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" 1 <br /> NDERGROUND STORAGE' TANK PROGRAOP4 <br /> CRITERIA FOR..CLEAN-UP REFERRALS <br /> Situs Address Evaluator <br /> Phone: 209-US"M <br /> I. Product Identification <br /> A. Extremely Hazardous Substance 5 Points <br /> B. Hazardous Substance , YSTX 3-4 Points <br /> C. Designated Hazardous Substance 0-2 Points <br /> II. Laboratory Analysis Results <br /> A. Extremely High (Free Product) - 5 Points. <br /> B. High 3-4 Points <br /> C. . Moderate Sb C) -?M^ "'° 4P,�'" ` 2.1 Points <br /> D. Low Point <br /> E. Non-detectable 0 <br /> III. Distance to Water Supply Wells <br /> A. 0-50 ft. 5 Points <br /> B. 51-100 ft. 4 Points i <br /> C. 101-200 ft. 1Mu,U+ \t�.Av 3c7 3 Points <br /> D. 201-300 ft- 2 Points <br /> r' <br /> E. 301-500 ft. S 1 'Point <br /> Over 500 ft. (D -2ZtrD FT -Aj�k W CL-1. ®FS t,Tt <br /> IV. Documented Impact on Active Water Supply Well's <br /> A. Public Water Supply Well "or .two or more Domestic Wells 5 Points <br /> B. Active Water Well (s): -"& 200 ft. or off_- site 4 Points <br /> C. Domestic Well (on site) 3 Points <br /> D. Nondomestic Well : 100-200 ft. (on site) 2 Points <br /> E. ' Nondomestic Well : 100 ft. (on site) 1 Point <br /> No Active Well (s) Affected 0 <br /> V. Depth of Groundwater - <br /> 0-25 ft. 5 Points <br /> 26-35 ft. 4 Points <br /> C. 36-50 ft. 3 Points <br /> D. 51-70 ft. 2 Points <br /> E. 71-100 ft. 1 Point <br /> F. Over 100 0 <br /> VI. Soil Type (Unified Soil Classification System) <br /> A. Gravels - GW, GP, GM, GC Qe�- 5 Points <br /> B. Sands - SW, SP, SM, SC 3-4 Points <br /> L) C. Silts/Clays (Low Liquid Limit) - ML, CL,: OL 2 Points <br /> D. Silts/Clays-AHigh Liquid Limit) - MH, CH, OH 0-1 Point <br /> E. Organic Soils - PT (Site Specific) <br />