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SAN JOACUIN CX"•^f PUBLIC 4EAL7H SERVICS/ENVIRCXMEMTAL HEAUH DIVtStCH <br /> I• 'JORKSHE-- :OR SI ie C-QM'REE VALUATION DATE Lf - <br /> INAME OF FACILITY /- /C..�. ISHE=aS =EI ry/a -3 1_ �3 Q/ 1 <br /> IAODRESSI 6060 ` / /T..Y/r'1� (TANK iD 1.13a <br /> TANK StZEI Z VQ (FUEL nPEI(If•[,/y(,� ) - J <br /> (I. GENERAL SITE HISTORY <br /> F Is =emit Current?Iyes Ix IMel IPermit 3I - IFaci Lity Sas ltCoder • IOac.Sei l/GH CantlYesl INoI <br /> Hhaeer of ranks at facility) '] IAge of ranks(if availab\e)I /q Type of rank)SCee1I IFbrgLl ISn9LI OuaLl I <br /> TANK HISTORY / <br /> Was Tank :ested7 Yes NOl IFai Led precision cast flytvi Na IIf Yes, give dare(s)I <br /> '':as a repair made :o -lie :ank system?)Yes l .40I 1r yes, what uas repaired?I I <br /> ':as repair done under irapectiw2lYesl INo{ Were sail saaples ana\ytee?Iyes I INoI BTXEI ITPX-+I ITPH-31 IPb/EDGI I <br /> 'ype of faiture/discharge) Icatastropnicl Ilong-cem leakage) IaverfiLLl u"aOwi Iaeher. I <br /> :V. MuWAL 'AISTCR7 (ATTACH CNSPECTTCN REPORT FOR Slit OETAILS/COLD DATA FIR 'LSACHING POTENTIAL ANALTSIS) <br /> SaiL Samples ReceivediYesl INo I Depth a Ground 'Jaterl �I Ref/7earl Average Artwl Preeipi catiwlAal l4 I10-25I <br /> Cn-iice WeIL(s)IyesI INoI INumber b iypel Irrl IOoml IP�i <br /> S Scare S Scar. i Score <br /> %Distance :a vet L(s) from rank) ft: C 10 pts C 9 pts C 5 pts <br /> 0 if O if O if <br /> R <br /> it R Cane?it an .R Cafldl ilw <br /> V. Site Feature - Leaching P .0ab <br /> etenziaL Analysis - is et - is et _ is wt <br /> (Minimum Oeatli :0 3roLr�tev frac Lha SoiL Sample (feeU!sQ- I 1p I >100 I i51-100 { i L-io\1 <br /> F^oc:ures in sursurface (aepties ro feottfl Us or o, Iain areas) T75 i .lone I I 'Unknown v (Present <br /> i <br /> Average Annual PreC101t3tim Cinches) Iulppccl .10 I 9 110-25 licou0 al 25-40\Z I <br /> -Man-Made aondui is 4111Q1 inrese verticat migration <br /> of Leachate (i.e., septic systems, water '+e(ls, ponds) I I Hwa I I unknown I Present <br /> Unique site features: Recharge area, coarse sail, nearvy x(ts. I I At Least) More than <br /> ICLLQOC .Yore ane ane <br /> COLLMN rarALS>»-,aTAL ?DINTS <br /> SanieLe Resutt: (S r X OR E) RANGE OF "OTAL nINTS 49 at:; or mare I 4.1 - 48 ,;tz 40 .2w or less <br /> 7,k(o S — N 3 I z 3 x <br /> -f y, to N I wAXIHI!!1 ALLCUANL_ 3-r-1-? 1_MELS (POR) 1, of ul io -1 I.S I t.l 1. NAU <br /> GASM1 1',-S� II�R£sul_t: N /D MAXIMLNI ALLOYANLE TPH L_NELS (PPM) lNE 1000 I 100 10 <br /> Ir `1,V =1114)16 q '3.4;-'' DIEM":- 10,000 I 1000 I 100 <br /> /• FOOTNOTES: ' If docmented sail and/or ?rohand water contaminatim is present, do mat csh0Late the Leaching potential <br /> anatysis. (i.e., site is currencty an UGT Cattavinatim List far soil or grand water.) <br /> \1 If depth is > 5 ft. and < 25 ft., scare U points- If depm =5 ft., do not use able. <br /> \Z If precipitation is > 44 inches, scare 0 points. <br /> \3 Levels for 3TXZE are not applicable at a rPH cancw cratiwrtof TO ppa (gasoline) ar 100yppo�(dies�/el). <br /> VI. STAFF RECOMMENDATION/=CI.USICN TANK # �j 'T]zto AtaC�iI Pa'�- <br /> 1. Are RTX 3 S or TPM Concentrations > Allowbie Levels I�YesI INoI I )- �,qoo f#" yy(� 7' <br /> 2. Reconaend Site CLasureI yes Nal Ifif Yes, Refer to Site .Mitigation for Evatmclm 1VC-- <br /> VII. RE`/!EL EVALUATION • TO 3E CCMPL_RED 3Y A SUPSWISCR/SENICR 7 <br /> C.VC:R WITH STAFF RECCMMENOATTCN FIR C..05()REI7E5j IN01 REFERRED TO SITE NITIGATTON FCR EVALWLTICNIYESI INOi l <br /> DATE .REFERREDI / / IOATE CLOSURE .-AILEDI <br /> NAME OF <br /> EVALUATOR I <br /> EH n 30 CUGTVK3HT)\5/90 . <br />