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T/Jtlf <br /> APPEiND X B OF THE TRI-REGIONAL RECO&ZEDMAT ONS <br /> .-- CHECK .LST-OF-3EQtD=JDAT OR_C LOSU t3Er 6UIaLZAXtS.SZfiE ._ <br /> CLOSURE DOCUA[E.qT APPUCA:TION <br /> 1. 1� � rDisranee to prO&cuetn wells for municipal. domestic, jgti=lmM industry and other uses within <br /> Z{l#}fit Of the site; <br /> M <br /> Site ;P wait, im.ro=ed showing locarians Of Ibr=add a iag tattle ,.. <br /> exca strut:canwuzs and sample locations, boring and monitoring weIl eievatiim vOzYtox ,.. <br /> and.-acarby - trrxs bxzzldings, sz=ts, axicl sobs a,c.- <br /> igtzres depicting ftoiogy (cross section), ===at system d-tom;.: <br /> 4.4A_ Shred soiLmmaining, on-site or off sire disposal (quntity); <br /> 5Niorii rang x+rroilgziaing ori-sim, fes; <br /> tabulated data of all <br /> grczxtrei waiter elevations and depttzs to <br /> " <br /> T"abulamd.zesttts cf aU sampling and analyses: <br /> Dmad= for conzirrrradon swnpling <br /> Lea <br /> 8. � C.oac aeration covto= of contaminants round and thcise renra;niiug tri sou and .�tri�d waxer, bath <br /> on- and off-site: <br /> Lateral ex-tent of soiI:coatarnzatzan <br /> Vertical,e.--tem of soil contamination <br /> Lxeral exteut of groxmd water contamination <br /> Veit 66=-of fid'n" waz.-: c outam,tn`r on " <br /> Zone of inff== calculared and assumptions used for the subsxzx-.[ac: remediation system;and the <br /> zone of capmre attained for the soil au pgound water mmedxation system: <br /> {l. R=wmAni=udon missing from. Mue <br /> Uuauthorize- ;Release Farcy {UR'=} <br /> Qom (Dates) ---w-.-- <br /> PAR <br /> FRIP <br /> tthe's (report name) <br /> WellWand boringlo <br /> 11.A BCsr AMC T=bnolo#y (BAZ used or an a=lauarion font'nor:1 Sing$AI <br /> 1 6' -Reasons why "background" walls pattainablo using $Afi <br /> 13.� Nbu balani= cdcalation of the'=bsmn= treated v that *►T*+ <br /> 't ..14. .Assumptions, garnme tcts m1cula dons and model used int sic is and:fuze and tea Upor't. <br /> mcrdelin - - <br /> IS. :/�t Rad .:why condi ,nous rcmaiz=g at the:site•wui nor advez efy ixgt:acz <br /> - `tithed:beuefioiai uses: and _ <br /> 1& A& *si tit TCLP resuits <br /> Comments: <br />