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?7 CHEVRON #94054 Page 1 of 2 LTCP Checklist © GEOTRACKER HOMES MANAGE PROJECTS [ REPORTSISEARCHI LOGOUT CHEVRON #94054 (70607700063) - MAP THIS SITE OPEN- SUE A SSFSSMFfu` 2103 COUNTRY CLUB BLVD ACTIVITIES REPORT CLEANUP OVERSIGHT AGENCIES STOCKTON , CA 95204 SAN JOAQUIN COUNTY LOP (LEAD) - CASE If: 1780 SAN JOAQUIN COUNTY PUBLIC WEBPAGE CASEWORKER: LISA MEDINA - SUPERVISOR: ADRIENNE ELLSAESSER VIEW PRINTABLE CASE SUMMARY FOR THIS SITE CENTRAL VALLEY RWQCB (REGION 5S) - CASE #: 3900B9 CASEWORKER: JAMES BARTON - SUPERVISOR: BRIAN NEWMAN CUF Claim #: 12729, 3974 CUP Priority Assigned: D CUF Amount Paid: THIS PROJECT WAS LAST MODIMM BYLISA fiMMON 5/2E12m3 Rar.01 AM - HISTORY THIS SITE HAS SUBMITTALS. CLICK HERETO OPEN ANEW WINDOW WITH THE SUBMITTAL APPROVAL PAGE FOR THIS SITE. CLOSURE POLICY THIS VERSION IS FINAL AS OF 612412013 CHECKJST1AmATED0Ng/26120f2 CLOSURE POLICY HISTORY General Criteria - The site satisfies the policy general Criteria - CLEAR sEcnoN ANsyv=Rs ENQ a. Is the unauthorized release located within the service area of a public waters stem? Name at Water System : cawsbar r YES r NO b. The unauthorized release consists only of petroleumice). G YES r NO c. The unauthorized Cprimary°) release from the UST system has been stopped. Is YES r NO d. Free product has been removed to the maximum extent practicable finfol. r FP Not Encountered r VES r NO e. A conceptual site model that assesses the natureextent and mobility of the release has been developed fi�nfoot. Description (Check all Mat Apply): F GW Not Evaluated F Groundwater Assessment Incomplete -Areal Extent of Contamination Not Defined F Groundwater Assessment Incomplete - Depth of Contamination Not Defined r Hydrageology Not Adequately Defined r VES re NO F Potential Receptors Not Identified F Sail Assessment Incomplete - Areal Extent Not Defined F Soil Assessment Incomplete - Depth Unknown r Soil Vapor Not Evaluated F Other - f. Secondary source has been removed to the extent nacticable info Impediment to Removing Secondary Source (Check all that Apply): F Remediation Has Not Been Attempted r Remediation Was Designed Incorrectly YES is NO F Remediation Was Shut Off Prematurely F Poor Remediation 08M r�- r OMer - lVadose zone act adequately remedaled, t g.Soil orgroundwater has been tested for MTBE and results reported in accordance with Health and Safety Code Section r Not Re r VES r NO 25295.15. Required In Does a nuisance exist, as defined by Water Code section 13050. r YES l• NO 1 . Media-Specific Criteria: Groundwater - The contaminant plume that exceeds water quality objectives is stable or decreasing in areal extent, and meets all of the additional characteristics of one of the five classes of sites listed below. - EAB NO SECTION ANGVVERS EXEMPTION-Soil Only Case (Release has not Affected Groundwater - Info) r VES G NO Does the site meet any of file Groundwater specific criteria scenarics? r YES GNO ADDITIONAL QUESTIONS - Please Indicate only those conditions that do not meet the policy criteria: Plume Length (That Exceeds Water Quality Objectives) : C z 100 Feet and < 250 Feet as z 250 Feet and < 1 ,000 Feet r z 1,000 Feet r Unknown Plume is Stable or Decreasing in AREAL Extent : r No G Unknown Free Product in Groundwater : C Yes is No r Unknown Free Product Has Been Removed to the Maximum Extent Practicable : C No r Unknown For sites with free product, the Plume Has Been Stable or Decreasing for 54ears (info) : C No r Unknown For sites with free product, owner Willing to Accept a Land Use Restriction (if required) : r No r Unknown Free Product Extends Onsite : C Yes r Unknown Benzene Concentration : R z 1 ,000 P9/I antl < 3,000 pgll r t 3,000 pgfl (Unknown MTBE Concentration : r z 1 ,000 pgfl r Unknown Nearest Supply Well (From Plume Boundary) : https :Hgeotracker. waterboards .ca.gov/regulators/screens/closure_policy.asp. . . 6/24/2013