Laserfiche WebLink
. TABLE 'i OF REQUIRED DATA _ <br /> FOR NO FURTHER ACI'�dN REQUESTS AT UNDERGROU TANK SITES <br /> CA <br /> Mte Name and Location: 5-iac <br /> Distance to production wens for municipal, dome <br /> I. <br /> stic, agriculture, industry and other uses within 200 <br /> feet of the site; <br /> 2. 'ons boring and monitoring well elevation contours, gradients, <br /> ✓ -Site maps, to stake, of area impacted showing locations of former and existing tank sys e:ms, <br /> �. excavation contours and sample locate <br /> and nearby surface waters, buildings, streets, and subsurface utilities; <br /> 3. ✓ Figures depicting lithology (cross section), treatment system diagram <br /> 4 ✓ Stockpiled soil remaining on <br /> or off-site disposal (quantity); 3 14+^ s <br /> 5, pjr,L Monitoring wells remaining on-site, fate; <br /> 6 dL Tabulated results of all groundwater elevations and depths to water; <br /> 7. ,/ Tabulated results of all sampling and analyses: <br /> _✓ Detection limits for confirmation sampling <br /> N� Lead analyses <br /> 8. <br /> Concentration contours of contaminan <br /> l ts found and those remaining in soil and groundwater. both on- <br /> site and off-site: <br /> l Lateral extent of soil contamination <br /> _✓Vertical extent of soil contamination <br /> ae 6 Lateral Vertical exttent of roent of uundwaterndwater ccontam!contamination <br /> �Ls used em and the zone <br /> k A- Zone of influence calculated and assumptionater remediation system; mediation syst <br /> 9 of capture attained for the soil and groundwater <br /> f Reports I information <br /> Unauthorized Release Form (URF) <br /> ,vl± QMRs (Dates) �- <br /> &IA- PAR <br /> FRP S�6 Itj <br /> other (report name) <br /> ✓" Well and boring logs <br /> 11. iL Best Available Technology (BAT) used or an explanation for not using BAT; <br /> 12 L Reasons wily"background"waslis unattainable using BAT; <br /> 13_ &Lk Mass balance calculation of substance treated de used rsus that n risk assessments, and fate and transport <br /> ta, _ Assumptions, parameters, calculations and mo <br /> modeling; <br /> 45. <br /> ✓ at site will not adversely impact water quality, health, orother <br /> Rationale why conditions remaining <br /> beneficial uses; and <br /> 16. WET or TCLP results <br /> Comments: <br /> By <br /> Date: /a 4 <br />