Laserfiche WebLink
SAN IcAOUIN C PUBLIC HEALTH SERVIC:S/ENVIRCNMENTAL HEAL IVISICN <br /> t' U"i WA:SHE 7 FCR SITE CLOSURE EVALUA7tCN OAT-cl <br /> ( � <br /> NAME 7F FAC-L.7-I TT 2- cj - ((�_ �(OVL (STEEPS <br /> IAooas3sl ,� 3�5 �a cv-\oo �,00.c� ITANX ID 3q _1-4(0 C��1 <br /> TANK 3IZE (FUEL TTP£I 4-AY41 c� A <br /> tI. GENERAL SITE :HISTO <br /> Its xrmic currencllYes l-�/' INoI Permitfl }112 c) IFaeiLity Status Cxelo 1 IDoc.,ISoil/GL "=C Yes INoI <br /> Nunoer of Tanks at faeiLIryl ,L� (Age of TAnks(if 4vaiLable)l3�4�IType of Tank lSteell`<IFbrgll ISngII Ouall <br /> I I:. TANK H I STClZT �\I <br /> !Vas Tank testec?ITeslx INoI (Failed ;rseisien test 71Tesl INoI K Iif yes, give date(s)I <br /> !Vas s r--pair node ;o the car+k System?Iyesl 9071 If yes, what was repoirrd?r �v= ,4 -9Ie -A, <br /> I41as r-pair done under inspection? TesI INoI,X (Wer* soil saaptez analy'zed7I-e3l Nol 3TX2I ITPH-GI ITP4-01 Pb/E781 <br /> Type of failure/discharge cscastrophicl (long-tare Leskagel cverf11LI lurkna+.nlx other- <br /> (Y. .lE+ClAL HISTCRT (ATTAC3 INSPECT= ZEPCRT FOR SITE 0ETAILS/CZLL2CT OATH FCR :£ACHING ?OTWrAL ANALTSIS) <br /> ISoiL Samples ieceivedlYesl IN-1 IOepth t0 Ground Vacerl I2ef/'rearl ; (Average Ar'ratat Precipitation A-114, Ila-25 <br /> Ion-Site 'JeMs)IYes l Nol/ (Number 1, Typal IIrrI IDaml Ipubl <br /> S Score S Scare 5 Scar_ <br /> j0ist3rxe :o 'JeW s) from Tankl ft; ft; ft C 10 pts C 9 PCs C 5 pts <br /> 0 if 0 if 0 if <br /> R condition 2 cwdition R cwjdition <br /> �V. Sice Feature - Leaching Potential Analysis _ is Me l Iis .met _ is met <br /> IMiniaxn Oepc'l :o -,roc Y ater from :he Sail Saaa(e (feec) I l >lCO 1 151-100 I I 25-50\1 <br /> Frac:ur s in sucsurfaea Capalies to foothills or mountain areas) I ` j I— I I Unk. -n I IPresene 1 <br /> (Average Annual Precipitation (irw—hes) xxzutl <10 I 9 110-Z5 Ix=c=l 25-1-0\2 <br /> i <br /> Man-.wade cxxduits which increase vertical migration <br /> Iof L_acaate (I.e.. septic systems, water 'wells, ponds) t�'I Acne I Ur-c—. tin (Present <br /> Unicue site features: Rec!iarga area, czars• soil, near^_'y wet Ls. I ` At Least t�One <br /> :� <br /> Una <br /> I { <br /> I <br /> =LLM TOTALS ),)-TOTAL MOM <br /> Samola .iesul:: (3 T X ^t ;) RANGc DF TOTAL ?DINTS 49 pts or morel 4z Pts l .0 pts or leas <br /> _ 3 i X ` - 3 X E©.Iq F, .`'9 :UIXIXX ALL06UL: 3-T-X-? L-YELS (PPtt) t 150 50 5O .3 �.T <br /> 3 t.l 1. AA\3 <br /> Sample Result: GASOLINE 1000 10 <br /> XAXI" ALLCWUL_ TP4 L-EVELS (PQ11) <br /> 174 DIESEL tO,000 l 1000 I 1O0 <br /> F=TNOTZS: ''"If do-c-menced sail andlor grand Antsr :cr+tamination is ;resent, do not camakete une Lea=inq potential <br /> analysis. (i.a., site is currently on UGT Contamination List for soil or grasid sacer.) <br /> \1 If :ectl is > 5 ft. ara < 25 ft., scar: 0 points. It �:ept.'1 -i ft., do not <br /> \2 If precipitation is > 4 manes, scare 0 Points- <br /> \3 Lavels for 3TXSE art noc app(ic=L+ at a TP4 czneencration of 10 ppm (gasoline) or 100 poen (diesel). <br /> t <br /> 'VI. 37AfF REC-r1lEN0ATIC?1/CxC_JS:CJI ��� � I j �� <br /> Art RTX _ or TPR Conctrtc.-ations > A1Lowacle Levels I"res+/ INoI I C <br /> ?. iecarmeszt Sits ClesurelTesl 4' 'r-If Tn, 2afer :0 Site ?litigation for 'cvatuationl <br /> VII. 2='VIEW E'VALUATICY - TO 3E 3Y A SL9c7VISCR/ VICR <br /> ICNG2 'JITA 3 AFF Z-c-=WVDAT:CX LOSIREIT2Sj Not 2E.` Rte] O 3172 AIT:GAT:CX ;C2 EVALUAiICNITES' '0� <br /> OAI'c 1E—=RAFT / ! (DATE :Ci1RE '-Z-1722 ,UMILM, ! / <br /> INAHc :F <br /> !ALUATC2 <br />