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APPEND{ 'B OF THE TRI-REGIONAL iRECOI �NDATIONS
<br /> CHECKLIST OF RE( d= DATA FOR CLOSURE OF UI ERGROUND TANK SITES
<br /> I CLOSURE DOCUMENT APPLICATION SITE: 423 S E lisf k'�-o
<br /> J 3 /!Lt t ��', ��G �
<br /> 4 �Li'N �6l4�li 1•h 4 O V L��•
<br /> 1. L5 Distance Distance to production wells for municipal, domestic,'agriculture; industry and other uses within
<br /> 2000 feet of the site; f
<br /> 2. e5 Site maps, to scale, of area impacted showing locations of former and existing tank systems,
<br /> excavation contours and sample locations, boring and,f monitoring well elevation contours,
<br /> gradients, and nearby surface waters, buildings, streets, and subsurface utilities;
<br /> 3. X-6 Figures depicting lithology (cross section), treatment (system diagrams;
<br /> 4. /t'o Stockpiled soil remaining on-site or off-site disposal ((quantity); (a o y lc,&nu 14
<br /> k Thi c� ua�d
<br /> 5. c s Monitoring wells remaining on-site, fate; A it s�� w �s 're.L".., ak
<br /> 6. Tabulated data of all ground water elevations and udc
<br /> depths to water; P(aJiIkrGQ �-CC (Y e. J'1'j
<br /> �CDVig-Pp �wyo�Ca*faP14 oF �/'"ILaJ-'?•.�lE..�'`�l
<br /> 7. A)6 Tabulated results of all sampling and analyses: A1! CC�osa
<br /> 4f5 Detection limits for confirmation sampling f
<br /> rs Lead analyses
<br /> Ij i
<br /> 8. [5 Concentration contours of contaminants found and those retraining in soil and ground water, both
<br /> 3I. on- and off-site: I
<br /> I
<br /> I' -5 Lateral extent of soil contamination I
<br /> i S Vertical extent of soil contamination Ij
<br /> {
<br /> 15 Lateral extent of ground water contamination
<br /> Vertical extent of ground water contaminationi l�a'�c u t, ono /LL��� C-0 64 L&d LJ r
<br /> �� CdY�-rd w.'a+.w-[ ov� IXGttc.'Ce4' 's .•►[•! �4� 3.
<br /> 9. /1v-�t- Zone of influence calculated and assumptions used fo'r the subsurface remediation system and the
<br /> zone of capture attained for the soil and ground water remediation system;
<br /> E �;l ,
<br /> 10. G 5 Reports/information I
<br /> G Unauthorized Release Form (URF) 17 K a e' "91
<br /> L QMRs (Dates)d f ,-4. '1.2 �rs TLL,%-'?;a to A'�� 3 e . '9]� a4 SdN.'g3, �ytr�,y 'q3,
<br /> /00
<br /> j �fes—
<br /> FRP /I)D (�w�[GftaYian Dtl� t( 'T^-&'n GyGCCc}JtL�to'.�
<br /> F
<br /> is Other (report name}RameJt' =sue �.aa`�eev.�5� .'9�."rte �c�.=f��pd�1'5tp`9z .``5,.. < Car,e,.A 0Ad,
<br /> is ' 9`�,"s��•M.�y sw�ssf. a4.�,. .,�a �.:d..:�s awd CL&S—r< <peC+"3e sap.'?4
<br /> Well and boring logs
<br /> , ,c.1w-3 /'tw- 1 hw-St7+•c.► ;G SB;hI, SB-x,58-3,5Q-y I
<br /> 11. Best.Avaiiabie Technology ()SAT) used or an explana, inn for not using BAT; t5 X e ✓tet'{J
<br /> 12. Reasons why "background" was/is unattainable using BAT
<br /> 13. k O Mass balance calculation of the substance treated versus that remaining;
<br /> 14. J45 Assumptions, parameters, calculations and model used in risk assessments, and fate and transport
<br /> modeling; !j
<br /> 15. Y e5 Rationale why conditions remaining at the site will not adversely impact water quality, health, or
<br /> other beneficial uses; and
<br /> 16. IVA WET or TCLP results
<br /> Comments: �Yca✓&' t0v% (—e►+noycaP VtA0c,V1_ o:1� ,Say(
<br /> By: L` 3 ,&d No a row,tic0 W C _.l'L'ML44'tU.4.jje-.•. t"45 LIeein cla' zcf-'j
<br /> Date:
<br /> Jug 19 't ;r •-
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