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ARCHIVED REPORTS_XR0002154
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545209
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ARCHIVED REPORTS_XR0002154
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Last modified
1/28/2020 8:58:03 AM
Creation date
1/28/2020 8:14:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002154
RECORD_ID
PR0545209
PE
3528
FACILITY_ID
FA0003963
FACILITY_NAME
TRACY76
STREET_NUMBER
2420
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
Tracy
Zip
95377
APN
23802006
CURRENT_STATUS
02
SITE_LOCATION
2420 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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' TABLE 1 - CHECKLIST OF REQUIRED DATA <br /> FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br />' e Name and Location <br /> Distance to production wells for municipal, domestic, agriculture, industry and other uses vAthin 2000 <br />' feet of the site, <br /> 2 _ Site maps, to scale, of area impacted showing locations of former and existing tank systems, <br />' excavation contours and sample locations, bonng and monitoring well elevation contours, gradients, <br /> and nearby surface waters, buildings, streets, and subsurface utilities, <br /> 3 Figures depicting lithology (cross section), treatment system diagrams, <br />' 4 _ Stockpiled soil remaining on-site or off-site disposal (quantity), <br /> 5 _ Monitoring wells remaining on-site, fate, <br />' B Tabulated results of all groundwater elevations and depths to water, <br /> 7 _ Tabulated results of all sampling and analyses <br />' 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 /> W Vertical extent of groundwater contamination <br /> _ Zone of influence calculated and assumptions used for subsurface remediation system and the zone <br /> of capture attained for the sod and groundwater remediation system, <br /> 10 Repons / information <br />' Unauthorized Release Form (URF) <br /> QMRs (Dates) _ <br /> _ PAR <br /> FRP <br /> Other (report name) <br /> _ Well and boring logs <br />' 11 Best Available Technology (BAT) used or an explanation for not using BAT, <br /> 12 _ Reasons why"background" was/is unattainable using BAT, <br />' 13 Mass balance calculation of substance treated versus that remaining, <br /> 14 Assumptions, parameters, calculations and model used in nsk assessments, and fate and transport <br /> modeling, <br /> 15 <br /> 15 Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses, and <br />' 16 _ WET or TCLP results <br />' Comments <br />' By <br /> Date <br /> 1 <br />
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