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A.PPEINMa 3 OF THE TRI-REGIONAL RECOtNnNEINDATIONS <br /> .CBECKIIST-OF REQUIUD.DA.TA-FORCLOSL-RF-.OE-TIND.ERGRQLXD-X-k K-SITES <br /> CLOSURE DOCUMEINT APPLICATION <br /> I Distance to producrion wells for municipal, domestic, agriculture, industry and other uses within <br /> 2000 feet of the site; <br /> 2. W Site maps, to scale, of area impacted showing locations of former and existing rank systems, <br /> excavation contours and sample locations, boring and monitoring well elevation contours, <br /> gradients, and nearby surface waters; buildings, streets, and subsurface utilities; <br /> Figures depicting Ethology (cross section), treatment system diagrams, <br /> U <br /> 4.•d _ Stockpiled soil remaining on-site or off-site disposal (quantity); <br /> 5. UO� Monitoring wells remaining on-site, faze; <br /> 6. J Tabulated dares of all grouted water elevations and depths to water, <br /> 7. i1 Tabulated results of all sampling and analyses: <br /> Q Detection limits for confirmation sampling <br /> T_ Lead analyses __ <br /> 8.01 n Concentration contours of contaminants found and hose remaining in soil and ground water, both\ <br /> C on- and off-site: <br /> Lateral extent of soil contamination <br /> rj- Vertical extent of soil contamination <br /> :sem <br /> Lateral extent of ground water contamination <br /> Vertical extent of ground water conraminarion - - ---- ------ <br /> 9. Nle Zone of influence calculated and assumptions used for the subsurface remediation system and the <br /> zone of capture attained for the soil and ground water remediation system; <br /> 10. Repottsfutformatlon missing from file <br /> — Unauthorized Release Form (URF) <br /> QMRs (Dates) <br /> ^� PAR <br /> ' FRP <br /> t <br /> Other (report name) <br /> Well and boring logs <br /> 11.e,(Ci Best Available Technology (BAT) used or an explanation.for not using BAT; <br /> 12. �': Reasons why "background' waslis unattainable using BAT; <br /> 13. �, Mass balance calculation of the substance treated versus.that remaining; <br /> 14. U)& : Assumptions, parameters. calculations and model used in risk assessments, and fate and transport <br /> modeling -- <br /> 15. Rationale why conditions remaining at the site will not adversely impact water quality, health, or <br /> 0 other beneficial uses; and <br /> 16. AIA WE P or TCLP results <br /> Commentsl Q q I �v�r vQ i�/� V�YL iti ( �i C iC L( G. ,j m �lp1•i <br /> 1 <br /> l -'`"�\�� 1N'`a-.:r i �r t.:w rc.KC 1.l l •"�S', �L'W\ �� Vii.,., 1 !� iT t/ Ut•-Y( <br />