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' SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 4NDERG'ROUND STORAGE TANK PROG <br /> CRITERIIA FOR CLEAN-UP REFERRALS <br /> sitds Address Evaluator <br /> P -466-6781 <br /> one 209 <br /> I. Product identification I <br /> A. Extremely Hazardous Substaoce 5 Points <br /> B. Hazardous Substance 3-4 Points <br /> C. Designated Hazardous Substance 0-2 Points 1 <br /> II. Laboratory Y Anal sis Results <br /> A. Extremely High (Free Product) 5 Points <br /> B. High 3-4 Points 3 <br /> C. Moderate 2. Points <br /> D. .Low 1 Point <br /> E. Non--detectable 0 <br /> ?II. 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 /> E. 301-500 ft. 1 Point <br /> F. Over 500 ft. 0 .� <br /> IV. Documented Impact on Active Water Supply Wells <br /> A. Public Water Supply Well or two or more Domestic' Wel I s 5 Points <br /> B. Active Water Well (s): -& 200 ft. or off site 4 Points <br /> C. Domestic-Well--- (on site)__,,. - 3 Points <br /> D. Nondomestic Well : , 100-200 'ft. (on site) 2 Points <br /> E. Nondomestic Well : e- 100 ft. . (on site) 1 Point } <br /> F. No Active Well (s) Affected;; 0 <br /> V. Depth of Groundwater - <br /> A. 0-25 ft. 5 Points <br /> B. 26-35 ft. 4 Points <br /> C. 36-50 ft. - 3 Points <br /> D. 51-70 ft. 2 Points <br /> E. 71-100 ft. I Point <br /> F. Over 100 0 k <br /> it Type (Unified Soil Classification System) <br /> Gravels - GW, GP, GM, GC 5 Points <br /> Sands - SW, SP, SM, SC 3-4 Points <br /> ilts/Clays (Low Liquid' Limit) - ML, CL, OL 2 Points <br /> wits/Clays,4High::L .qu.id.,L'imit)..-.-MH, CH, OH, 0-1 Point <br /> \ganic Soils_ - PT (Si te"Soecific)---' <br />