Laserfiche WebLink
SAN SCACttt TY AXL:C IF-ALM stvTcMeiVI TAL HEJ& 3[VtSrC H <br /> ( '+K.tKSdEE'i .f-R�-S-I�i a ?IALLIATItJli GATE l 1 o 9 <br /> iI NAME 1F :AC:L:i' �f��(=4 SSSS C'.DE� <br /> AOOR£SSI L. Q � `1�\iV TANK in =i I L4 -O <br /> f TANK S IZE i aC-A2!� I RXL i 1'PE i k) �... <br /> (I. �;c,YE,2AL SITE 4ISTCRY <br /> Fac <br /> : is :ermit csrr t?iYe4N iNai �Psroait :�®v�31 L4 (Facility Y-att G�ce� I �t2�_Sait/Git C st�Yes� pN®` <br /> Ht--crier of Tanks at favi t i tyI 3 iAge of i anksC it avai Caine) 3L� iType si Taseiei Steel Ftrrgt i (Sngl Dual <br /> iAHK 4ISTCRY <br /> vas lank tested?iYes rNo1 iFaiLed precision Cast ? Yes+ `Nol �Cf yes, give dace(s) <br /> ;as a repair aeada cc the =ne systz'm?iYesi Moi It yes, meat was repairwal <br /> .as Fir carne mer trrspectios2iYesi iNai iuere sail Les mnaLyzed?lYesl x INo; =m 1 TAH 3i iPb/E76i <br /> "yce OT 'al Lure/din ar3e1 ieatasammie# 'tang-Cares Leakages �avw-MLLi <br /> It. 1E-4CVAL HIS CRY (.1TTACi KION M=W FtIA Slie 30AILS/G+L^ L��': 3ATA {EA313tt* MT-4TUL .SNALYSIS) <br /> So L Saactes 2eceivedjYes� IHat loapt" a u <br /> arwrid ' teri Ref/Yesr= 8 jA a As7xtal iv-xipitati at}A=jt4 Jl <br /> 10-5 <br /> Icn-5ica 'aeLL(s)IYes l JNa iNusner & iype Ir, 1 10 1 1ptcl <br /> 'a Scars S Sere S Score <br /> !oistance c0 uetL(s) ^ram Tanks ft; C !LII sats C 9:res C 5 pts <br /> O <br /> if C) tr (3 if <br /> Crtndi^p3 Z ition .1 c=7ditian <br /> iv. Site -estate - Laaehing Potentia! Analysis ? its set is set _ is set <br /> 4lnicatas oepCe :a ;s�urxs+ater :ran -lie 'gait Saaote Cfee-tl i )-IIIc lrst-tOII t J ms-ioNIj. i <br /> F^-3c_.:res in sualsur-ace (sept i es ca footn i t is or .==ta i n areas) i i (� -anePreseZt i <br /> average Annuat Precipitation Cinctes) int <III i 4 i LII- =C== <br /> wart-Mace ---mc ui is xis i cn i=-eme ve®i cal si grati on t <br /> ar L eac�ate (i.e., <br /> septic , water we(Ls, ;secs) <br /> junique site features: Z area, csarse scit, nearcy '+etLs. l At Lest More dsart <br /> lxcaccclam <br /> Cite <br /> Q <br /> CMAM 7CTAL.A»TOTAL. MINTS `® 8 i °' _ <br /> iSa=Le .Resut-: CS r X OR URGE OF 'OTA! POWS144 or marei `i - 4Z ,zts i 4 pcs or Less <br /> MAXIFrUM ALLOLtALLL£ 3-T-X�3 LEYEs,S CP. 1 t� sII 'stl s� ..3 X_ t. NA13 <br /> Saonate ,Result: taASCURE I i taQ i SII <br /> Tart L-sve-s CPP(M) <br /> DUMP I ta, C 100Q ( 1m <br /> -xTHOT'dS: '""if documented sail and/or around -nater contamination is , co not e. tats the Using potanciat <br /> anstysis- (i.e., site is carrastty on t= nation List for sail or 3roLmd water.) <br /> j \1 if death is > 5 It. and < 3 ft., score (I poincse If depw cd ft-, oho nos use tabte- <br /> \2 If precipitation is > yQ inches, seise D points- <br /> \3 Levels for MUE are nos appLicaole at a TPR an of LII jpaV CSasoLirm) or too ppa Cdissrll_ <br /> i <br /> v2. STAFF 2ECCMMENDATICV/CMlC=ICX <br /> i. Are 3TX & _ or TPR ions > ALLoweole Levets I"tesl <br /> 2. 2ec=mse:# Site Ctosurelyesl `NCL, 1<1'If Yes, teTer to Site Aitismae for Fvaluaticn <br /> `dlt. 2TITEW VAL!IATICH - TO 3E C-MR—TIM 3Y A VISOR/SERICR 1 <br /> c=IC-:R 'aITH STAFF 2E TTCH 92 CaMiElYE31 'Hai IRSr 31LED iO 3111M VrGXT-L= F= ---VULUATICNIYESI 'NCi <br /> OA i c 2E.—=RRa 1 / ! 'DATE CL=AE L----,TER ARILM ! / f <br /> NAME OF <br /> E`/ALUATCR <br />