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lank les eedTics I o ailed preCls(m -asC T i C$ <br />SAN XACUM CQ)NTT 11 <br />1..... <br />4EAL;N Sc3VICES>/E.4V(dCMMEVTAL 4EAl[N OIVf I <br />EVALVAr ICH <br />AIc I 2 ! 2 <br />ice Vett(s) Yes I o �..mber L Type) <br />UCS-'. <br />Ei FCR SITE CLOELRE <br />I SXE 47X•(I �'7N•0 I b/E08 I <br />o! failure/discharge I �.a [as ero¢rie <br />Long leakage <br />LEEP <br />E . <br />CF FACIL(iT <br />cher: <br />a <br />R <br />has <br />it <br />�onditim <br />.net <br />0f <br />R mditim <br />E rs met <br />J <br />4ANX 10 <br />- <br />imw Oepch ca 3rou>'slwstar from the Soil Saemte <feet) L3 ; <br />O <br />>100 <br />I - <br />SICE <br />I <br />18-50\I <br />tures in $LcSurfaee (applies to foochitts or mountain ares$) <br />"NERAL SITE :RIS <br />RT <br />I <br />Unicnawn <br />reit currntT <br /><s <br />a <br />ermi; 1 <br />acilicY status Cate <br />oe. Soil/CJ Cmc 1 as <br />o I <br />t+e;exxxxx <br />facility �ge of <br />ranks(if svailable) ( I ype of [ark �teel <br />�Fbr;lr91 Ova <br />r of Tanks at <br />lank les eedTics I o ailed preCls(m -asC T i C$ <br />0 <br />a repair .aerie to the tank $ystm7 es <br />I 9a !yes, what was repaired? <br />ice Vett(s) Yes I o �..mber L Type) <br />repair done under irsceetim) fifes <br />�la I � ere soil samples analy;edT as �ao <br />I SXE 47X•(I �'7N•0 I b/E08 I <br />o! failure/discharge I �.a [as ero¢rie <br />Long leakage <br />S Scoce <br />C I9i pts <br />Pverfill <br />n <br />cher: <br />•••_.� <br />TroeipiCation <br />h0-25 <br />t Samples+Received,l(as al epth to 0raurd Vater t3p �ef/pear I �tvera9e Arcual �Aa <br />I4G <br />ice Vett(s) Yes I o �..mber L Type) <br />Ilrr <br />r� jl"'''b <br />S` I$ <br />C �l0 <br />core <br />pts <br />S Scoce <br />C I9i pts <br />S <br />C <br />0 <br />;care <br />P acs <br />ante to'Jell(s) frac Tank I yg ft; ft; fc <br />a <br />R <br />has <br />it <br />�onditim <br />.net <br />0f <br />R mditim <br />E rs met <br />R <br />E <br />IIif <br />Kardi cion <br />s .net <br />Site Feature - leaching 7etentiat Analysis <br />imw Oepch ca 3rou>'slwstar from the Soil Saemte <feet) L3 ; <br />I <br />>100 <br />I - <br />I. 100 <br />I <br />18-50\I <br />tures in $LcSurfaee (applies to foochitts or mountain ares$) <br />I3me <br />I <br />Unicnawn <br />resent <br />I <10 <br />I 9 <br />10-25 <br />t+e;exxxxx <br />I ZS•GO\2 <br />age Arcual Precipitation Cinches) <br />made :ac>:Yaics which increase vertical migration <br />I I <br />Unknown <br />S <br />�>resenc <br />eechate (i.e., septic system, nater veils, ports) <br />None'e <br />site features: Recharge area, coarse soil, near Sy wells. <br />At lease <br />are than <br />one <br />None <br />we <br />CcLLM TOTALS»>TOTAL POINTS <br />G <br />le Rexul :: (4 T X CR E) RANCc OF TOTAL POINTS <br />9 pts or ante <br />I 41 G8 pts <br />CO pts orless <br />3 r <br />z <br />( <br />E <br />a T <br />I <br />x <br />E <br />,1��K AV- <br />40 NAXI.!LN ALLC'JA3LE 3 -T -X -E LEVELS (PPN) <br />1 50 <br />50 <br />50 <br />.3 .3 <br />1. <br />1. <br />NA\3 <br />le Resul e: <br />I GLINE <br />MCI <br />I 100 <br />10 <br />10,000 <br />I IcoO <br />I00 <br />ffAXIF421 AILCUAgLE TPN LEVELS (PPM) <br />IESFL <br />TPH <br />II <br />... If doeurenced sait and/or grad water emtaminatim is present, do roc complete the lea 'ng potentia <br />NOTES; <br />arnlysis. ((.e., site is currenaly m uCT Coneaminatim List for sail or grow+d water. <br />\1 If depth is > 5 ft. and < 25 ft., score 0 points. If depth <a5 ft., do not use table. <br />\2 If precipitation is > GO inches, score 0 points. <br />a PH coneentraticn of 10 ppm (gasoline) or S00 rya (dieset). <br />U Lavels tar 3TXSE are not applicable at <br />AFF REMWE.VOATIC91=CLUSI09 / �/ <br />2 v �� <br />Are 3TX L E or TPH ccmentrationa > ALlawable levet$ IrTes <br />Ret- m rd Site Ctosure 7n l �o if yes, 9efer to Site mitigation for Evalwcion <br />EVIEO EVALLATrcm • TO 3£ CCSNPLETEO 3T A SE.713 sCR/SEAICR s <br />CR 'JITH STAFF 3ECCMMEROATICH FCR CLOSURE �ES I �EFE.RREO TO SITE NITICATICN FOR EVALLAT ICN �fCS <br />I ry0 <br />E 2EFE3RE0 / / LL— <br />�An LCS'RE LETTEI MALLEO I i / <br />i <br />LCArcR .. . s <br />23 30 (UGr.%SAT)\5/90 <br />m <br />