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74f 7 <br /> TABLE lk3 <br /> Section 11 Closures <br /> / G,rbr.fy( r � � .� prs.. otc+rer�■--/�Cl�sw.t !�/mad� � .. <br /> appropriate ro <br /> In addition, the following information and a PP P data for Appendix A <br /> shall be submitted when evaluating Case 2 Closures. Lll, conditions listed in <br /> Case #2 (page 9) must be met. <br /> SITE HISTORY 4. <br /> Describe the size age, condition, use and tvo'„ e of tank removed, and <br /> submit a map showing the former tan%stem and existing buildings on <br /> site. <br /> Submit an evaluation of the inventory records reviewed for the three <br /> months prior to removal in order to estimate the quantity of product <br /> ,�6,a. T released. <br /> Submit summary of past site information such as recision test <br /> 5 ita y p � P <br /> results, tank repairs or construction activities. E. <br /> What types of businesses 3perated a•c this site previously? <br /> What was the product volume pumped per month for each tank? <br /> Submit a survey of nearby wells. <br /> 1. List other sources of site specific information checked (e.g. Utility <br /> Company, Public Works Department, US and State Geologic Surveys, State <br /> and County Health Department, County and Regional Planning, local fire <br /> =s departments, etc.). <br /> SITE CHARACTERISTICS <br /> I. Describe evidence of leakage present (e.g. stained soil, free product, <br /> odors, etc. ). <br /> 2. Describe visible preferential pathways (sand lens, root holes, etc.) in <br /> the excavation pits. <br /> 3. Submit site map of surface waterbodies (ponds, creeks, stream, etc.) or <br /> possible subsurface conduits (sewers, septic: tanks, utility lines, etc.) <br /> in the vicinity of the site. <br /> i <br /> SAMPLING AND ANALYSIS <br /> (If the answer to any of the following is N0, full explanations are required) <br /> 1. Were additional samples (other than the minimum required) taken where <br /> obviously contaminated soil was present? <br /> 2. Did sampling and analytical protocols conform to standards described in <br /> LUFT and this document? <br /> 3. Were the appropriate laboratory analyses used (see Table 2)? <br /> 4. Were the laboratory analysis and QA/QC results submitted? <br /> 5. in cases of high water table, a) were samples taken from the sidewalls <br /> and b) was water present in the excavation pit? <br /> 6. Were soil samples taken for every 20 lineal feet of underground piping? <br /> 7. Were depth and location of soil samples submitted? <br /> -21- <br /> i <br />