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APPENDIX B OF THE TRI-REGIONAL RECOMNMNDA77ONS <br /> CHECKLIST OF REQUIRED DATA FOR CLOSURE OF UNDERGROUNDTANK SITES <br /> CLOSURE DOCUMENT APPLICATION <br /> I Yd3—Distance to production wells for municipal.domest2c,agriculture,mduarry and other uses <br /> within 2000 feet of the site, <br /> 2 Yes Site maps to scale of area impacted slowing locations of former and existing tank systems, <br /> excavation contours and sample locations,boring and momtorang well elevation contours, <br /> gradients, and nearby surface waters,buildings, streets and subsurface utilities, <br /> 3 Yffi Figures depLcring lithoingy (cross section).treatment system diagrams; <br /> 4 Yes Stockpiled soil remaining on-site or off-aite disposal(quantity). <br /> 5 Yes Momtoring wells rema= g on-site.fate, <br /> 6 Yes Tabulated data of all ground water elevations and depths to water, <br /> 7 12'Tabulated results of all sampling and analyses- <br /> Yes Detection limits for confirmation sampling <br /> Lead analyses <br /> 8 _eS Concentration contours of contaminants found and those remaining in soil and ground water, <br /> both on-and off-site: <br />•' Yes Lateral extent of soil contamination <br /> NA Vertical extent of soil eonta,n,nAtwu <br /> Yes Lateral extent of ground water contamination <br /> NA Vertical extent of ground water contammAtron <br /> 9 �_Zone of influence calculated and assumptions used for the-subsurface remediation system <br /> and the zone of capture attained for the soil and groundwater remediation system, <br /> 10 Reports/information massmg from file <br /> No' Unauthorized Release Form(URF) <br /> IVo QMRs(Dates) _,. <br /> TIA PAR <br /> FRP <br /> Other(report name) <br /> mr., Well and boring logs <br /> 11 YssBest Available Technelegy(BAT)used or an explanation for not using BAT, <br /> 12_-YWRessons why"background"waslis unattatnable using BAT, <br /> 13 _)[gSMass balance calculation of the substance treated versus that remaunng <br /> 14--ta-Assumptions, parameters,calculations and model used m risk assessments and fate and <br /> transport modeling; <br /> 15 YesR.ationale why conditions remaining at the site will not adversely impact water quality, <br /> health,or other beneficial uses, and <br /> 16 NA WET or TCLP results <br /> • Comments Sse attad-r=d sheet fcr further uifanmt:L n axoaTdixdclist. <br /> i <br /> I <br /> i <br /> I <br />