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' APPErMIX B OF THE TRI-REGIONAL RECONYfi1KErWATIONS <br /> cz-lF-cio"7_sr.OEizEQvIRED-DAarA-FOIL EURF�OE_UBMLERGgQ <br /> 16 CLOSURE DOCIFM�T A2PLICATION <br /> 1 X-- Distance to production wells for taunicipal, domestic, agriculture. industry and other uses wit[un <br />' 2000 feet of tae site; <br /> 2. ,XSue maps, to scale, of arca tmpacr d showing locations of former and ex==g rank systems, <br />' excavation, ccmtcu= and sample locations, bcrmg and monitoring well elevanon contours, - <br /> gradients, and nearby surface waters,buildings, streets, and*mbsurface uIIlitu= <br /> 3 X Figures depmc=g lithology (cross section), tre=a=t system diagrams; <br /> 4. X Stockpiled soil remmmiing on-site or Off-site disposal (quantity): <br /> 5. X Monitoring wells remaining on-site, fate; <br />' 6. X Tabulated data of all ground water elevations and depths to wase+; <br /> 7. X Tabulated results of aIl sampling and analyses: <br /> X <br /> Detection limits for confirtrtm don sampling <br /> irk ilyses <br />' 8. _ Concenuatzon contours of contaminants found and those remaining in soil and ground water. both <br /> on- and off-site: <br /> X Lateral extent of sod c:ontamirtation <br /> Vertical extent of soil contamination <br /> Lateral extent of ground water cont umnation <br /> Veracal exmat of grotmCwater coamaminii ion <br /> r9 Zone of influence calculated and assumptions used for the subsurface remcdiaaon system and the <br /> zone of capture attained for the soil and ;ound water remediation system; <br />' 1o. Reportsrhifor cation missing from fie <br /> Unauthorized Release Form (URF) <br /> -..� QMRs (Dates) <br />' PAR <br /> _ FRP <br /> Other (report name) <br />' Well and boring sags <br /> 11. `lX Best Available Technology (BAT) used or an explanation for WE usmng BAT; <br /> Reasons why ' said" was/ms unattainable using BAT; <br /> 13. X Mass bab ice calculation of the substance treated versus tb=mag <br />' 14. Assumpaons, parameters, calculations and model used m tisk assesstnerzts, and fare and transpe t _--- - <br /> modeling,- <br /> 15. <br /> odeling;15. X Ranonale why conditions remmning at the site will not adversely impact water quality, health, or <br /> other benefscial ases; and <br /> 16. WEior TCLID mrsults <br />' Comments: <br /> ' d <br /> WOZ!Id WdE E C a56 z-S E-� <br />