Laserfiche WebLink
TABLE 1 -CHECKLIST OF REQUIRED DATA <br /> - FOR NO FURTH' " ACTION REQUESTS AT UNDER" tOUND TANK SITES <br /> •aw' <br /> FEDERAL Bu►�b1M& L/0I N. 3AM-�oAq%4oN STAC" 310CK70N� SAAa SCA0u,W <br /> Site Name and Location: .- <br /> x <br /> 1. Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 <br /> feet of the site; <br /> 2. �Lcs 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. Ya Figures depicting lithology(cross section), treatment system diagrams; <br /> 4. LEs Stockpiled soil remaining on-site or off-site disposal (quantity); uoyAs to FaLwnn� ►..F. <br /> 5. YL-3 Monitoring wells remaining on-site, fate; I Mw <br /> 6. L3 Tabulated results of all groundwater elevations and depths to water, 30 b6s <br /> 7. t� Tabulated results of all sampling and analyses: <br /> jc3 Detection limits for confirmation sampling <br /> 1 Lead analyses cort-r_ryN ,_ LEAo -MSTeD ;N 3O2i-GS <br /> 8. L1(D Concentration contours of contaminants found and those remaining in soil and groundwater, both on- <br /> site and off-site: <br /> Lateral extent of soil contamination <br /> Vertical extent of soil contamination <br /> Lateral extent of groundwater contamination <br /> Vertical extent of groundwater contamination <br /> 9. 4 Zone of influence calculated and assumptions used for subsurface remediation system and the zone <br /> of capture attained for the sol and groundwater remediation system; <br /> 10. Reports/information <br /> Ls Unauthorized Release Form.(URF)19/9,j0 QMRs (Dates) 3A-PL-0 3/21)9-7 ; *7/514 . <br /> r-, PAR <br /> a FRP <br /> Other(report name)Rei-0., �Soi� AND G2a•Na+r►sr�Llioesr�bannu � Nou 9 b Q5$e14 <br /> Well and boring logs <br /> 11. Best Available Technology(BAT) used or an explanation for not using BAT; ovEz eycAvn-i•atj <br /> 12. Reasons why'badeground'wasrs unattainable using BAT; S UI,_D1N� 37rRuc�uar P?E«NoM FuRT►4e+. �x <br /> 13. `les Mass balance calculation of substance treated versus that remainin ; _ 3 <br /> g 2.LyZ s.l�vhae2 aw.o �c <br /> $etc tAr.OGfl VA-ALT <br /> 14. NIA Assumptions, parameters, calculations and model used In risk assessments, and fate and transport <br /> modeling; <br /> 15. Jg Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and 3 -5 ` cI-My L011M P2ec"Aof-n m,Qf`­ <br /> 16. WET or TCLP results <br /> Comments: Sost-s o";-,10 Dla]sec_ N•D.P, P-l"PeS APPROx yc13orLONTRM�NA7�j su,` <br /> —.� Rrn,A�N� L1NDFll 13�11�O1NC. � VAuIT. 6R04NDW4rEsl NoN-De%rcr <br /> N I" /1` CONciwMrCNCc <br /> By: J ETSrtA-r ar <br /> Date. Z(-JL1 N C9 <br />