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TABLE 1 - CHECKLIST OF REQUIRED DATA <br /> ' FOR NO FURTH6,,.,kCTION REQUESTS AT UNDERC,,�UND TANK SITES <br /> Site Name and Location: L4yEyd2yA/-#9-i9i�, 45F. <br /> 1. �LcS Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 <br /> feet of the site; <br /> 2. y- 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 /> and nearby surface waters, buildings, streets, and subsurface utilities; <br /> 3. L� Figures depicting lithology (cross section), treatment system diagrams; <br /> ;:o <br /> 4.1 5 Stockpiled soil remaining on-site or off-site disposal (quantity); 0" -S'T�-7 <br /> 7 rA ks <br /> 5. *5 Monitoring wells remaining on-site, fate; is mwIs, r_ ., �". }2ti=mored <br /> /Swc�.tic Dp)Ro,cD <br /> 6. 5 Tabulated results of all groundwater elevations and depths to water, 3s. 3(o -rn 5'6.01 <br /> 7. Yc5 Tabulated results of all sampling and analyses: t 3pRv^41T a'xtmrs <br /> Detection limits for confirmation sampling <br /> Y Lead analyses <br /> 8. Concentration contours of contaminants found and those remaining in soil and groundwater, both on- <br /> site and off-site: <br /> Y Lateral extent of soil contamination <br /> Vertical extent of soil contamination <br /> Lateral extent of groundwater contamination <br /> 1 Vertical extent of groundwater contamination <br /> 9. 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; _5vt'_�7 <br /> 10. Reports/informationC Au64sr 29) <br /> Unauthorized Release Form (URF) <br /> _ QMRs (Dates) / 90 1/91 x 11 Z:I9Z iq/Q2 1W9Z 915,1 1ll9-/ 795 8195 111x. ZJT6 <br /> PAR Wts- <br /> IC's FRP y/fs Fie<17-moa9)(Z2Z%41Y n)(1 SER91)(17.�U..r9.3) <br /> Ycs Other(report name) <br /> )Lt? Well and boring logs <br /> 11. Best Available Technology(BAT) used or an explanation for not using BAT; S116/ <br /> 12. Reasons why"background'was/is unattainable using BAT; <br /> 13. Mass balance calculation of substance treated versus that remaining; <br /> --?006 /b6 Reyrna in <br /> 14. Assumptions, parameters, calculations and model used in risk assessments, and fate and transport <br /> modeling; <br /> 15. Y Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and <br /> 16. XJ WET or TCLP results <br /> Comments: am, ciml-reo At(Zsl EATe--P Sal,VAPed Svs')e«, r Ee +..Wv f?,eecl�r <br /> MASS R E"'1%)_1 .l Sl/Oce 165 TPN ro Ee,l <br /> ►-aFa2 <br /> SfjN �Oryc�y1� eOv.iy TRS merT Nt ZeM�1ACµ'j� VOTED -ro Clo3C T17E, <br /> By: -3c3 <br /> Date: 7_5tiv+y9'1 <br /> r <br />