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' APPE`-DIX B OF THE TRI-REGIONAL RECONLNI NDATIO <br /> N5 <br /> ------- ,_C.HECSLIST OEB.EQL—RED-DA&TA_.FORQOSURE_OE-MMERGROI��IILT.-i-',tKSrTr � --- <br /> CLOSTjW7 OCUMFNT APPLICATION <br /> ;pace t roducnon wells for munic n domestic a�zculture <br /> 1 Dts o g _al, , industry and ocher uses within <br /> 2000 fear of the site, <br />' 2 Site mans, to scale, of amat=vac-te snowing Iocanens or Farmer and eas=g tank sysrcnzs, v <br /> exca.vanon contours and sample locanons. bonng and momlormg well e?evarion contours, <br /> gradients, and nearby surface waters, buzlai..ngs, streets, anc subsurface uultnes; <br /> 3 Z Figures depicting llthology (cross section), treatment system diagrams, <br /> 4 ✓ Stockniied sod remaining on-site or of-site disposal (quantity); <br /> 5 Morutonng wells r=m =c on-site, fate; <br />' 6 V Taoulaz_ad dam of all mound water elevations and cepths to water <br />' 7 ✓ Taoul�ated results of all saanphng and analyses, <br /> '� Dex=tion limits for connmanon sampling <br /> --- ---"-- Pf—Lead analyses — Un R A DE Q G also i 1Q, VSTi <br />' S ►✓ Concentranon contours of contaminants found and those remaining to soil and ground water, borh <br /> on- and off-site: <br />' ✓ Lateral extent of soil contaimLnatlon <br /> ✓ vestal extent of sod contamin=on <br /> ✓ Lateral extent of grounc water contamination <br /> ter wf" Vertical extent of —otina Water contaminanon <br /> 9 Zone of inriuence calculated and assu=Dzons used for the suos=face µemediatica system anti the <br />' Zone of capture am=en for the soil and Young water remediation system; <br /> 10Repo �s!uuami <br /> rmanon ssmg pi <br /> from e <br /> ✓Unauthorizea Release Form (URF) SES, Ap1PEnDix <br />' ✓ Q.&Ms (Daus) t�QyoZaoo� _21R DEG.Lego K� M_4A,, Loaf J 2a ���.i Zoa ] <br /> U00' PAR OA'[g d It N 4v. Jg'lq _ <br /> N-� FZP' Q0✓ Other (report name) i5c4. _Ats fter 5. t.,A r _as+£D L7 N QV.. ZOOO <br /> a/A <br /> Weil anti boring logs 5 EV- A pP4 r-oi x C, <br />' 11 le Best Availanie Tecnnology (BAT) used or an explanation for not using BAT, <br /> 12. � Reasons why -background- waslis unartauiable using BAT, <br />' 12 ✓ Mass balance calculation or the substance treated versus that rem-�-. <br /> 14 ✓ Assumptions, parameters, ealculanons and model used in risk assessments, and fate and transport <br />' modeling; --- <br /> 15 ✓ Rationale why conditions remarmrig at the sim will not adversely impact wascr quality, hezith. or <br /> JJ other beaeficlal uses, and <br />' 16. N(� WET or TCLP results ., ^ <br /> •� Comments: <br />