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CHEVRON #9-4054 z Page 1 of 2 I LTCP Checklist ® CECTRACKER HOMEIMAN^�E PRO+E�T-°. IBECOHI515E9RSI11 L4cz CHEVRON #9-0054 (T0607700063) - MAP THIS SIT OPEN- SITE ASSESSMENT 2103 LOU NTRY CLUB BLVD ACTIVITIMEHIP RT CLEANUP OVERSIGHT NCms STOCKTON , CA 95204 CAR JOAQUIN COUNTY LOP (LEAD) - CASE a: 17W SAN JOAQUIN COUNTY PUBUC VJERPAGE ANSI SANDOVAL IRA - SOR. aowENWEEUSAESSER CENTRAL VALIFEY VI (REGION Sed- CASEra VIEW PIRRINTABLE�SESUM�Y FOR THIS SUE aRAE A Es CONDON Cap Claim # 12729 P OR Site In p: NOT SPECIFIED r'oriry Assigned tPaR:;q THIS PROJECT WAS FAST MODIFIED BY NDEL H M - ASTOPTO Y The SIM HAS sUBMIITALS. CLICHHF2E TO OPEN A NEW WINDOW WITH THE SUBMITTAL APPROVAL PAGE FOR THIS SITE CLOSURE POLICY THIS VERSION IS FINAL AS OF 4/13/2015 CHEcxusTINnuTED ON WWO12 CLOSURE POLICY HISTOR General Criteria - The site satisfies the pI general critena - CLEAR SECTION NO a. Is the unaubommad release located within Me service area Ofd public water system? Namecald wamr r YES r' N tev IS. The unauthorized release consists only of paunteum fiafol. Or YES r N c. The unauthorized! (Twimarn release ham Me UST system has been slopped. r YES r N d. Free Product has been removed to the madmum a#ent practicable fride). r FP Net Encountered IS YES r N e. A conceptual site model Nat assesses Me nature, extent and mobility of the release has been devele etlinfo . ron (Check all Mat Apply): GW Not Evaluated I✓• G a r Assessmentnn - ma n nCondensationDefined r_ emn der seaamen name - Vthof Extent aared F Hydrogeolegy Not Adequately Defined FPotential o tars Not(denuded r YES. as N F Soil AssessmentnnArealn e Damned F Se, Assessment Incomplete - DOPM Uknown ram Not Evaluated F otherape I. Secondary sorrers has been Removed to the e:dent practicable JIM Im"Alm nt to Removing secondary Source (Check all met Apply): F presentation Has Not Been F Nam ie ion s Incorrectly F Remediation Visa shut ON Prematurely r yFS or N Femadatien O&M F offer R Vadrose tons soil adecruately remediated, but saturated zone contmarnamts not adequately addressed yet g. Soil or groundwater has been tested for MTBE and resUls reported in accordance with Health and Safety Code Section 25298.15. r Not Required r YES r N I. Does nuisance edst es defined by Water Code section 13050. r 'YES r N 1, Mad]a-Spact fic Criteria: Groundwater - The contaminant plume that exceeds wafer quality objectives is stable of decreasing in areal extent, and meets all of the addl#onal NO characteristics of one of the five classes of sites listed below. - CLEAR sEcnox ANNeveg EXEMPTION - Soil Only Case (Release has not Affected Groundwater - Info) r YES r N Does the site meet any of Me Groundwater specific criteria scannas? r YES Or N ADDITIONAL QUESTIONS - Please Indicate only those conditions that do not meet Ne policy criteria: Plume Length (That Exceeds Water Quality Objectives) : r z 100 Feet antl <250 Feet (a > 250 Feet and < 1,000 Feet r >_ 1,000 Feet rUnknown Plume is Stable or Decreasing in AREAL Extent : C Na AT Unknown Free Product in Groundwater : C Yes r No r Unknown Free Product Has Been Removed to the Maximum Extent Practicable : r No r Unknown Forsites with free product, the Plume Has Been Stable or Decreasing for 5-Years (info) : r No r Unknown Forsites with free product, owner Willing to Accept a Land Use Restriction (if required) : r No r Unknown Free Product Extends Offsite : r Yes r Unknown Benzene Concentration : r z 1,000 pgd and < 3,000 pall r z 3;000 pall r Unknown MTBE Concentration : r a 1,000 pari r Unknown Nearest Supply Well (From Plume Boundary) C < 250 Feet r > 250 Fact and 51,000 Feet r Unknown Nearest Surface Water Body (From Plume Boundary) : r 5250 Feet r > 25D FwAand < 1,000 Feet r Unkrwwn https://geotracker.waterboards.ca.gov/regulators/screens/closure_policy . asp?global_id=TO. . . 4/13/2015