Laserfiche WebLink
SAN :CACUIN CCL:4TT 7i : HEALTH SERVICES/ENVIACHME4rAL HEALTH ON I <br /> NI I <br /> DOST 4 ,HE--r FOR SITE CLOSURE EVALUATION <br /> :E Of AIE <br /> :EE OE <br /> aEss <br /> I � AMz tD x <br /> X SIZEI /_ Op UEL <br /> TYPE <br /> ENEAAL SITE :HIST <br /> ;xr:ni o currene7 es o ermi t x _ <br /> acili,Y Status Code cc.Soil/GV Can, as <br /> iter of Tanks at facility ° <br /> �ge of ianks(i! available) ype of Tank teal brgl <br /> ngl Oual <br /> TANX HISTORY <br /> Tank tested7 las o ailed precision test 1 et <br /> o !f yes, give dates) <br /> a repair .node to the -ark aystm? as No f yes, what was repaired? <br /> repair done ca-dar insoecCtm? fifes o Mere sail satpies analy;edt 4as ° <br /> iXE PH-G I I PH-0 b/E08 <br /> e a! (ailuro/discharge etas Graph is ling-term leakage verfill <br /> own cher: <br /> EMOVAL AtSTCRT (ATTACH INSPECTION REPCRT FOR SITE MAILS/COLLECT OATA FOR LEACHING POTENTIAL AMALTSIS) <br /> L Samples .deceived as oI epch to Cl,,,d Vater 7, !1, '1 ;qrl <br /> OU verage Annual precipitation = h4 0-25 <br /> Site Vet I(s) �I as I o i umber t Type 11 r ppa — <br /> b <br /> canoe to Veli(s) frac rankf[; S Oare S care S ecor• <br /> ft; ft a i0 pts C PCs C <br /> p<s <br /> 0 if 0 I f <br /> Site Feature - Leaching Potential AroLysisa ondicim R mdition A korditicn <br /> E is met E is mac E I s met <br /> iax>n Depth groundwater grouacer frau ;he Sail Saople (tee U >100 I <br /> I-100 I <br /> :11 125-iO\1 <br /> Inures in subsurface (applies to foothills or muntain areas) INme I ry <br /> Urknc� resent <br /> / p <br /> rage Arnual Precipitation (inches) <br /> xxxx I <10 I 9 1 126-G0\2 <br />-Rade conduits which increase vertical migration 10-25 xxxxxx I <br /> leachate (i.e., septic syseeM, water wells, panda) Oi <br /> None / Unknown resent <br /> u site features: Rechar;e area, coarse soil, nearby wells. <br /> xxxx At teas, l _ I�ore than <br /> I Hme I <br /> we one <br /> CCLLT01 TOTALS>>>TOrAL POINTS <br /> Le .aesu(t: (3 T X OR E) ;CAUSE OF TOTAL POINTS 9 pts or :pore <br /> GO PCs Or leis <br />—�_ MAXI4LA ALLCUASLE 3-T-X-E LEVELS CPPM) 1 ISO 150 I 0 I .3 .3 1. 1, AA\3 <br /> to Result: CLINE 1000 <br /> AXIM)M ALLCUABLE TPN LEVELS (PPM) 100 10 <br /> TPH IESEL 10,OCO 1000 <br /> 100 <br /> TOTES: '**If documented sail and/or ground water emCamin,cion is present, a complete a leaching potential <br /> sralysfs- (i.e., site is currently on UCL Cmtmina[ien LiaC to <br /> \1 If depth fs > 5 ft- and < 25 ft., scare 0 Points. Ord ch <_' r grovel weer.) <br /> \2 If precipitation is > GO inches, score 0 points. It > ft., do not use table. <br /> \3 Levels for 3iXEE are roc applicable at a TPN cwcentracicn of fO -;m (gasoline) or 100 Asn (diesel). <br /> Fr- AECC6e1E4oA7ICM/CCNC1_US(CN <br /> Lra 3TX S E or iP9 Concentrations > Allowable Levels yes o lea /y/ a 61-111 <br /> laeoUTta d Site Closure 'Yes ,I If yes, Refer to Site 4itigat m for Evaluation <br />'I"c'1 EVALUATION - TO 3E COMPLETED 3y A SUPEAVI SCR/SENIOR <br /> R WITH STAFF AECCMME40ALICN FOR CLOSURE iYES <br /> I O I REFERRED TO SITE 41rl CATfCN FOR EVALUATICN iYES I 0 I r <br /> 2Er"AHED I / / ATE CLOSURE LETTER MAILED <br /> . y / <br /> I � <br /> 11Ca <br /> 20 (UGT:YSHT)\5/90 <br />