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SAN J'CAaJj,,taATT PUBLIC HEALTH SVVICS/EWIRCNIIEYTAL H n JIVISICN <br /> r_ UST JORKSHE=-7 FCR Si 1z ==;SZE EVALUATiCN <br /> tNAY.? I ! <br /> - OF rACI L:1 Y c= in <br /> Ao.RESS 2353 �as�� �./o� d c`C.c� JCANK il) 173 E- C] I <br /> ..ANN S;Z= <br /> ((��,=VE3.AL SITE HISTORY <br /> i]s oermi t current? Jf es A-). J'ersni t ( �-/-�'��� aci l i ty Starts Dade 02- or.Sai E/G1 Cant IYes I �o <br /> i <br /> N�=er of Tanks at facftiry 2 J;ge of Tank(i= available) JUNK JType of Tank :eel Ix�brgL I �rnL � 0ual <br /> TANK 41STCRY <br /> ,.:as 'ank teste-'? IYes ! t� �la J ai Led precision test ? Jfes J is J�/ JIf Yes, give date(s) ! <br /> '.:as a repair wade :a -ne tank system? IYes J No I �? Yes, aaC was r.air-- u (G+V�l4ti 1 <br /> .:as ,epair cone t:cer files I �o I ere sol E sannies analyzed? Yes J �o � TXE I �,H-5� KPH-0 I �b/O8 <br /> _T t- of 'ai ture/cis=harge I Aatastropilic J Ilanq�cera Leakage ��LL J �s�iarawn J,�Jocher: <br /> :V. '.::OVAL USTCRY (ATTAC:i RE.-QtT FOZ SIie r3ET1A1LS/CZL'c= DATA FCR LEACHING POTENTIAL ANALYSIS) <br /> Sarncles ,le_tived yes I f�lo I peptrt to Growx: eater Ji��Zei/Year J '- Average Amval ?recipitaCi=n A= fiG I10-c'e <br /> Ce Jel L(s) Yes I• 6 1limcer s Type Jlrr, I ocm I �J <br /> S erre S care S �eore <br /> -'stance [o JeMs) from Tank 2 °' `� L 0 pts C pts G pts <br /> Q f Q if 0f <br /> R Fxndi ti on R it ion 2 �ardi ti on <br /> 1. Site =ear re - Laaeiirg ?atential Analysis 4s met _ is mer - its met <br /> r.i xa Deo?` to :he Sail Sanate Ueer) <br /> 7-3c.;re5 in 5:: ::rfaee (acolies to roochiUs or •notr.rain areas) 1 I Acne J It — F resent <br /> average ArvluaL Precipitation (inches) I I <70 I 9 J 10-25 <br /> nan-4ace pncjits &hitt increase vertical migration <br /> zf Leacate (i.e_, septic systems, water weLLz, ponds) I Une ( Unkno+n resent <br /> _ie site fear_•res: zec;%arge area, =arse sail, or wells. At leas: � Ara man <br /> :L.tical=>zQOO ft: domestic=>500 ft: irr/agHc=ir raE=oresentl Hone c one one <br /> CrLC'.iW TOTALS»>TOTAL POINTS <br /> Sa=kexNT <br /> esul:: (3 T X OR =} MTBC Una OF TGTAL POIS 9 pts or more I LI - 48 pts 40 pts or less <br /> Z <br /> l 34c 430 MAxI) l ALLOUQn-c 4-T-X-: L:"VE S (Pc") ; f 50 30 50 .3 3 t. 1. XA\3 <br /> SamoEe Zesul:: II 171E MUl1 SQOa J 100 J 10 <br /> �AXiALL,OUAAL TPR Le"VEr.S (PPM) <br /> 3 Oo ;AH II I 10'aaa loco ( Ian <br /> r=CTHOTES: —if do nereted soil and/or gramd water =Maninatien is Pres m, do not caoa(ere the leasing potential <br /> analysis. (i.e_, site is car-entry on UG: :antamination Liss for wit or gr=xvd water.) <br /> �1 <br /> If depth is > S f and < 25 , score G ?pints_ If deem <=5 ft.. do nor use tahie_ <br /> \2 Ef - e <br /> reioitatias is > 60 inxQ <br /> inches, sce points_ <br /> j y Levels for 3TXZE are not appLicadle at a TPH =centratian of 10 ppR (gasoline) or 100 pprn (diesel)- <br /> VI. STAFF REC,^•MME110A7IOR/=CL'JSICH <br /> 1. Are 3TX 3 2 or TPH Concentraticm I> ALLowacEe Levels Y s J �0 J X <br /> '. Recornaend Site Closure as J Jso I If Yes, Reier to Site ?litigation for Evaluation <br /> v �. i3VEc'J -VALUATiCN - TO 3^C =MPLETED 3T A SIP--qVI=/L--W.SF-uIOR <br /> F=NC•JR WITH STAFF .Rrf"NMEXDATTCN FCR CLt35URE LES I � �=�RED TC SI—,, MITIGATION F-cm EVALUATtCU �u �: C <br /> Ir 2E=nR�.J I `'7 bAT!�:i.'O=-- L`:I z MAILED 1 ! <br /> :,M�)ATOR CF <br /> '.'aL!. ll <br /> E' 13 30 (uc71:KSH7)\5/94 <br /> r� <br />