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S OAQUIN LOCAL HEA.LTH DISTRICT <br /> a <br /> UNDERGROUND STORAGE TANK PROGRAM <br /> i1 <br /> CRITERIA FOR CLEAN-UF REFERRALS <br /> S +i <br /> I. Product Identification <br /> A. Extremely Hazardous Substance 5 Points <br /> B. Hazardous Substance a-L, 4 3�oints <br /> C. Designated Hazardous Substance 0-2 Points <br /> I� <br /> II. Laboratory Analysis Results ' <br /> A. - Extremely Hig (Free Product F " 5 Points <br /> B. High 3-4 Points <br /> C. Moderate 2. Points <br /> D. Low 1 Pont <br /> E. Non-detectable 0 <br /> III. Distance to Water Supply Wells <br /> A. -, ft + 5 Points 5 <br /> B. 51 -100 ft. 4 Points <br /> C. 101-200 ft. 3 Points { <br /> D. 201-300 ft. 2 Points <br /> E. 301-500 ft. l Point <br /> F. Over 500 ft. 0 <br /> IV. Documented Impact on Active Waters Supply Wells <br /> A. Public Water Supply Well or two or more Do estic' Wells 5 Points <br /> B. Actj_v"a- 20 <br /> Wel0 ft. or off .si e 4 Points <br /> C. Domestic l (on site . !y 3 Points <br /> D. Nondomestic Well : 100-200 ftc (on site) 2 Points <br /> E. Nondomestic Well : --�- 100 ft. ;i (on site) 1 Point <br /> F. No Active Well (s) Affected 0 <br /> V. Depth of Groundwater <br /> A. 0-25 ft. ;; 5 Points <br /> B. 26- f 4 Points <br /> C. 36- 3 Points a <br /> D. 51-70 ft. 2 Points <br /> E. 71-100 ft. 1 Point <br /> F. Over 100 0 <br /> VI. Soil Type <br /> A. Gravels - GW, GP, GM GC 5 Points <br /> B. Sands - SW, S , SC 3-4 Points <br /> C. Silts/Clays (L quid" Limit) - ML, CL, O 2 Points <br /> D. Silts/Clays (High Liquid Limit) - MH, CH, CH 0-1 Point <br /> E. Organic Soils - PT ; (Site Specific) <br /> 1 f <br />