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I <br /> CEYTRAL VALLEY REGIONAL WATER QUALITY CONTROL BOARD <br /> I CASE CLOSURE CHECKLIST <br /> Leaking underground Storage Tank Program <br />' This checklist, CASE CLOSURE letter, and the Unauthorized Release Report Form (URF) is to be <br /> retained by the Regional Board and Local Implementing Agency as documentation of release and <br /> subsequent closure action All files and reports will be placed on microfiche for review <br />' f. Case Information <br /> LUSTIS Case no URF filing date Closure date <br />' Site namelcounty ._ pA5 ElEk,- PA i'DZ— W LST LA tJE <br /> Site address lel N. V <br /> qtb+ LAN Ciry 5Tsic Tn Z,p^ Phone o9 4 5- 311) <br />' Table I - Respoasible Party Iaformatzon <br /> Responsible party Name Addr=, City, Zip Phone <br />' Property owner vgN DE Ad int' Ro. $%-A J/07 (Zflq ) %05-3y;-1 <br /> SToC a CA <br /> Operator 1 /i /' ?ii �. .'r <br />' Operator? <br /> Operator 3 ( ) <br />�sl <br /> IT. Release and Site Characterization Information <br />' Tank size(s) 7HRE6 10,o4Q -G,41/on Ob-Ts. Fuel lype(s) _ QOI£ADED G045J,n& E Dike <br /> Cheiuical me(s) and quantiry(ies) released G '-' Diod lisiiin&no 12 goi* vs C/FASfo <br />' Table II - Lateral and Vertical Extent of Contamination <br /> Envirorunent Lateral (€t) 'Vertical (ft) C nm=mnant Concentration Range <br />' Soil {p?j F'T' S5 FT. GRsp1; �, DIESCL j +a 9a mg/kg <br /> Groundwater N �} N Ntl� rug/1 <br /> 1 <br /> Soil type at the site Ili S' -r >: 3 rv+o Gi 7 <br />' Source of drinkin; water under SWRCB POLICY 88-63 n'c' Q�Q �„] S • n 7 <br /> Were nearby wells (Domestic, Municipal, Ag, etc ) monitored'? Yes No <br /> Wells affected (Domestic, ?Vi=.inicipal, Ag, etc )�sr Mvnrci F� w�T� t11 )4eATe0 SQ o f T <br />' s' w g 1 5 F c f.,0 <br /> Highest and lowest depths to groundwater 4a _&1± hs!' Tp_ 50 ASG- <br /> Seasonal groundwater gradient(s) and direcuon(s) 6 Di } 'a 0.40 <br /> Name of Regional Nater Quality Control Plan (Basin Plan) aquifer affected (see attached) <br /> 13 Asj $ <br />' Surface water impacted? Yes NO <br /> Nance of surface water body affected _ �1 o t j _ <br />