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SITE INFORMATION AND CORRESPONDENCE FILE 2
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544155
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SITE INFORMATION AND CORRESPONDENCE FILE 2
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Last modified
2/15/2019 2:31:10 PM
Creation date
2/15/2019 1:45:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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CIRCLE-K#1205 Page 1 of 1 <br /> Path to Closure Plan Go G omsl PR HOME IMANAGE PRaecis l REPORTS I SFdBgH 114O451I <br /> CIRCLE-K#1205(70607700822)-MAP THISSITE OP -ELIGIBLE FOR CLOSURE <br /> 16470 CAMBRIDGE RD ACTIVITIES REPORT CLEANUP OVERSIGHT AGENCIES <br /> LATHROP,CA 95330 SAN JOAQUIN COUNTY LOP(LEAD)-CASE p'501198 <br /> SAN JOAQUIN COUNTY PUBLIC EBPAGE CASEWORKER:AN <br /> WFAANDOVAL MARIN-SUPERN30R:ADRIENNE ELLSAESSER <br /> CENTRAL VALLEY RVACB(REGION 55)-CASE 0991002 <br /> WIEW PRINgnARLE CASE SUMMARY FOR Wits SITE CASEWORKER:JAMES a4RTON-SUPERNSOR:CORI LONDON <br /> CUP CMIn r:1 Me CUP Priority Assigned:D CUP Amoum Pad:20 <br /> THIS PriOIECT WAS LAST MODIFIED BY MIr IF H DERSDNONONS'19'201410:41:12AM-HISTCRY <br /> THIS SITE HAS UNAPPROVED 9UBMITTAW.CUCKHM TO OPEN A NEW WINDOW WITH THE SUBMITTAL APPROVAL PAGE FOR THIS SITE. <br /> CLOSURE POLICY THIS VERSION IS FINAL AS OF 3/1912014 CHECKLIST IMITATED ON eQ7r1013 of IRI sPOUCY xISTORY <br /> General Criteria-The site safisfies the policy general criteria-cl PAR = TIoNN= ages YES <br /> a.Is the unauthorized release located within the service area a a public water s stem? <br /> Na me ofwater ,System: Cilyof Lathrop r YES NO <br /> b.The unauthorized release Consists only of petroleum L=. r YES O NO <br /> c.The Unauthorized('primary')release from the UST system has been stopped. r YES r NO <br /> J.Free product has been removed to the maximum extent practicable Linfol. r FP Not Encountered! r YES r NO <br /> e.A Conceptual site model that assesses the nature,extent,and mobility of the release has been developed linfool rYES r NO <br /> f Secondary source has been removed to the extent practicable Lofgl r YES O NO <br /> %Soil or groundwater has been tested for MTOE and results reported in accordance with Health and Safety Code Section <br /> r Not Required r VES r NO <br /> 25296.15. <br /> h.Does a nuisance exist,as defined by Water Code section 13050. r YES r NO <br /> 1.Media-Specific Criteria:Groundwater-The Contaminant plume that exceeds water quality objectives is stable ordecreasing in areal extent,and ,iiS <br /> meets all of the addl'tional characteristics prone of the five classes of sites listed below.-CLEAR sEcmN ANsmRs <br /> EXEMPTION.Soil Only Case(Release has not Affected Groundwater-IDU r' YES R NO <br /> Does the site meet any a the Groundwater specific criteria scenarios? r YES r NO <br /> 15-The regulatory agency determines,based on an analysis of site specific conditions,that the site under current and reasonably anticipated near-term <br /> Mur.scenarios,the contaminant plume poses a low threat to human health and safety and to Ne environment and water quality objectives will ba achieved r YES r NO <br /> within a reasonable time frame. <br /> 2.Media Specific Criteria:Petroleum Vapor Intrusion to Indoor Air-The site is considered low-threat for the vaporintrusion-to-airpethway if site- YES - <br /> specific conditions satisfy items 2a,2b,or 2c-CLEAR SECTION ANSWERS <br /> EXEMPTION.Active Commercial Petroleum Fueling Facility r YES r' NO <br /> Does the site meet any a the Petroleum Vapor Intrusion to Indoor Air specific criteria scenarios? r YES r NO <br /> 2a-Scenario 4 fmamolel:Direct Measurement of Soil Gas Concentrations YES <br /> i.Soil Gas Sampling Locations—No Bioattenuation Zone F YES <br /> -Beneath or adjacent to an existing building.Soil gas sample is collected at least 5 feet below the bottom of the building foundation. r YES O NO <br /> -Future Construction:The soil gas sample shall be Collected from at least 5 feel below the ground surface(logs). r YES O NO <br /> ii.Soil Gas Sampling Locators—with Bieattenustion Zone:TING criteria in Column A in the Soil Gas Criteria table(page 5 of the Policy)apply d the o <br /> following requirements for a bioattenuation zone are satisfied: <br /> -Minimum of 5 feet of soil between the soil vapor measurement and the foundation of an existing or ground surface of future construction r YES r NO <br /> -TPH(TPHg+TPHd)is X100 mglkg(measured in at least two depths within Use 5-R zorre) r YES r NO <br /> -Oxygen is R 4%measured at the bottom of the 5-U zone. r YES r NO <br /> 3.Media Specific Criteria:Direct Contact and Outdoor Air Exposure-The site is considered low-threatfordirect contact and outdoor air exposure YES <br /> if it meets 1,2,or 3 below.-CLEAR sEcT1oN ANsmRs <br /> EXEMPTION-The upper 10 feet of soil is free of petroleum contamination r YES R NO <br /> Does the site meet any of the Direct Contact and Outdoor Air Exposure criteria scenarios? is YES r NO <br /> 3.2-A site speci c,risk assessment demonstrates the maximum Concentrations of petroleum Constituents in soil will have no signifCanl risk of adversely (. YES O NO <br /> affecting human health(i.e.,"passes') <br /> Additional Information <br /> This case should be kept OPEN in spite of meeting policy criteria. r YES R NO <br /> Has this_TCP Checklist been updated for FY 13114? R YES O NO <br /> SPELL CHECK <br /> Save Form as Partially Completed Save Foran as Complete <br /> LOGGED IN AS HENDERSONN CONTACT GEGTRACKER HELP <br /> https:Hgeotracker.waterboards.ca.gov/regulators/screens/closure_policy.asp?global_id=TO... 5/19/2014 <br />
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