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r <br /> ,. TABLE 9 - CHECKLIST OF REQUIRED DATA <br /> FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br /> i0ame and Location l� rz 5 l j� c�rh1 rr-e I --- <br /> I Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 <br /> feet of the silo, <br /> 2 ✓ Site reaps, to scale, of area impacted showing locations of former and existing tank systoms, <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 J Figures depicting iithology (cross section), treatment system diagrams, <br /> 4 ✓` Stockpiled soil remaining on-site or off-site disposal (quantity), <br /> 5 ----Monitoring wells remaining on-site, fate, <br /> 6 Tabulated results of all groundwater elevations and depths to water, <br /> 7. �" Tabulated results of all sampling and analyses <br /> Detection limits for confirmation sampling <br /> Lead analyses <br /> 8 %- Concentration contours of contaminants found and those remaining in sal and groundwater, both on- <br /> site and off-site <br /> Lateral extent of soil contamination <br /> Vertical extent of soil contamination <br /> Lateral extent of groundwater contamination <br /> Vertical extent of groundwater contamination <br /> Zone of influence calculated and assumptions used for subsurface remediation system and the zone <br /> of capture attained for the soil and groundwater remediation system, <br /> 10 Reports / information <br /> _ Unauthorized Release Form (URF) <br /> QMRs (Dates) l <br /> PAR <br /> _ FRP <br /> ✓ Other (report name) 5 r i <br /> _--- Weil and boring logs <br /> 11 fV l/l Best Available Technology (BAT) used or an explanation for not using BAT, <br /> 12 LI& Reasons why"background"waslis unattainable using BAT, <br /> 13 _� Mass balance calculation of substance treated versus that remaining, <br /> 14 IVfA Assumptions, parameters, calcufations and model used in risk assessments, and fatio and transport <br /> modeling, <br /> 15 Rationale why conditions remaining at site will not adversely impact water quality, he alth, or other <br /> beneficial uses, and <br /> 16 IVM WET or TCLP results <br /> Comments. <br /> fir- <br /> Date W30 490 <br />