Laserfiche WebLink
i <br /> -l: r <br /> SAN SCACUIH -r PUBLIC HEALTH SaVICS-VEWIRONMENTAL HEAL:VISION <br /> US WRKSHEr i FGR SITE CLC=E ---VALUATION <br /> ATc <br /> NAME Of FACILITY I y r Q� M , t;�t E{..^RO IO <br /> i <br /> ACCR555I z3S3 tips#a ��o+clC� \C UG ANK ID <br /> TANK S[Z i 1,,000L TYPE <br /> (t. ,-cVERAL SITE HISTORY <br /> kI s mer;ai c current? �es I V-�o �ermi t 1 UQ 'y aci t i ryStatus Code j p Z Doc.So i C/G'd Cant es �la <br /> Nt----.,er of Tanks at facility) �ge of Tank(if available) &'L, �ype of Tank i Leet �< Fb l �,ql Oual <br /> ii1. 7ANK HISTORY <br /> '.as Tank tested? �tes I �lo mailed precision cast ? es as f yes, give date(s) <br /> ,:as a repair made to the tank system? es I No � �f yes, what was repaired? <br /> -e=ir done under inspec-ion? Yes 1 �oj ere soil samples analyzed? �es � �o TXE � IIYPH-Q <br /> 7vre of failure/disc.4arge I acastrophicI Tong-term Leakage � ill I �nicvown J they: <br /> :V. 1=}10VAL HISTORY (ATTACH INSPECTION REPORT FOR SITE 9ETAILS/COLI°C DATA FCIZ LEACHING POTENTIAL ANALYSIS) <br /> Sail Samples Received �es Vjo �eprh to Ground 'carerI ef/YearI ���;r averageArrnsBl Precipitationa= ` �0-2: <br /> C-.-S i c e ue L l(s) I1 es IV1. I �Icmoer Type I rr ti/P ano <br /> S core S care S care <br /> Distance to VelL(s) from - ft Tank I��Q_` , C 0 pts C 9 pts C pts <br /> 0 f 0 if 0 7f <br /> R mndirion R condition R condition <br /> Bice Feature - Leaing Aatential Analysis c JSs mer is met �+s met <br /> d <br /> n:majm Dear` to grour=ater from zhe Sail Samie (feet) >100 1-10D <br />: '- a :ures in sut-surface (applies co foothills or ,mountain areas) None J unknown I resent <br /> Average annual Precipitation (inces) =xxxxI elo 9 10-25 axxxxxx I25-40 2 <br /> Man-'face concuitS Which increase ver-ical migration 1 <br /> a` Eemnate Ci.e., semcic systems, water vet Ls, ponds) Hone f Unknown s resent <br /> .:-'cue site features: Recharge area, caarse sail, or wells- At teas- are than <br /> :u�tical=>2000 f ; domestic=>500 ft; irr/agricuEtural=Present7 I Mane I CS one one <br /> C LUMM TOTALS»>TOTAL POINTS <br /> Sammie Result_ CS T X OR _) � a�-' RANCE OF TOTAL PCI HTS 9 pts or more I 61 - G$ acs I 4O Pts or less <br /> 8 T X E a X c <br /> ?1 3i~© g3�= 83?o^i MAXI" ALL0WABLE 3-T-X-z L�-VELS (PPM) 1 5D � SD �sD } .3 �' 1. 1. NA\3 <br /> Sammie Result: LINE SOD0 100 10 <br /> IMUM ALLOUABLE TPH LEVELS (PPM) <br /> 3 .+.. 0 r yjpH IESEL 10,1700 1000 SOD <br /> FCOTNOTES: "'"''if documented sail and/or ground water contamination is present, do not complete the Leaching potential <br /> analysis. (i.e., site is currently on UGT emramination List for soil or ground water.) <br /> \7 If death is > 5 ft, and < 25 It., score 0 points. If depth <=5 ft-, do not use table. <br /> L if greeipitaeien is > 40 inches, score 0 points. <br /> i 3 Levels for STME are nor applicable at a TPH concentration of 10 ppm (gasoline) or 100 ppm (diesel). <br /> V1. iTAFF RECCMME?[DAT ION/C''.CUC1-USICN <br /> are 3TX 4 ° or TPH Concentrations > Allowable Levels es � <br /> _. Recommend Size Closure es a I x If Yes, Refer to Site Mitigation for cT.luacian <br /> Vi'. .ZEVIEIJ EVALUATICN - TO 3E CCMPLn'Tr'0 3Y A SUPERVISOR/ ^ SENIOR <br /> ^uCJR tiiTN STAFF r- <br /> tEMMEHOATICN FOR CLOSURE £S �10 �E? RED TO SITE l4ITIGATICN FOR --VALUATION �S I �O <br /> �... <br /> RE=_RRES J -/ / i)ATE 'CLOSURE l-�:icZ MAILS � / / <br /> r <br /> AMS OF 1 <br /> :'ALi1ATCR <br /> E? 23 80 (UG-t%jXSHT)\5/94 <br />