agriculture, industry, and other uses within <br /> 2,000 feet of the site. <br /> ® 2. Site maps, to scale, of impacted area showing locations of any former and existing tank systems; <br /> ' excavation contours and sampling locations; boring and monitoring well elevation contours; <br /> gradients; and nearby surface waters, buildings, streets, and subsurface utilities. <br /> ' ® 3. Figures depicting lithology(cross section). (Treatment system diagrams = NIA) <br /> ❑4. Stockpiled soil remaining on site or off-site disposal (quantity).NIA <br /> ' ❑ 5. Monitoring wells remaining on site; fate. N/A <br /> F-16. Tabulated results of all groundwater elevations and depths to water. NIA <br /> ' ® 7. Tabulated results of all sampling and analyses: <br /> ❑ Detection limits for confirmation sampling NIA <br /> ❑ Lead analyses NIA <br /> ® 8. Concentration contours of contaminants found and those remaining in soil and groundwater, both <br /> ' on site and off site: <br /> ® Lateral and ®vertical extent of soil contamination <br /> ® Lateral and ® vertical extent of groundwater contamination <br /> ' ❑ 9. Zone of influence calculated and assumptions used for subsurface remediation system and the <br /> zone of capture attained for the soil and groundwater remediation system: NIA <br /> ' ® 10. Reports/information ❑ Unauthorized Release Form ❑ QMRs (Dates) <br /> ® Well and boring logs ❑ PAR ❑ FRP ® Other <br /> (see Appendix A) <br /> ' ® 11. Best Available Technology (BAT) used or an explanation for not using BAT. <br /> ® 12. Reasons why background was/is unattainable using BAT. <br /> ' ❑ 13. Mass balance calculation of substance treated versus that remaining: N/A <br /> ® 14. Assumptions, parameters, calculations, and model used in risk assessments, and fate and <br /> transport modeling. <br /> ® 15. Rationale why conditions remaining at the site will not adversely impact water quality, health, or <br /> ' other beneficial uses. <br /> ❑ 16. WET or TCLP results: NIA <br /> ' By: Lauren Eames Comments: <br /> Date: 7127111 <br /> ' <br /> Page I of I <br /> 1 <br /> SAIE, <br />