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TABLE 1 <br /> CHECKLIST OF REQUIRED DATA FOR NO FURTHER ACTION REQUESTS <br /> Site Name and Location: Tracy Byron Road, Tracy, San Joaquin County, California <br /> ® 1. Distance to production wells for municipal, domestic, agriculture, industry, and other uses within <br /> ' 2,000 feet of the site. <br /> ® 2. Site maps, to scale, of impacted area showing locations of any former and existing tank systems; <br /> excavation contours and sampling locations; boring and monitoring well elevation contours; <br /> gradients; and nearby surface waters, buildings, streets, and subsurface utilities. <br /> ❑ 3. Figures depicting lithology(cross section), treatment system diagrams. N/A <br /> ❑4. Stockpiled soil remaining on site or off-site disposal (quantity). N/A <br /> ' ❑ 5. Monitoring wells remaining on site; fate. N/A <br /> ❑ 6. Tabulated results of all groundwater elevations and depths to water. N/A <br /> ® 7. Tabulated results of all sampling and analyses: <br /> ❑ Detection limits for confirmation sampling N/A <br /> ' ❑ Lead analyses N/A <br /> ® 8. Concentration contours of contaminants found and those remaining in soil and groundwater, both <br /> on site and off site: <br /> ® Lateral and ® Vertical extent of soil contamination <br /> ® Lateral and ®Vertical extent of groundwater contamination <br /> ❑ 9. Zone of influence calculated and assumptions used for subsurface remediation system and the <br /> zone of capture attained for the soil and groundwater remediation system: N/A <br /> ❑ 10. Reports/information ❑ Unauthorized Release Form ❑ QMRs (Dates) <br /> ®Well and boring logs ❑ PAR ❑ FRP ® Other <br /> (see Appendix A) <br /> ' 011. Best Available Technology(BAT) used or an explanation for not using BAT. <br /> ® 12. Reasons why background was/is unattainable using BAT. <br /> ' ❑ 13. Mass balance calculation of substance treated versus that remaining: N/A <br /> ® 14. Assumptions, parameters, calculations, and model used in risk assessments, and fate and <br /> transport modeling. <br /> ® 15. Rationale why conditions remaining at the site will not adversely impact water quality, health, or <br /> ' other beneficial uses. <br /> ❑ 16. WET or TCLP results: N/A <br /> ' <br /> By: Sean Gehlke Comments: <br /> Date: 9/20/11 <br /> Pa_z 1 of I �� <br />