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FIELD DOCUMENTS FILE 3
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3500 - Local Oversight Program
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PR0544591
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FIELD DOCUMENTS FILE 3
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Last modified
6/21/2019 2:57:24 PM
Creation date
6/21/2019 11:54:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 3
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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"- � CHEVRON #94054 — Page 2 of 2 <br /> Nearest Surface water Body (From Plume Boundary) : <br /> r <- 250 Feel r > 250 Feel and s 1 ,000 Feet C Unknown • k <br /> 2. Media Specific Criteria: Petroleum Vapor Intrusion to Indoor Air- The site is considered /ow-threat for the vapor-intrusion-to-air pathway if <br /> site-specificconditions sa fisfyifems 2a, 2b, or 2c - cLEAR secTIGN ANstivi <br /> EXEMPTION - Active Commercial Petroleum Fueling Facility r YES C NO <br /> Does the site meet any of the Petroleum Vapor Intrusion to Indoor Air specific criteria scenarios? r YES r NO <br /> 2a - Scenario 1 fexamolel: Unweathered LNAPL in Groundwater - The bloaftenuation zone Is a continuous zone that provides a separation of at least 30 fast <br /> vertically between the LNAPL in groundwater and the foundation ofpsting or potential buildings, and total TPH (TPH-g and TPHA combined) are <100 r YES r NO <br /> mglkg throughout the entire depth of the bioatlenuation zone. <br /> 2a - Scenario 2exf�a r ple : Unweathered LNAPL in Soil - The bioatlenuation zone is a continuous zone that provides a separation of at least 30 feet both <br /> laterally and vertically between the LNAPL in soil and the (pprfdation of existing or potential buildings, and total TPH are <100 mg/kg throughout the entire r YES r NO <br /> depth of the bioatlenuation zone. V � <br /> 2a - Scenario 3 (examplel: Dissolved Phase Benzene Concentrations Only in Groundwater (Low concentration groundwater scenarios with orwithout 02 <br /> measurements must satisfy one i, ii, or III): <br /> I. Far bloaflenuation zone without oxygen measurements or oxygen <4% and benzene concentration are <100 uglL, the bioatlenuation zone: Is a / <br /> continuous zone that provides a separation of at least 5 feel vertically between the dissolved phase benzene and the foundation of existing or potential r YES r' NO <br /> building; and contain total TPH <100 mg/kg throughout the entire depth of the bioatlenuation zone. - <br /> IL For bioattenuation zone without oxygen measurements or oxygen <4% and benzene concentration are >100 pglL but <1,000 NgIL, the bioattenuation <br /> zone: Is a continuous zone that provides a separation of at least 10 feet vertically between the dlssotved phase benzene and the foundation of existing or r YES r NO <br /> potential building, and contain total TPH <100 mglkg throughout the entire depth of the bioattenuation zone. <br /> ii. For bioatlenuation zone with oxygen z 4% and benzene concentration are <1 000 pg/L, the bioattenuation zone: Is a continuous zone that provides a <br /> separation of at least 5 feet vertically between the dissolved phase benzene and did foundation of existing or potential building and contain total TPH r YES (7 NO <br /> <100 mglkg throughout the entire depth of the bioattenuation zone. <br /> 2a - Scenario 4 (exaam iy Direct Measurement of Soil Gas Concentrations <br /> 1. Soil Gas Sampling Locations — No BioaHenuation Zone: <br /> - Beneath or adjacent to an existing building: Soil gas sample is collected at least 5 feet below the bottom of the building foundation. r YES r NO <br /> - Future construction: The soil gas sample shall be collected from at least 5 feet below the ground surface (bgs). In YES r NO <br /> ii. Sell Gas Sampling Locations — with Bioattenuation Zone: The criteria in Column A in the Soil Gas Criteria table (page 5 of the Policy) apply if the <br /> following requirements for a bioattenuation zone are satisfied: <br /> - Minimum of 5 feet of soil between the soil vapor measurement and the foundation of an existing or ground surface of future construction. r YES r NO <br /> - TPH (TPHO + TPHd) is <1 00 mglkg (measured in at least two depths within the 5-ft zone) r YES r NO <br /> - Oxygen is z 40A measured at the bottom of the 5-ft zone. r YES r NO <br /> 2b - Petroleum Vapor Intrusion to Indoor Air - A saespecic risk assessment for the vapor Intrusion pathway has been prepared that demonstrates human r YES r NO <br /> health is protected to the satisfaction of the regulatory agency. <br /> 2c - Petroleum Vapor Intrusion to Indoor Air - The regulatory agency has determined petroleum vapors migrating from soil or groundwater will have no <br /> significant risk of adversely affecting human health as a result of controlling exposure through the use of mitigation measures or through the use of r YES r NO <br /> institutional or engineering controls. <br /> 3. Media Specific Criteria: Direct Contact and Outdoor Air Exposure The site is nsidered low-threat for direct contact and outdo or air exposure YES <br /> If it meei57, 2, or 3 below - CLEAR SECTION ANSWERS ( j. <br /> Additional Information <br /> Should this case be closed in spite of NOT meeting policy antenna? r YES - NO <br /> SPELL CHECK <br /> Save in Progress <br /> LOGGED IN AS HENOERSONN CONTACTGEOTRACKER HELP <br /> https://geotracker.waterboards.ca.gov/regulators/screens/closure_policy.asp?global_id=TO. . . 6/19/2013 <br />
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