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TABIC - CHECKLIST OF REQUIRED DA <br /> FOR NO FURTHER ACTION REQUESTS AT UNDERGROLD TANK SITES <br /> Site Name and Location: IMAPra M D1T11- <br /> h„u6 W, Scow <br /> c ST St ocicrON SArA JGaov...,Ca,NT-? <br /> 1. N Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 feet <br /> of the site; <br /> 2. Site maps, to scale, of area impacted showing locations of former and existing tank systems, excavation <br /> contours and sample locations, boring and monitoring well elevation contours, gradients, and nearby <br /> surface waters, buildings, streets, and subsurface utilities; 1 grv: REft'pvm 19x6 <br /> 3. Figures depicting lithology (cross section), treatment system diagrams; 3x 1,,000 D1cse- <br /> ��oao�0 REc+ G'h <br /> 4. t� Stockpiled soil remaining on-site or off-site disposal (quantity); � Mov6o w�o CoH,�y PeR �1' <br /> 5. S� Monitoring wells remaining on-site, fate; <br /> 6. NbTabulated results of all groundwater elevations and depths to water; <br /> 7. Tabulated results of all sampling and analyses: <br /> Detection limits for confirmation sampling (-`i T%1 DI1wr` <br /> N Lead analyses <br /> 8. Concentration contours of contaminants found and those remaining in soil and groundwater, both on-site <br /> and off-site: <br /> Lateral extent of soil contamination Cr�­141%^r}rh-w snrMPc#No <br /> N Vertical extent of soil contamination <br /> IJ Lateral extent of groundwater contamination <br /> til Vertical extent of groundwater contamination <br /> 9. 1 Ar Zone of influence calculated and assumptions used for subsurface remediation system and the zone of <br /> capture attained for the soil and groundwater remediation system; <br /> 10. Reports/information <br /> Unauthorized Release Form (URF) I o P90 <br /> QMRs (Dates) <br /> _ PAR <br /> _ FRP <br /> Other(report name) G_azvRF RcD;,443r Su5t%_%ir" SJc�H� <br /> Well and boring logs <br /> 11. 10 Best Available Technology(BAT) used or an explanation for not using BAT; <br /> 12, N Reasons why"background"was/is unattzinable using BAT; <br /> 13. hJ Mass balance calculation of substance remaining; <br /> 14. zJ Assumptions, parameters, calculations and model used in risk assessments, and fate and transport <br /> modeling; <br /> 15. Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and <br /> 16. N WET or TCLP results <br /> Comments: Sotits 0-4.1) TANk Pa«c p 819a CeNF14ZA.47,-N P;e3eL 5,9APLet Y,?P a ke- <br /> e trio F0ti S3"t Ery <br /> �A2 C' Wr c4ope'ucr <br /> By: JEP> <br /> Date: <br />