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TABLE 1 -CHECKLIST OF REQUIREtl DATA <br /> FOR NO FURTHkOACTION REQUESTS AT UNDERk.JOUND TANK SITES <br /> Site Name and Location: 66r. gZy ,,,,, u) //��5�,���,_, � ^�An4o . , <br /> cd <br /> 1. T- Distance to production welts for municipal, domestic, agriculture, industry and other uses within 2000 <br /> J feet of the site; -7�:>ooy-snc LGE <br /> 2. Site maps, to scale, of area Impacted showing locations of former and existing tank systems, <br /> excavation contours and sample locations, boring and monitoring well elevation contours, gradients, <br /> i' and nearby surface waters, buildings, streets, and subsurface utilities; <br /> 3. �f.5 Figures depicting lithology(cross section), treatment system diagrams; <br /> 4. Stockpiled soil remaining on-site or off-site disposal (quantity);io,oW GA/GA s <br /> 5. S Monitoring wells remaining on-site, fate; q wos naNks rye o^IE SDo 6A/ <br /> W►wx of/ znAlk ,P'r-MMEP <br /> 6. \46 Tabulated results of all groundwater elevations and depths to water, g I-D iz! /O'$° <br /> 7. / s Tabulated results of all sampling and analyses: <br /> s Detection.limits for confirmation sampling <br /> Lead analyses <br /> 8. Concentration contours of contaminants found and those remaining in soil and groundwater, both on- <br /> site and off-site: <br /> Lateral extent of soil contamination <br /> Vertical extent of soil contamination <br /> Lateral extent of groundwater contamination <br /> Vertical extent of groundwater contamination <br /> ne <br /> Zone of influence calculated and assumptions used for subsurface remediation system and the zone <br /> of capture attained for the soil and groundwater remediation system; <br /> 10. S Reports/information <br /> T �(S Unauthorized Release Form"(URF) /-22.9z <br /> QMRs (Dates) S_90 0.PAR //-97 <br /> _i FRP <br /> Other(report name) PMasr// is.8r, Fa.►/�.an�;.�� ��•�� li.P.4dde rd�.,+ /o r9 <br /> 41 Well and boring logs <br /> 11. ,� Best Available Technology(BAT) used or an explanation for not using BAT; <br /> 12. Reasons why'backgrourW waMs-math finable using BAT; <br /> 13. �[o Mass balance calculation of substance treated versus that remaining; " � N �7��b <br /> 14. /,(o Assumptions, parameters, calculations and model used in risk assessment,)and fate and transport <br /> sport <br /> PL <br /> modeling; <br /> 15. Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and <br /> 16. L1A WET or TCLP results <br /> Comments: Z <br /> 170x,19 TINk iw o..E17��•ic...-- <br /> N D 87ftl'+96? 7ANCS P:. J980 <br /> By-. <br /> Date: %�? <br />