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TABLE 1 - CHECKLIST OF REQUIRED DATA FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES 1.� Site Name and Location: Manteca Unified School District'sGrounds Shop 660 Mikesell Avenue,Manteca,CA 0 1. Distance to production wells for municipal, domestic, agriculture, industry and MUSD–800' other uses within 2000 feet of the site;See Well Survey Dec 2006 City Manteca Irrigation Well 1000' City Manteca Well#19 1500' F-12. Site maps, to scale, of area impacted showing locations of any former and existing tank systems, See Fig 2 this Report excavation contours and sample locations, boring and monitoring well elevation contours, gradients, and nearby surface waters, buildings, streets, and subsurface utilities; E-13. Figures depicting lithology(cross section), treatment system diagrams;; See Fig 3 and 4 this Report L ❑ 4. Stockpiled soil remaining on-site or off-site disposal(quantity); N/A ❑ 5. Monitoring wells remaining on-site, fate; 0–No wells Installed. All Borings Destroyed ❑ 6. Tabulated results of all groundwater elevations and depths to water, N/A ❑ 7. Tabulated results of all sampling and analyses: See Appendix D this report ❑Detection limits for confirmation sampling Dead analyses L ❑ 8. Concentration contours of contaminants found and those remaining in soil N/A-See Fig 3 and 4 this Report and groundwater, and both on-site and off-site: ❑ Lateral and El Vertical extent of soil contamination ❑ Lateral and ❑ Vertical extent of groundwater contamination ❑ 9. Zone of influence calculated and assumptions used for subsurface N/A L remediation system and the zone of capture attained for the soil and groundwater remediation system; 10.Reports/information Unauthorized Release Form ❑ 4MRs(Dates) ❑ Well and boring logs x❑ PAR Fx] FRP ❑ Other(report name) ❑ 11.Best Available Technology(BAT) used or an explanation for not using BAT, 0 12.Reasons why background was/is unattainable using BAT; N/A ❑ 13.Mass balance calculation of substance treated versus that remaining; N/A LL 14. Assumptions,parameters, calculations and model used in Initial Soil and Groundwater Impacts not Confirmed in 0 risk assessments, and fate and transport modeling; Follow Up Investigation 15. Rationale why conditions remaining at site will not adversely Soil and Groundwater Impacts not Confirmed impact water quality, health, or other beneficial uses;and ❑ 16. WET or TCLP results N/A CBy: Comments: },- Date: L -