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CENTRAL VALLEY REGIONAL WATER QUALITY CONTROL BOARD <br /> CASE CLOSURE CHECKLIST <br /> Leaking Underground Storage Tank Program <br /> This checklist, CASE CLOSURE letter, and the Unauthorized Release Report Form (URF) is <br /> to be retained by the Regional Board and Local Implementing Agency as documentation of <br /> release and subsequent closure action. All files and reports will be placed on microfiche for <br /> review. <br /> I. Case information <br /> --_ LUSTIS Case no. URF filing date Closure date <br /> Site name/county Former <br /> Site address6425 Pacific ave. City stocko Zip Phone <br /> Table I -Responsible Party Information <br /> Responsible party <br /> Name Address.City.Zip Phone <br /> Property owner Wickland Proeprti s P.O.cASS. Box 13648' Sacranento, CA t 916) 978-2485 <br /> Opeiator i <br /> ( ) <br /> Operator 2 <br /> Operator 3 <br /> ll. Release and Site Characterization Information <br /> Tank sizes) 3-10,000 991mFuel type(s) Gasoline-unleaded <br /> Chemical type(s) and quantity(ies) released G3 <br /> sgjj= 6273 ,3Zs.i3ajjn.,c) <br /> +� Table If -Lateral and Vertical Extent of Contamination <br /> Environment <br /> Lateral (ft) Vertical(ft) Contaminant Concentration Range <br /> mg'kg <br /> Soil 1 BO 60 amline <br /> 0 <br /> Groundwater 480 60 asol; a <br /> Soil type at the siteAna <br /> Source of drinking water under SWRCB POLICY 88-63 <br /> Were nearby wells (Domestic, Municipal, Ao. ;,c.) monitored? Yes No x <br /> Wells affected (Domestic, Municipal, Ag, etc.3 t <br /> Highest and lowest depths to groundwater (fit detth = 31 •2-fO--- <br /> Seasonal groundwater gradient(s) and directions? eat o 003f <br /> Name of Regional Water Quality Control Pian (Basin Plan) aquifer affected (see attached) <br /> San Joa=in <br /> Surface water impacted? Yes No X <br /> --- Name of surface water body affected <br />