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TABLE i - CHECKLIST OF REQUIRED DATA <br /> r FOR No FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br /> Site Name and Location_ <br /> [distance to production wells for municipal, domestic, agnculture, industry and other users within 2000 <br /> feet of the site. <br /> 2. _ Site nWs,to scale, of area impacted showing locations of farmer and existing tank systems, <br /> excw abon contours acid sample locations, bones and mandonng well elevation contour, gradients, <br /> and nearby surface waters, buildings, streets, and subsurface utilities, <br /> 3 Figures depicting litttdogy (cross section).treatment system diagrams; <br /> 4 Stndcpded soil remaining on-site or off-site disposal(quantdty), <br /> 5 _, Monitoring wells remaining on-ante, fate; <br /> 6 Tabulated mulls of an graurxdwater eie vabons and depths to water <br /> r Tabulated results of an sampting and ane"es <br /> _ Detection irmits frac confirmation sampling <br /> Lead analyses <br /> 8 Concentratmn c+ordours of contaminants found and those remaining in soar and groundwater both on- <br /> she and off-site: <br /> Lateral extant of soil contamination <br /> Vertical extent of soil contanunahm <br /> Lateral extern of groundwater contarrurratxon <br /> _ Vertical extent of groundwater contamination <br /> 651 Zoite of ink calculated and assumptions used for subsurface remaIiateon system and the zone <br /> of capture attained for the soil and groundwater r$medration system; <br /> 10 _ Reports I information <br /> _ LMatmonxed Release Form (URF) <br /> QMRs (Dates) <br /> PAR <br /> FRP l=RP <br /> Other(report name) <br /> _ Well and boring k)0 <br /> 1i _ Best Available Technology(8AT) used or an explanation for not using BAT, <br /> 12 _ Ressorms why'background'wasfrs unattaenalAs uwng SAT, <br /> 13 _ Mass balance caIculstron M substance tmate:d versus that remaimrig <br /> 14 Assumptions parameters, calculations and model used in nsk assessments and tate and transport <br /> madshng, <br /> 15 Rationale why conditions remaining at site will not adversely impact water quality, health, or ottrer <br /> beneficW uses: and <br /> 1$ __ VVET or TCLP results <br /> Comments <br /> iBY <br /> Date <br />