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QUICK-N-SAVE #2 Page 2 of 2 <br /> I <br /> 5 250 Feet f' >250 Feet and<1,000 Feet r Unknown <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- yES <br /> specific conditions satisfy items 2a,2b,or 2c-CLEAR SECTION ANSWERS <br /> EXEMPTION-Active Commercial Petroleum Fueling Facility YES NO <br /> 3.Media Specific Criteria:Direct Contact and Outdoor Air Exposure-The site is considered low-threat for direct contact and outdoor air exposure YES <br /> Ifit meets 1,2,or 3 below.-CLEAR SECTION ANSWERS <br /> EXEMPTION-The upper 1D feet of soil is free of petroleum contamination C YES t' NO <br /> Does the site meet any of the Direct Contact and Outdoor Air Exposure criteria scenarios? r' YES r NO <br /> 3.1-Maximum concentrations of petroleum constituents in soil are less than or equal to those listed in the following tableL[ INK)for the specified depth G YES NO <br /> below ground surface. <br /> Additional Information <br /> Should this case be closed in spite of NOT meeting policy criteria? C YES r' NO <br /> Has this LTCP Checklist been updated for FY 13/14? YES C NO <br /> SPELL CHECK <br /> Save Form as Partially Completed Save Form as Complete <br /> LOGGED IN AS HENDERSONN CONTACT GEOTRACKER HELP <br /> https:Hgeotracker.waterboards.ca.gov/regulators/screens/closure_policy.asp?global_id=TO... 6/23/2014 <br />