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SAN JOAGUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> LOFT - ENVIRONMENTAL FATE WORKSHEET <br /> ite Address LA ite Code ( l',3 repared by , <br /> acility Name ate 'j \ \ C( <br /> Type of Fuel Constituent P I ITPH-D PH-G <br /> Tank ID/#T A <br /> Average <br /> Annual <br /> Precipitation <br /> `f Inches <br /> [B - C = D) E F G <br /> istance From istance From istance From umulative cceptable Cleanup? <br /> urface to ample to ample to ontamination ontamination YES IF E > F <br /> round Water urface round Water evels (CCL) evets (SESOIL, NO IF E ( F <br /> EACHING ANALYSIS) <br /> iCL 0 <br /> 5� FT +kOft + SAMPLE 1 30 ft + sample 1 00 <br /> 5ft ppm <br /> I = CCL 1 3 d D Des [ao <br /> CCL 1 LTJ <br /> V45.5ft SAMPLE 2 c�'S ft + sample ✓2 13 <br /> 5 f t <br /> = CCL 2 / � l L=,/lyes Do <br /> CCL 2 <br /> ' J <br /> a 5� ft SAMPLE 3 ft + sample 3 <br /> 5 f t L_J <br /> _0_7 r , i eye�7f <br /> = CCL 3 .1 � s Do <br /> I `t <br /> CCL 3 <br /> A ft SAMPLE 4 ft + sample 4 ,__ppm <br /> 5ft = CCL 4 Des DO <br /> * CCL 4 <br /> + ft SAMPLE 5 ft + sample 5 _ppm <br /> 5 f t (� <br /> = CCL 5 Des Do <br /> I L_J <br /> CCL 5 <br /> + ft SAMPLE 6 ft + sample 6 _ppm <br /> = <br /> 5 f t CCL 6 Des I LJJJho <br /> ( IJ <br /> CCL 6 <br /> i ft SAMPLE 7 ft + sample 7 `ppm <br /> Sft <br /> = CCL 7 Des Elo <br /> I <br /> CCL 7 <br /> y ft SAMPLE 8 ft + sample 8 ___ppm <br /> 5 f t <br /> = CCL 8 es Do <br /> I U <br /> * CCL 8 <br /> ft SAMPLE 9 rf t + sample 9 <br /> = CCL 9 - <br /> Sft I Des Do <br /> ----------------T-------- ----------------------------------------------------------- <br /> ------------ <br /> "*-*am"la: <br /> 4a:ngaIN� <br /> -------------a-----a�Q�aaa��a�a�a.aa��Q�a�a�a.�.��aa�Q� <br /> Essars3sa+sas�sssssssssaea�sssasacsassssssssssea�sassasasssasses:�suaaxsas�sasasa��sesssariasasassssaasasaass�ma�ss�asxs <br /> gOTE: Concentrations for any single soil sample cannot exceed 100 ppm for Benzene; 80 ppm for Toluene; 40 ppm for Xylene and <br /> 0 ppm for Ethytbenzene in order to be used with the GENERAL RISK APPRAISAL. The last sample to be included in the <br /> alcutations for cumulative contamination must be at or above the detection limit; DO NOT INCLUDE BOTTOM SAMPLES WHICH HAVE <br /> ONCENTRATIONS LESS THAN THE DETECTION LIMIT. <br /> EH UNIT VI 2/91 PILEHFTW <br /> EH 29 02 <br />