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SAN JOAQUIN COUNTY PUBLIC 'ALTN SERVICES/E4VIRCNME4TAL HEALTH DIVISIC" g� [,� <br />UGST WORKS. FOR SITE CLOSURE EVALUATION )ATE '/ / J <br />F FACILITY p tt= _ /1O EEPS CCOE I /FJO <br />S 1 //ham/ /A Xv12.s �)fi • l-tvw.L AXK to r Ilxo -0 I <br />ZE I !�f LX)O rUEL TYPE Ile' -- 6 S <br />.RAL SITE HISTORY <br />,mit current? I es o ermit IF <br />acility Status Code poc.Soil/GW Cont) as to <br />• of Tanks at facility ge of Tanks(if available) Type 3f Tank Leel fbrgl Dual <br />IK HISTCRY <br />Ink ;ested7 as <br />o <br />o <br />ailed precision test 7 <br />es <br />o If yes, give dace(s) <br />10.25 <br />repair made to the tank system? ,�es No f yes, what was repaired <br />tzair done under inspection? Y,es o i Pere soil saaples analyzed?� es I )o TXE <br />PX•G �T PX•D <br />Pb/EDB <br />if failure/discharge <br />atastrornicl long-term leakage pver`ilt I mown Cher: <br />:'JAL HISTORY (ATTACH INSPECTION REPORT FOR S RE )ETAILS/CGLLECT :ATA FOR LEACSING POTENTIAL ANALYSIS) <br />Samples Received es <br />o <br />epth to Ground 'Water I <br />of/Year) verage Annual Precipitation <br />10.25 <br />:e valt(s) Yes <br />o <br />umber 3 Type <br />Irr <br />an b <br />IfSeore5 <br />' <br />S <br />Core <br />S <br />core <br />nee :o 'Jell(s) tram Tank ft; ft; ft <br />C <br />0 pts <br />C <br />9 Pts <br />C <br />pts <br />•0 <br />f <br />0 lif <br />0 <br />'f <br />I <br />his <br />condition <br />net <br />R <br />E lis <br />ondlt1on <br />met <br />R <br />- <br />ordition <br />net <br />i:e Feature . Leeching Potential Analysis <br />un Depth :o grou:rdwater from the Sail Sample (feet) <br />I <br />>100 <br />1.100 I <br />125-50\1 <br />ures in sucsurface (applies to foothills or mountain areas) <br />0 14one <br />Unkn <br />resent <br />ge Annual Precipitation (inches) <br />zxzz <br />I <10 I <br />9 <br />10-25 <br />XXAXXXA <br />26-40\2 <br />ace conduits .Mich increase vertical migration <br />achate (i.e., septic systems, water wells, ponds) <br />It) <br />None <br />Unknown <br />resent <br />ie site features: Recharge area, coarse soil, nearby wells. <br />At (east <br />tore than <br />zzzz <br />Nare <br />one <br />I <br />COLUMN TOTALS»>TOTAL POINTS <br />L?� <br />'Pone <br />q3 <br />e .2esutt: (3 T X OR E) RANGE OF TOTAL POINTS <br />9 pts <br />or more <br />It 48 <br />40 pts or less <br />g <br />T <br />X <br />-c <br />3 T% £ <br />4� M MAXIALLOWABLE ALLOWABLE 3 -T -X -E LEVELS (PPM) <br />1 <br />1 SO <br />150 <br />50 <br />I .3 (.3 11. 1. <br />I 4A\3 <br />.e Result: <br />�ASOLINE <br />1000 <br />100 <br />10 <br />TPX &_lE <br />IMUM ALLOWABLE TPX LEVELS (PPM) <br />SEL <br />10,000 <br />1000 <br />100 <br />+OTES: •^If docunen od Soil andlor ground water contamination is present, co not complete the Leaching potential <br />analysis. (i.e., site is currently an UGT Commination List for soil or ground water.) <br />\1 If depth is > 5 ft. and s 25 Ft., score 3 points'. If depth 4-5 ft., do not use able. <br />\2 If precipitation is > 40 inches, score 0 points. <br />\3 Levels for 3TXEE are not applicable at a TPM concentration of 10 pop (gasoline) or 100 ppm (diesel). <br />CFF RECOMMENDATION/CONCLUSION <br />Are 3TX 3 E or TPN Concentrations > Allowable Levels Yes o <br />Rec3mlend Site Ctosu a eso I �If Yes, Refer to Site Mitigation for Evaluation <br />?VIEW EVALUATION • TO 3E COMPLETED 3Y A SUPERVISOR/SENIOR <br />:UR WITH STAFF RECOMMENDATION FOR CLOSURE ESI EFERREO TO S1TE MITIGATIGN FOR EVALUATION <br />E REFERRED rarF. CLOSURE LETTER MUNI LEO ' <br />uA �a <br />