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SAN 39AQUIN LOCAL HEALTH DISTRICT <br /> U►,.._RGROUND STORAGE TANK PROGRAM <br /> CRITERIA FOR CLEAN-UP REFERRALS <br /> Situs Address Evaluator <br /> V <br /> Phone: 209-466-6781 <br /> I. Pro6uct Identification <br /> Extremely Hazardous Substance 5 Points <br /> B Hazardous Substance 3-4 Points <br /> Designated Hazardous Substance 0-2 Points <br /> II. Laboratory Analysis Results <br /> A. Extremely High (Free Product) 5 Points <br /> High 3-4 Points <br /> C Moderate 2. Points Z <br /> D. Low 1 Point <br /> E. Non-detectable 0 <br /> III. Distance to Water Supply Wells <br /> A. 0-50 ft. 5 Points <br /> B. 51-100 ft. 4 Points = <br /> C. 101-200 ft. 3 Points <br /> D. 201-300 ft. 2 Points <br /> O301-500 ft. 1 Point _ <br /> Over 500 ft. L/per-rjG 0 <br /> IV. Documented Impact on Active Water Supply Wells <br /> A. Public Water Supply Well or two or more Domestic Wells 5 Points <br /> B. Active Water Well (s) : -'1, 200 ft. or off site 4 Points <br /> C. Domestic-Well- - (on site) -. 3 Points <br /> E� Nondomestic Well : 100-200 ft. (on site) 2 Points <br /> Nondomestic Well : -,- 100 ft. - (on site) 10 Point <br /> F. No Active Well (s) Affected <br /> V. Depth of Groundwater - <br /> A. 0-25 ft. 5 Points <br /> B. 26-35 ft. 4 Points <br /> 36-50 ft. 3 Paints <br /> D. 51 -70 ft. 2 Points <br /> E. 71-100 ft. 1 Point <br /> F. Over 100 0 <br /> VI. Soil Type (Unified Soil Classification System) <br /> Gravels - GW, GP, GM, GC 5 Points <br /> T <br /> Sands - SW, SP, SM, SC3-4 Points Silts/Clays (Low Liquid Limit) - ML, CL, OL 2 Points <br /> D. - Silts/Clays (High Liquid Limit) - MH, CH, OH 0-1 Point <br /> E. Organic Soils - PT (Site Specific) <br />