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SHELL#204-7525-0104 • <br /> • Page 1 of 2 <br /> LTCP Checklist Go <br /> SHELL 9204-7625-0104 L' TR E O I MANa, GFLa I REPORTS I BEARCN I LOGO <br /> (70607700380)-MAP TNI vTF <br /> 6131 PACIFIC AVE OPEN-smEASsessaExr <br /> STOCKTON,CA 95207 ACTIVITIES REPORT CLEANUP OVERSIGHT <br /> SAN JOAQUIN COUNTY BAN JOAOUIN COUNTY LOP(LEAD)-CASE A'fta3 <br /> PUBLIC VJEBpq CASEKbRKER:aN I e ,WCML FAgrN-BUPERVISOR:ADRIENNEELLSAESSER <br /> VIEW PRIMABIECASE •M q CENTRAL VALLEY RWVCB(REGION SS)-LASE{: <br /> ,90 <br /> CASEWD0MR:,IAMESBARTON. R.CO <br /> SUPERVISOR:LORI CONOON <br /> CUF C41m a:5017 CUP Priority Assimee:D CUF Amount Paid:seas ads <br /> THIS PROTECT WAS LAST MODIFIED BV NUELMpF ••pit 82&201410:19:38AM-HISTORY <br /> THI8 SITE HAS SUBMITTALS.CLICKBM M OPEN A NEW WINDOW Wlmt THE SUBMITTAL APPROVAL PAGE FOR THIS SIZE <br /> CLOSURE POLICY THIS VERSION IS FlNAL AS OF 6/2 512 0 1 4 CHECKusrIMmAiato nfr2w3 <br /> m�F ° —MMM_ <br /> General Criteria-The site satisfies theolic <br /> p ygenera/criteria-CLEAR SECIPON ANSWERS <br /> a.Is the unauthorized releaseYES <br /> bcatetl within the service area of a blit waters stem <br /> Nana of Water System: Cdlwaler <br /> is YES r NO <br /> b.The Unauthorized release consists only of petroleumILj. <br /> C.The Unauthorized('primary)release from the UST system has been Stopped. G YES r NO <br /> d.Free product has been removed to the maximum extent practicable 1 fo, rYES r NO <br /> e.A conceptual site model that assesses Na nature,extent,and mobility of the release has been developed iMo. R FP Not Encountered (' YES r NO <br /> E Secondary Source has been removed to the extent practicable info). G YES r NO <br /> g.Soil or groundwater has been tested for MTBE and results reported in accordance with Health and Safety Code Section r VES r' NO <br /> 25296.15. <br /> h.Does a nuisance exist as defined by lyater Code Section13050. r Not Required (1- YES r NO <br /> C VES r NO <br /> 1.Media-Speotfic Criteria:Groundwater-The contaminant plume that exceeds water quality objectives is stable or decreasing in areal extant and meets all of the additional characteristics of one of the five Classes of Silas listed below.-c E•R noN aN=�•�=_ <br /> NO <br /> EXEMPTION-Soil Only Casa(Release has nst Affected Groundwater-jglg) <br /> Does the site most any of the Groundwater specific criteria scenarios? r YES r NO <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do not meet the policy criteria: r VES R NO <br /> Plume Length(That Exceeds Water Quality Objectives) <br /> C z 1 O Feet and<250 Feet (:2 250 Feet and<1,000 Fast r z 1,000 Feet r Unknown <br /> Plume is Stable or Decreasing in AREALExtent: <br /> r No r Unknown <br /> Free Product In Groundwater: <br /> r Yes C No r Unknown <br /> Free Product Has Been Removed to the Maximum Extent Practicable <br /> r No r Unknown <br /> For sites With free product,Me Plume Has Been Stable or Decreasing far 5-Years(info) <br /> r No r Unknown <br /> For sites With free Product,owner Willing to Accept a Land Use Restriction(if required): <br /> r No r Unknown <br /> Free Product Extends OHsito: <br /> r Yes r Unknown <br /> Benzene Concentration <br /> G 2 1,000 PgA and<3,000 Pgll r z 3,000 Pga r Unknown <br /> MTBE Concentration: <br /> C'z 1.000 Pgr r Unknown <br /> Nearest Supply Well(From Plume Boundary) <br /> r s 250 Feet Is>250 Feet and s 1,0D0 Feet r Unknown <br /> Nearest Surface Water Body(From Plume Bountlary): <br /> r s 250 Feet r 1250 Feet and s 1,000 Feet C Unknown <br /> 2.Media Specific Criteria:Petroleum Vapor Intrusion to Indoor Air- <br /> spedficCondibbnssatisfyifems2a,2b,or2c-c aas IIO .: The Site is Considered law-threat for the vaportintnlsion-to-eirpethwayHSRe- <br /> YES <br /> EXEMPTION-peeve Commarclal Petroleum Fueling Facility <br /> ('s YES r' NO <br /> 3.Media Specific Criteria:Direct CoMaM and Outdoor Air Exposure-The site is cronside2tl low-threat hr direct contact and outdoorairexposum <br /> Eit meets N-The upper 1 fe .R noN Of tr <br /> NO <br /> EXEMPTION-The upper 10 teat of soil Is free m petroleum contamination <br /> Does the site meet any of the Direct Contact and Outdoor Air Exposure criteria scenarios? r YES r•) NO <br /> ADDITIONAL QUESTIONS-Please indicate only those condltions mat do not meet the policy cdtene: r YES 17 NO <br /> Exposure Type: <br /> is Residential r Commercial r Utility Worker <br /> Petroleum Constituents In Soil: <br /> is s 5 Fact bgs r>5 Feet bgs and s10 Feet bgs r Unknown <br /> https://geotracker.waterboards.ca.gov/regulators/screens/closure_Policy.asp?global_id=TO... 6/25/2014 <br />