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'HUMAN SERVICES AGENC` ' Page 1 of 2 <br /> #.� -40� <br /> LTCP Checklist ® GFOTRACKER HOME I MAIU---------------------- <br /> HUMAN <br /> EPROJELTS PO I§-RA GII LQL'Q� <br /> HUMAN SERVICES AGENCY(70607700218)-MAP THIS SIM OPEN-SITE ASSESSMENT <br /> e•�POV Ra HTAO N S <br /> 145 SUTTER STS ACTIVITIESREPORT S4N JOAOUIN COUNTY LOP(LEAD)-CASE C:135) <br /> STOCKTON,CA 95202 CASEWORKER:I rSA MEMNA.SUPERVISOR:ADRIENNE ELLSAESSER <br /> SAN JOAQUIN COUNTY PUBLIC WEBPA OENTRALVALLEY RWGCB(REGION 5S)-CASE 9'390296 <br /> CASEWORKER. AMPS BARTON-SUPERVISOR:CORI CONDON <br /> OR ITE <br /> THIS PROJECT WAS LAST MOOIFIEO BY NNEL HENQER_SONON 8/520134:53:05 PIA-jjij j= <br /> THIS SITE HAS SUBMITTALS.CUCKjj=TO OPEN A NEW WINDOW WITH THE SUBMITTAL APPROVAL PAGE FOR THIS SITE. <br /> CLOSURE POLICY THIS VERSION IS FINAL AS OF 8/3/2013 CHECKLISTIMD ITEDONa?Q013 m(MURE POLICY HIS <br /> General Criteria-The site safisfes the poficy general criteria- F.a SEcy�,TION A:s'AeRs YES <br /> a.Is the unaulhorasd release located within the Service area of a public <br /> water s stem? <br /> C VES C NO <br /> NAmeM WMer Syatam: Cal Water ..___ ___ __._. <br /> b.The unauthorized release Consists only M petroleum LM, C YES C NO <br /> c.The unauthoraed(-primary)release from the UST system has been stopped. C YES C NO <br /> d.Free Product has been removed to the maximum extent practicable fg=. C FP Not Encountered C YES C NO <br /> e.A conceptual site model that assesses the nature,extent,and mobility of the release has been developed f U. C YES C NO <br /> L Secondary source has been removed to the extent practicableinfo. CC YES G NO <br /> g.Soil or groundwater has been tested for MTBE and results reported in accordance with Health and Safety Cade Section C Not Required C YES C NO <br /> 25296.15. <br /> h.Does a nuisance exist,as defined by Water Coda section 13050. C YES C NO <br /> 1.MedieSpecific Criteria:Groundwater-The contaminant plume that exceeds water quality objectives is stable or decreasing in areal extent,and NO <br /> meets all of the additional characteristics of one of the five classes ofsifes listed below.-ctEAR eEGnGN ANSMRS <br /> EXEMPTION-Soil Only Cam(Release has Dl Affected Groundwater-lam f YES C NO <br /> Does the site meet any of the Groundwater specific criteria ecenarice? f YES C NO <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do not meet the Policy criteria: <br /> Plume Length(Thal Exceeds Water Quality Objectives): <br /> C z 100 Fast and<250 Feet C z 250 Feet and<1,000 Fact C z 1,000 Feet C Unknown <br /> Plume is Stable or Decreasing In AREA Extent: <br /> C No C Unknown <br /> Free Product in Groundwater: <br /> C yes C No C Unknown <br /> Free Product Has Been Removed to the Maximum Extent Practicable <br /> C No C Unknown <br /> For sites with free product,the Plume Has Been Stable or Decreasing for 5-Years(Info): <br /> C No (-Unknown <br /> For sites with free product.owner Willing to Accept a Land Use Restriction(if required): <br /> C No f Unknown <br /> Free Product Extends Offsite: <br /> C Yes C Unknown <br /> Benzene Concentration <br /> C z 1,000 pgfl and<3,000 PgA C z 3,000 pgll C Unknown <br /> MTBE Concentration <br /> C a 1,000 pg/I C Unknown <br /> Nearest Supply Well(From Plume Boundary) <br /> C 5 250 Fast C>250 Feel and 5 1,000 Feet C Unknown <br /> Nearest Surface Water Body(From Plume Boundary): <br /> (-s 250 Feet C>250 Feet end s 1,000 Feet C Unknown <br /> 2.Media Specific Criteria:Petroleum Vapor Intrusion to Indoor Air-The site is Considered low-threat for the vapor-intrusion-to-airpamwayifsite- NO <br /> specific conditions satisfy items 2a,2b,or 2c-CLEAR SELTION ANBWER8 <br /> EXEMPTION-Active Commercial Petroleum Fueling Facility C YES C NO <br /> Does the site meet any of the Petroleum Vapor Intrusion to Indoor Air specific criteria scenarios? C YES C NO <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do not meet the policy criteria: <br /> Soil Gas Samples: <br /> C No Soil Gas Samples C Taken Incorrectly <br /> Exposure Type: <br /> C Residential C Commercial <br /> Free Product: <br /> C In Groundwater C In Soil C Unknown <br /> TPH In the Bloatrenuation Zone; <br /> r z 100 mglkg C Unknown C Sal samples not taken at two depths within 5 R.zone(only for Scene(tu 4 with BioZone) <br /> https://geotracker.waterboards.ca.gov/regulators/screens/closure—Policy.asp?global_id=T06... 8/5/2013 <br />