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+... .ww.n .•,;;ni; � aCdl a ae.Z'/IC )/.aV(ACN9 , <br /> UCS" '.I- ..HAEET FCR iITE C_•CSLRE 'IAL:AT:CN CIA c — L <br /> /� vo � <br /> ii I .Z rrP - (.V/� L'i1'IOLt �� ;TANK :0 Y <br /> S(Z. 1�" FUE! TYPE 1 )Qin <br /> a3AL S("E 31 .CRY <br /> slit evrrene7 ltea l 01 ereii: a 1 faeillty Status Code Poe.Soil/CJ Cant IYts 4e 1 <br /> r of Tanks at facilityl �ge of "ankici( available) 1 (Type of Tap-it li teal Fbrit 1 nql 0 <br /> ual1 <br /> NX :1IS7CRY <br /> ank :eszeV lyes I �0 ailed orteision as, 7 4es �01 III yes, give dace(s) <br /> repair .rode :a ;he :ark sy3cea7 'Yet 1 Na rf yea, -hat vas repaired? 1 <br /> epair dare under in*ceecion7 lyes 1 Po l l.ere soil samples anal)-ed? lies 1 • 0 1 r.E I 79•v I PN 0 1 Pt'1 8 1 <br /> at failure/discharge ra cis c:ophie Ilaq-cera leakage ,overfill I i"'"' ' i I then. <br /> OVAL 31STCRT (ATTACX INSPECT:CN 1E7CRi FCR SITE DETAILS/COLL:CT OATH !Cat L:ACNING POTENTIAL ANALTSi S) <br /> Sameles ieceived llfes 1 ( a 1 �epch :o Crcund :aver 17��lief/Year( > 1lverage Ar'nual Prtcipi cacion �» ��1< 50•?$ <br /> to VeLILW lyes 1 4a I Iltumber L Type l !ter I I -b I l 1 <br /> S Score S reare S >Ccort <br /> nae :o ':ell(s) from Tank 1 f;; —f t; ft C 50 PCs C 9 pts C 1743 <br /> 0 cif 0 lif 0 s( <br /> 2 �ondicion R cndtIion a rorCi cion <br /> ite Feature • Leaching Potential Analysis is .nec E lis .net _ lis •nec <br /> 1e ch to ;reudwacer from ;he Sail Saiale (feet) 1 >I00 S <br /> arts in Subsurface (applies ;o .'o0chills or xacncain areas) 1 None ( 1 Unkno n I �rtsent <br /> ge Amual Precipitation (inches) 1 <l0 1 9 1 10-Z5 �xzazzx 1 Z6-40\2. <br /> ode condui is 'rich increase vercieal nigracton <br /> satiate Ci.e., septic systems, vicar Wells, pads) I ( Name � I UnknO.n Present <br /> e site features: Rechar;e area, coarse sail, nearby Wells. At leas, flare than <br /> Name I or I one <br /> CMI—M TOTALS>»TOTAL POINTS <br />,e 3esult: (3 i X CR J URGE Of TOTAL POINTS 9 pts or acre I 41 Ad pts l 40 pts ac less <br /> IOti , <br /> 'UXI'9.21 zCLCtLtBIE 3-T•X•e LEVELS (PPM) ; 50 150 50 I .3 L3 J. 11. 4A\3 <br />.e tffesuL.: ( r1 f1AXI" ALL=SL: TPR LEVELS CPPM) I�CCIAE 1000 1 100 1 10 <br /> ,ES—I 10,000 0 - 1 100 <br /> TOTES: +1+I1 dcc m Cad sail and/or grots+d Water coociminatien is present, de we complete the leashing po4enti4l <br /> analysis. (I.e., site is currently an UCT Conc=inacton Cis. for sail or ground -icer.) <br /> \1 It depth is > 5 ft. and < Z5 It., score 0 Paints. If dapcn ce5 It., do .we use :able. <br /> \Z If prtoipicacian is > .0 inches, store 0 points. <br /> l3 Levels for 3TXSE are roc applicable at a ipI concancraticn 31 10 ppm (gasoline) or 100 ppm ;diesel). <br /> fF 7ECC>ME.WACICNlC.'Y1C.'•IS(ON <br /> Are 3TX L E or TPI Concentration* > .Allowable Levels 'Yes 1 0 <br /> 2eccmmend Site Closure)Tes 1 o I �it Yes, .te(er :o Site Mitigation for :valwcion <br /> 712-1 :VALUATION . TO 3E CWt:TC1J 3T A SC9EZVISCRISVICR <br /> UR ':[TN STAFF .IECIWEROAVCN FCR CLCSCRE (Ea 1 �° 1 �EFaR£O 70 SITE 9ITICAT(CY FCR 'dWA71(U7 �_a 1 1401 1 <br /> �A(E C=RE I:TT"ci :.\ILEO 0 / 1 <br />.A TCR <br /> S ?O (UG,:a:SNT)\5/g0 <br />