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File i.D. <br /> :+:J-�� ..Ot.:jji:G':i}}: <br /> ..1 r4.. -:Y:.i }.y r. .4l'.vi} }:~v:....+? 'r#x v`}y}.... <br /> i' <t<<< .> LUSTIS <br /> 1.:tiiT.�2�=� +2ti:A .zi'�t"v� #i}. v%ryn,1� <br /> ;r{5?:i":::i ki�ri�5i;` :CCi:. iiz2}d' <br /> "'<2'Y ?:jtia �i .dry <br /> i%:;&fi.z}},�, r:.}.;'.,: .�.. `;6fv: :.y.}-:::.x..:F:: '.3i;,-..R.., <br /> •,� ',}�:oilinhwa;Ss4c.�vZ'.xiss.a:#:ora-j �a«: <br /> *£'w'9.S2S:w�::a EUsbvaao-wU�h; <br /> i3} <br /> >: Leaking Underground Fuel Tank Data Collection Checklist : Local Agency <br /> y{v'A{t..v{A:{.:+. vt?x{G{l'J.?:X;:`s:NiJSs{`n,; v?{it'Cg{YSiC.: {. k iCf' <br /> SUvl.\,�'v,,#k:-:..,-:nom t,1uS;.�}Si{:y.{-:..•:. 3 +t�vivb?£'-:•...L'. .V}�'•]6i C{}.yx .#v.:: ..{?,.:` i$,.:i:.:\-%'i}u .i$i,:S_.:£'v-:{i�i£:vYYc�„ •i <br /> sn.Y xii}}:.:x'n>''.sL.}.�`�•ia`?.t ;.<ii.: <:.::^°jam-.:;`r:.,:s:.. .i':j..v ,:.44euy -i. r.\', >•».u}{. :: ,>...4y..;{.t.:y.titi;Yc ', •`" •>?i?-`=\?'•.v :i{',, .Y <br /> t £`{t'St`£.-}'.`s£ RWQCB <br /> C c<Yi`c'= Y`• ��( :;t:'t#£:x£3£. + .Y.YE-£ { •s },xm. <br /> '{c7.--i-- ` t>- �{ , i<.....`y s'3 i t i::e.<iF'{ :,i' r,-� '.yi;. £;- tiC'"'. -. {{{. ,zs:,�b\ <br /> zsiz: x-..i£i?:::<z?aix v'«zz <?zxr :>. :a».°. £7 } i?z..<tiSzx �s .13i• <br /> SITE: <br /> ADDRESS: _. byrnn m �� ...-- <br /> CITY: COUNTY:Spw \*mlylm REG. BOARD No: <br /> REVIEWED BY: _ ,.[tt1V��(1 Sr ,SO gkci U. E,44• k-XN �,J. DATE: <br /> (Name) (Agency) <br /> I. RELEASE INFORMATION (FROM TECHNICAL REPORTS OR OTHER FILE DOCUMENTS) <br /> a) Check[X]type of product(s)which leaked: 21 Gasoline En Diesel <br /> ❑ Other <br /> b) Was source of leak identified? YES h% <br /> If YES, check[X] source location(s): ❑ Tank ❑ Piping ❑ Overfill <br /> ❑ Other <br /> c) Was rate of release estimated? YES I� <br /> If YES,specify rate: <br /> d) Was mass/volume of release estimated? YES <br /> If YES,specify mass/volume (note unit of measurement): <br /> e) Was tank removed? YES NO n <br /> If YES, specify: p cs TXn1Y�5 (XI-) 3 L 4 00 0 10— 1 az 0 WeVC <br /> COMMENTS: <br /> II. SITE INVESTIGATION INFORMATION (FROM REPORTS OR OTHER FILE DOCUMENTS) <br /> a) Was"free product" reported? 1/� NO <br /> If YES, check[X] location(s)where free product was noted: [2---Excavation ❑ Soil Sample <br /> ❑ Monitoring Well <br /> If MONITORING WELL,specify maximum thickness reported (note unit of measurement): <br /> b) Was a soil vapor survey conducted? YES NO <br /> c) Was an aquifer test(e.g., pumping or slug test) performed? YES <br /> d) Number of monitoring wells installed at the site 3 <br /> e) Number of soil (or"Hydropunch") borings NOT completed as wells___ <br /> COMMENTS: <br />