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TAE -I - CHECKLIST OF REQUIRED C 4 <br /> r FOR NO FURTHE �9CTION REQUESTS AT UNDERGRbuND TANK SITES <br /> Site Name and Location: G2EyHo4No [_lNE5 <br /> TNc .?ERM,Nm� 121 S. CEIN"JE(l SToctciow S�-L-"— C&-A <br /> 1. �s Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 feet <br /> of the site; <br /> ►JO D---E57+c N_L P�?A(3c�s4v��Y l,�E�cS wi�,�, onr r,arCpw2 Rrc.flol� <br /> 2. �tl Site maps,to scale, of area impacted showing locations of former and existing tank systems, excavation <br /> contours and sample locations, boring and monitoring well elevation contours, gradients, an y13 nearb / <br /> surface waters, buildings, streets, and subsurface utilities; i 2"boo<5 NE-5c'.- <br /> 3. k) Figures depicting lithology (cross section),treatment system diagrams; Q9-6%. r&I <br /> 4. C A- Stockpiled soil remaining on-site or off-site disposal (quantity); SusT TA-r- <br /> 5. <br /> ANK5. 10 Monitoring wells remaining on-site, fate; 4AAwn,. <br /> 6. Yc- Tabulated results of all groundwater elevations and depths to water; <br /> 7. Yea Tabulated results of all sampling and analyses: <br /> `Lc3 Detection limits for confirmation sampling <br /> N Lead analyses <br /> 8. YJ Concentration contours of contaminants found and those remaining in soil and groundwater, both on-site <br /> and off-site: <br /> Y Lateral extent of soil contamination do DeP-17' To `JEST 3ENCN'T04 C'ow„E°`„" <br /> Y Vertical extent of soil contamination SSoR��6s <br /> Y Lateral extent of groundwater contamination gmw2 <br /> 0 Vertical extent of groundwater contamination <br /> 9. NIX Zone of influence calculated and assumptions used for subsurface remediation system and the zone of <br /> capture attained for the soil and groundwater remediation system; <br /> 10. \/rs Reports/information 1/1 f. 7-1/f TP)J d y�yb S�io� (Nd� &P) "0 <br /> (41?F soim URF i 4Y q/ ,y l�/9`/ ��s� 7JS; la�9S Ilo•��(TP�1� �4�r9H <br /> Unauthorized Release ( ) <br /> QMRs(Dates) 7 90L.1 Z_ ll yz . i�53 y�93 7/73 sjD _S JAS 1993 <br /> _ PAR <br /> _ FRP <br /> _( Other(report name) suPr�o.0-*�. 5,�� As,�s��,,r Rpt Oc-{ i 91?_ <br /> Well and boring logs �Ssu�+e� $►ot2Emc0ATie- <br /> 11. TJ Best Available Technology(BAT) used or an explanation for not using BAT; 66 TP4d <br /> N� ��, GR ov�v�nTrti <br /> 12. tJ Reasons why"background"was/is unattainable using BAT; <br /> 13. YES Mass balance calculation of substance treated versus that remaining; 1Z7, b5"7177Z Kc�TPN,� Se, <br /> 14. _L) Assumptions, parameters, calculations and model used in risk assessments, and fate and transport <br /> modeling; <br /> 15. Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> . \\ beneficial uses; and <br /> 16. I`' WET or TCLP results <br /> �SS/ycE STO2'h DRAIN TS PRO- <br /> Comments: <br /> -ije-Comments: is x� <br /> MIQSS 060>/J Z9 KsTPgk <br /> v <br /> By:JF5 RWQCf3 .SAMPcep 390,?) Q Tl'pj �a YVIw-3 i I•,D�'-�Q?e7� <br /> Date: 28 MA7 q CowSucy>9.r�,: !M�-"3 (sPll�> wA� 00-AGE0 IN <br /> TRA^�lT. <br />