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' TA._�E I - CHECKLIST OF REQUIRED DATA
<br /> f FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES
<br /> /-£77LCM " GacWL'4 COy
<br /> Site;Name and Location: ARcp��1�r►flN IJ N3`� Sor w, - 1, ..n�,, G�N1 Loo � J '4*)
<br /> 1. Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 feet
<br /> off of the site; 300 r,, wcc� d f2 — sNaT 96 Igl7AkLtp cncd ptau f1uAP Ilg3 .3unC 9b rap We,/�m7vl
<br /> 2. 11 Site maps, to state, of area impacted showing locations of former and existing tank systems, excavation
<br /> �M contours and sample locations, boring and monitoring well elevation contours, gradients, and nearby
<br /> surface waters, buildings, streets, and subsurface utilities;
<br /> 2 x IZK uKLrnACD
<br /> 3. �hh Figures depicting Ethology (cross section), treatment system diagrams; G i<
<br /> 4. Stockpiled soil remaining on-site or off-site disposal (quantity);Zy� eFp t,Yr
<br /> 5. Monitoring wells remaining on-site, fate; ►`I Mwa 5z� FACE fneaLLr
<br /> 6. Tabulated results of all groundwater elevations and depths to water; 419-W-7 � sW
<br /> 7. Tabulated results of all sampling and analyses: -0-,3 Ftf `
<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-site
<br /> and off-site:
<br /> 36)1,
<br /> 1f A Po ti Fx f l!{+ct,w Sys cw, use
<br /> E Lateral extent of soil contamination C.Ro„>v,L-WPEA,64T Tow) SYS ' Sl44 r bw—-
<br /> Y Vertical extent of soil contamination AN-111- 194) ,
<br /> Y Lateral extent of groundwater contamination
<br /> Vertical extent of groundwater contamination
<br /> 9. E Zone of influence calculated and assumptions used for subsurface remediation system and the zone of
<br /> capture attained for the soil and groundwater remediation system;^
<br /> FREE pRdAacr p8440vJOL Mal)
<br /> 10. Reports/information _Te*L VAPWL ePTRPrrnoN -SUNY IR9r
<br /> Unauthorized Release Form (URF) X2)2.1 Jai-
<br /> QMRs(Dates) 11 b 9 vo 9t• s 9y r;/9(• rr'9S -w/5S 9/9y -z19`! 1/,FV i/q,r i6/v7
<br /> PAR r ED ss' Ff,13 g1
<br /> FRP
<br /> E Other(report name) I'ZEQ14UT PCA %11r cLftX41Z9' Zy SnPI
<br /> Well and boring logs
<br /> 11. Best Available Technology(BAT) used or an explanation for not using BAT; Sv t 6w t�S
<br /> 12. `f` Reasons why"background"was/is unattainable using BAT;
<br /> 13. ! Mass balance calculation of substance treated versus that remaining; o-j c.Qw -X,Ar`
<br /> 14. 'I N Assumptions, parameters, calculations and model used in risk assessments, and fate and transport
<br /> t
<br /> modeling;
<br /> 15. ;k Rationale why conditions remaining at site will not adversely impact water quality, health, or other
<br /> E' beneficial uses; and
<br /> 16. SIN WET or TCLP results
<br /> Comments: M(A-tz-iPAL WEAL )Z SHgr DoA,A 077, - 011 Tesz o M0 P6& MIO *, UACs 1-34ne$1
<br /> 5� -Goss �RC°c r"'Rdp-acr Fkt-aueo+ Sb., UApoh, E7Cra�cr1w S1447 po+..0 FEL3 R(p
<br /> G W FAQ 1 c,w RtisK C7Rp..,afl wArE,t 130,,�� L i PR ND (n c'/ Mw I o f Mw
<br /> By:,l )Cb
<br /> Date: Y Fed 9,�
<br /> I�
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