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SAN JOAQUIN CCUNTY PUBLIC 'ALTH SERVICES/EWIRONMENTAL HEALTH OIVISIC <br /> UGST %MRKS1`,, FOR SITE CLOSURE EVALUATION ATE �/ L <br /> F FACILITY EEPS COOE <br /> S ANK 10 <br /> 12E S-0 UEL TYPE <br /> RAL SITE HISTORY _ <br /> mit current? as o ermit a acility Status Code oc.Soil/GV Cant as )0 <br /> • of Tanks at facility ge of Tanks(if available) ype of Tante teen I ngl Oual <br /> IK 4ISTORY <br /> ink tested? as o ailed precision test ? Ires o If yes, give date(s) <br /> repair made ;o the tank system? Yes No f yes, 'what was repaired! <br /> toair done antler inspection? es o1 ere soil samples analyzed? es +0 TXE PH-GI PH-D b/EDB <br /> If failure/discharge atastrochie long-term leakage 'ver`i 11 I �nknown cher: <br /> )VAL HISTORY (ATTACK INSPECTION REPORT FOR SITE DETAILS/COLLECT :ATA FOR LEACHING POTENTIAL ANALYSIS) <br /> i <br /> Samotes Received as o epth to Cround water I of/year a ; verage Annual Precipitation • A 10-25 <br /> to 'Jen t(s) as O umber 3 Type Irr an <br /> S core S core S core <br /> nce to well from Tank ft; ft; ft C 0 pts C 9 pts C Pts <br /> 0 "f 0 Iif 0 "f <br /> R kardicion R ondition R ardicion <br /> ite Feature - Leaching Potential Analysis his met E ris met E "s met <br /> um Oepth to groundwater from the Soil Saaple (feet) I >100 1.100 25.50\1 <br /> ures in sucsurface (appties to foothills or mountain areas) .Mone Unknown resent <br /> ge Annual Precipitation (inches) KXX=A I 410 9 10-25 Kxxx=x 26-1.0\2 <br /> ace conduits which increase vertical migration <br /> achate (i.e., septic system, water wells, ponds) None 19 Unknown resent <br /> e site features: Recharge area, coarse soil, nearby wells. I At Least I+ore :h an <br /> Xhxxxx Nana one I one <br /> COLUMN 'OTALS>>>TCTAL POINTS (.11 I ( �� <br /> a Result: (B T X OR E) RANGE OF TOTAL POINTS 9 pts or .more 43 PCs--" 40 pts or less <br /> �V L3 T X E 3 3 1 1 <br /> [MAXIMUM ALLOWABLE 3-T-X-E LEVELS (PPM) 1 50 SO 50 I .3 .3 1. 1. I NA\3 <br /> e Resul,c: OLIVE 1000 I 100 I 10 <br /> f/ If1Ult ALLOWABLE TPH LEVEL'S (PPM) <br /> PH 6- IESEL 10,000 I 1000 100 <br /> IOTES: *,*If docunentbd soil and/or ground water contamination is pr-sone, co not complate the Leaching pacential <br /> analysis. (i a., site is currently on UGT Contamination List for soil or ground water.) <br /> \1 If depth is > S ft. and < 25 ft., score 0 points'. If 3epth <35 ft., do not use table. <br /> \2 If precipitation is > AO inches, score 0 points. <br /> \3 Levels for 3TXEE are not applicable at a TPR concentration of 10 peat (gasoline) or 100 ppm (diesel). <br /> (FF R£COMENDAT I ON/CONCLUSION <br /> Are 3TX t E or TPN Concentrations > Allowable Levels Yas O <br /> Recommend Sita Closure es Oa I If Yes, Refer to Site Mitigation for Evaluation <br /> EV IEw EVALUATION - TO 3E C.WLETEO 3Y A SUPERVISOR/SENIOR <br /> ;;R '41TH STAFF RECOMMENDATION FOR CLOSURE ,YES 0 EFERREO TO SITE NITIGATION FOR EVALUATION iES I I+0 <br /> REf ERpEC r - ra'i CLOSURE LETTER WILED / <br /> .UA7 GR <br /> 23 <br />