Laserfiche WebLink
SAN JOACUIN CyNTY PUBLIC HEALTH SERVICES/RE tYALUETION HEALTH DIViSICN ATE <br /> UST WORKSHEE7 FOR SITE CLOSU <br /> RD <br /> �L�2,,ECO [D I <br /> Of FACiIiTY i[ANK iD d <br /> IE 55 <br /> S LE I UEL TYPE <br /> EVE.RAL SITE HISTORY PaciLILy Status Code Poc.Soil/GU Cont es I No <br /> current. <br /> ° I Permit - f <br /> mit Ices hype of Lank feel I IFbrgl �ngl Dual <br /> �ge of Tank(if available) II <br /> mer of Tanks at facility <br /> -ANK HISTCRY `t give date(s) <br /> 0 <br /> es I �!o I )Failed precision test ? es <br /> NoI rf yes, <br /> s 'ank tested. .. fired? <br /> No I �f yes, wnat was r .-a <br /> a repair made :o the tank system? es . ed� �� TYE I I PH-G I �fPH-D I Pb/�B ` <br /> �oI Nere soil samples analYc <br /> Flo ` I <br /> ction? les I 1 no,n I )other. <br /> s repair cone under inspe I overfill <br /> Lcastroehic I Long-term leakage 1 <br />,ce o; failure/discharge I r LEACHING p07ENTIAL ANALYSIS) <br /> SITE DETAILS/COLLECT DATA FOR l_A �_ '4 y0-25 <br />-ccMCVAL HISTORY (ATTACH INSPECTION REPORT FOR �Lverage Annual precipitation <br /> �tef/Year <br /> o I peoth to "around eater p� <br /> '. Samples Received Kes i °m I I I <br /> Ilrr I S core S ppcore <br /> �o �luaber Type S care C ktpts <br /> _Site uell(s) �Yes I �iticn <br /> ts C pts C; ft; _ft 1T0 <br /> from Tank 0 R c°ncition R onition <br /> is:arce :o Wells) R li _ �s met <br /> y�S met - i S met <br /> Sitpotential A—LYS'S II`>100 l k -100 <br /> ee3Leaching <br /> rouncuater from :he Soil SacmLe C:eet) I present <br /> � <br />,:nin Depth to g 14one I Unknown <br /> n suesurface (apFli� ;p foothiLLs or moL ttain areas) xXx X I25-40�2 <br /> FrZC:'ureS JCXX I <10 I 9 110-25 <br /> Average Annual precipitation (incnes) - I <br /> I <br /> which increase vertical migration Unknown <br /> 140 Present <br /> Man-Mace re ci.is water wells, pones) ore tnan <br /> 5f '.eacnate e., septic systems. 1Ileast ) I one <br /> Lnicue site features Recharge area, coarse ;owl, or wells. f 4one AL one <br /> �,.. domestic=>500 ft; irr/agricultural=present? <br />` iMLrc t;al=>2000 I L <br /> i <br /> I COLUMN TOTALS»>TOTAL POINTS I -1 48 pts I �O pts. <br /> or Less <br /> RANGE OF "CTRL POINTS 9 pts or more <br /> 'Sample ResuL:: ;3 T X OR E) <br /> 3 3 T X `= <br /> ALLOWABLE 3-T-X-E LEVELS (PPM) 1 150 150 50 ' .3 I-3 <br /> MAXIMIM I 100 I 10 <br /> i (GASOLINE 1000 <br /> ample 2esul:: �pXIMUM ALLOl1ABl-- TPH LEVELS (PPM) IESEL 10,000 <br /> 1000 I 100 <br /> TPH Lete the Leaching potential <br /> water contamination is present, do not comp water.) <br /> COTNOTES: "`1f doe mented soil and/or to is UGT Contamination List for soil or tablground <br /> analysis. 0-e_, site is currently on c5 ft., o0 <br /> \1 If deoth is > 5 ft. and < � ft., score 0 points. If depth diesel)- <br /> \2 If precipitation is <br /> > 40 inches, score 0 points_ (gasoline) or 100 ppm <br /> \3 Levels for 3TX&E are not applicable at a TPH cancentration of 1 PPfO <br /> VI STAFF Rcr0r1MENDA7ION/CCNCLUSION Yes °I <br /> 3 <br /> E or TPH Concentrations > Allowable Levels <br /> Are 3TX <br /> �_ Recommend Site ClosurelYes <br /> 4o iIf Yes, Refer to Site Mitigation for Evaluation <br /> c A SUPERVISOR/LEAD SENIOR 0 I I <br /> `JII. REVIEW EVALUAIICN TO 3E CCMPL_T� FOR °VALUATION �ES I �+ <br /> EpEERRED TO SITE MITIGATION <br /> CNCJR 417H STAFF RECOMMENDATION FOR CLOSURE r-SI 0 I / <br /> / DATE CLOSURE LETTER MAILED <br /> Ai; REFERRED I / <br /> AME OF <br /> VALUATOR <br /> cH 73 30 (UGT14KS1AT)\5/94 <br />