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testate li�vestx� <br /> r' s 250 Feat r > 250 Feet ands 1,000 Feet r' Unknown <br /> 2. Media Specific Criteria: Petroleum Vapor Intrusion to Indoor Air - The site is consideredlow-threat for the vapor-intrusion-to-air pathway if site- NO <br /> specific conditions satisfy items 2a, 2b, or 2c - CLEAR SECTION ANSWERS <br /> EXEMPTION - Active Commercial Petroleum Fueling Facility r VES r NO <br /> Does the site meet any of the Petroleum Vapor Intrusion to Indoor Air specific criteria scenarios? f YES r NO <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 />:i r In Groundwater r In Soil r Unknown <br /> TPH in the Bfoaftenuation Zone <br /> 2100 mglkg Unknown r Soil samples not taken al two depths within 5 R zone (onlyfor Scenario 4 with BioZone) <br /> Bioattenuation Zone Thickness : <br /> r < 5 Feet (No BioZone) r' 2 5 Feel and < 10 Feet r z 10 Feel and < 30 Feet r z 30 Feet r 30ft BioZone Compromised TPH > 100mglkg r Unknown <br /> 02 Data in Bieaftenuation Zone : <br /> toNoOzData r' Oz < 40A rOz240A <br /> Benzene in Groundwater : <br /> r 2 100 pgll and < 1,000 pgll >- 1,000 pgll r Unknown <br /> Soil Gas Benzene <br /> r 2 85 pg/ms and < 280 pg/ms r 2280 pgfms antl < 85,000 pglm3 r z 85,000 pg/m3 and < 280,000 pglm3 r z 280,000 pgfms r Unknown <br /> Soil Gas EthylBenzene : <br /> r 21 ,100 p9/m3 and < 3,600 pg/ms r 2 3,600 pgfms and < 1 ,100,000 pg/me r ? 1 ,100,000 pg/m3 and < 3;600,000 pg/m3 r z 3,600,000 pgfms r Unknown <br /> Soil Gas Naphthalene : <br /> C 2 93 pg/m3 and < 310 pg/m3 r 2 310 pg/m3 and < 93,000 pglms r' z 93,000 pg/m3 and < 310,000 pgfms r z 310,000 Pg/ms r' Unknown <br /> 3. Media Specific Criteria: Direct Contact and Outdoor Air Exposure - The site is considered low-threat for direct contact andoutdoor airexposure yES <br /> if it meets 1, 2, or 3 below. - CR R SECTION ANSyER <br /> EXEMPTION - The upper 10 feat of soil is free of petroleum contamination r' YES r 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 lass than or equal to those listed in the following tableLf INKI forthe specified depth r YES r NO <br /> below ground surface. <br /> Additional Information <br /> Should this case be closed in spite of NOT meeting policy criteria? r YES r NO <br /> Has this LTCP Checklist been updated for FY 13/14? r YES r NO <br /> SPELL CHECK <br /> Save Form as Partially Completed Save Formas Complete <br /> LOGGED IN AS HENDERSONN CONTACT GEOTRACKER HELP <br /> https://geotracker.waterboards.ca.gov/regulators/screens/closure—Policy.asp?global_id=T1 . . . 6/19/2014 <br />