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TAUE 1 -CHECKLIST OF REQUIRED 6.-wrA
<br /> A FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES
<br /> Site'Narne and Location: St A►-4 maRa% FORD, 104 u�1, CLeuero7F� S TR�cy SAu JoRaai,„S Cou��y.
<br /> 1. Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 feet
<br /> ofthe site; > 2s•fl `
<br /> 2. Site maps, to scale, of area impacted showing locations of farmer and existing tank systems, excavation
<br /> contours and sample locations, boring and monitoring well elevation contours, gradients, and nearby
<br /> surface waters,buildings, streets, and subsurface utilities; c�R�t�
<br /> . Sbc�a„� CcaSBC in't^�f+c� .3)171
<br /> 3. t Figures depicting lithology (cross section), treatment system diagrams; 15O� (Al 0.
<br /> 4. Stockpiled soil remaining on-site or gff- disposal (quantity); )DD k470
<br /> 5. Monitoring wells remaining on-site,fate; 3 nnw
<br /> 6. Tabulated results of all groundwater elevations and depths to water, - o"Q4s'N
<br /> 7. Tabulated results of all sampling and analyses: w
<br /> Detection limits for confirmation sampling
<br /> f�— Lead analyses 'Z.DQ `TE rta l,r++7L Le-Ro — N -
<br /> 8. ��. Concentration contours of contaminants found and those remaining in soil and groundwater, both on-site
<br /> and off-site:. rnw-t Rajgs -re )0)46
<br /> Lateral extent of soil contamination 2,1 is 3•7,c.61L &,�j-- rcq
<br /> Y Vertical extent of soil contamination -z-li fa2,t. R IL f,l-DCA
<br /> Lateral extent of groundwater contamination a mwa ND tA57 1 ` ',1”
<br /> tJ Vertical extent of groundwater contamination MW-1 i c
<br /> 9. fil 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. Reports 1 information
<br /> Unauthorized Release'Form (URF) ?-/8g
<br /> _ QMRs(Dates)
<br /> PAR a �1*'A� RE+�oRzT 2? AK6NrT ql
<br /> V FRP
<br /> Other(report name) �`A y+c �y�A��T •.� R apo�T 1 R3 9 0
<br /> Well and boring logs
<br /> 11. ` _gest Available Technology,(BAT) used or an explanation for not using BAT; S SaR� BcR �ls,.,b".b
<br /> _ .— - - •r _ _ _._
<br /> 12. Reasons why"background"wasCs unattainable using BAT;(t LOOLP)PI/A44 Drz"`r'"° Q+=�ov� WAdrC a�
<br /> Cprrp4,�,,,.at�v.+. *10h" ck 136r2R0ow"
<br /> 13. N Mass balance calculation of substance treated versus that remaining; fZ£�xe��,o 6y4-
<br /> . 14. 1J Assumptions, parameters, calculations and model used in risk assessments, and fate and transport
<br /> modeling;
<br /> 15. IJ Rationale why conditions remaining at site will not adversely impact water quality, health, or other
<br /> II beneficial uses;and wgS-IE c R%4 oj- ,c A., 6q,5 .#%I-
<br /> 16.
<br /> Rsi16. N WET or TCLP results "I -mA Qaxsep,r 'cArL wnsu
<br /> Comments: L£55 Irma- 1,Ooo k T�}� Rcn,a�s Okasa�.r}J r�oput•� &Etze q, �urtl1ln�[r
<br /> FRvc 3eAU4.1s2 Soaim6.s R.E-40ro CydZd6'Ce JtAMs--P1C- SORA -2 �lZ�f3cS
<br /> 113FRR, 1J0 7 OR 67E)( J>ejCCTCb W 0sR0unm wAlrtm C1ALfZ 1-APeD Sdtve—n up 70 30 l RR`+*A+•�`'
<br /> . 6ne�tip Lq]r� -$0M4CL* f-'Re.ti cAll yAS�f.
<br /> By: 13
<br /> Date: 3 F r~$ 9 7
<br />
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