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QUICK-N-SAVE #2 Page 2 of 2 <br /> 2 Media Specific Criteria:Petroleum Vapor Intrusion to Indoor Air-The site is considered low-threat for the vapor-intrusion-to-air pathway if site-specific conditions satisfy NO <br /> items 2a,2b,or 2c-ri caw SErrvw ANsyyERa <br /> EXEMPTION-Active Commercial Petroleum Fueling Facility C YES r N <br /> Does the site meet any of the Petroleum Vapor Intrusion to Indoor Air speck criteria scenarios? r YES r N <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do not meet the policy criteria: <br /> Soil Gas Samples: <br /> r No Soil Gas Samples r Taken Incorrectly <br /> Exposure Type: <br /> r Residential r Commercial <br /> Free Product: <br /> C In Groundwater r In Soil r Unknown <br /> TPH in the Bioattenuation Zone: <br /> ('z 100 mgfkg r Unknown r Sal samples not taken at two depths within 5 R.zone(only for Scenario 4 with BioZone) <br /> Bioattenuation Zone Thickness: <br /> C<5 Feet(No BicZone) r>_5 Feet and<10 Feet r>_10 Feet and<30 Feet r t 30 Feet r 30R BioZone Compromised TPH>100mg/kg r Unknown <br /> 02 Data in Bioattenuation Zone <br /> r'No O,Data r'03<4% r 02z 4% <br /> Benzene in Groundwater: <br /> C>_100 pg/1 and<1,000 pgA r 2 1,000 pg/I r Unknown <br /> Soil Gas Benzene: <br /> C 2:85 pg/m3 and<280 pg m3 C>_280 pglm3 and<85,000 pg/m3 r>_85,000 pg/m3 and<280,000 pg/m3 r z 280,000 pg/m3 r Unknown <br /> Soil Gas EthylBenzene <br /> r>_1,100 pg/m3 and<3,600 pg/m' r z 3,600 pg/m3 and<1,100,000 pg/m3 r>_1,100,000 pg/m3 and<3,600,000 pg/m3 r>_3,600,000 pg/m3 r Unknown <br /> Soil Gas Naphthalene <br /> r>_93 pg/m3 and<310 pg/m3 r 2:310 pg/m3 and<93,000 pg/m3 r>93,000 pg/m'and<310,000 pg/m3 r z 310,000 pg/m' r Unknown <br /> 3.Media Specific Criteria:Direct Contact and Outdoor Air Exposure-The site is considered low-threat for direct contact and outdoor air exposure if it meets 1,2,or 3 below. YES <br /> -CLEAR SECTION ANSWERS <br /> EXEMPTION-The upper 10 feet of soil is free of petroleum contaminations YES r N <br /> Does the site meet any of the Direct Contact and Outdoor Air Exposure criteria scenarios? r YES r N <br /> 3.1-Maximum concentrations of petroleum constituents in soil are less than or equal to those listed in the following table(LINK)for the specified depth below ground surface. r YES r NC <br /> Additional Information <br /> Should this case be closed in spite of NOT meeting policy criteria? r YES r N <br /> Has this LTCP Checklist been updated for FY 14/15? r YES r N <br /> SPELL CHECK <br /> Save Form as Partially Completed Save Form as Complete <br /> LOGGED IN AS HENDERSONN CONTACT GEOTRACKER F <br /> https://geotracker.waterboards.ca.gov/regulators/screens/closure_policy.asp?global_id=T06... 5/1/2015 <br />