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SAN JCACUIN Cr ?USUC HEAL73 SERVTCES/cNYIRCNMENTAL MEAL! VISiCN <br />I UGST 'JCRrSHE=7 FCR SITE CLOSURE c'1ALUATICN OATFj <br />NAME IF FACTLIT7 ISWE°jS CXE1 I <br />ADORESSI 1TANZ IO <br />TANK 3IZE1 IFUEL TYPE( <br />Ii. GENERAL SITE 3ISTCR7 <br />rn <br />I's permit ctrrent?1Yesl INo1 IPerait t+ - Facility Status C --del IDoe.So W17.J CWC 'fez Not <br />INUMer of Tanks at faeili yl Age of ranks(if available) Type of TanklSteetj Fbrgll 1Sngll ouall <br />M. -AMY. 31STCRT <br />IWas rank :es:ed? est INo( Failed precision test ?IYes I INo! IIf yes, give date(s)I <br />Was a repair Mede to the tank system? T No) 11f yes, what was repaired? 1 <br />IWas --pair done r ins tion?` es Not ISiere sail samples analyzeCi Y No STXEI 1TP'!-G1 ITPH-01 1Pb/E98I <br />Type of failure/di ' rqe atr ici gI tom -tare leakage` over t other. <br />c1 11 <br />VI. 3E�C';AL 3ISTCR7 ATS C (.1CM TA SITE oETA�LS/ L:AC3ING POTEATIAL AMALTSIS) <br />Soil Samples Recmed1Y I INo( IDepch o G r Raf/','ear <br />IAverage l precipitation IA <br />-114 110-25 <br />Cn-Size 'Jell(s)1Y I Naj INtmber G T <br />r1 Doaj Ptibl <br />S Score Sccre S Scare <br />C 1 c 9 pts C 5 pts <br />Oiszsnca to 'Jell(-) from rank+ ft; ft; ft <br />0 if 0 if <br />it:on edition R Ccndi;icn <br />'i. Size Feature - Leaching Potential Analysis <br />_ is Met is Met I _ is Met <br />IMinimm Depth :o grauridwater frog :he Sail Sample (feet <br />I >100 I I51-iQ0 I 1 ?5-50\1 <br />IFr3c:%res in subsurface (applies :o foothills or noun a ( <br />I None I I Unkho�at I Present <br />IAverage Annual Prxipitation Oneies) <br />1 <10 9 I ;D -e5 IxcoOcxc) 25-�0\2 <br />'1an'�ade COnGttitS 'dtic2 I - v Sgration <br />oi Leachate (I.e., septi teat, t lLs, parrs) <br />� <br />'� Nark I <br />I <br />*-Jawwn I <br />(Present <br />Unique size features: «:t a _m, :parse soil, nearoy lL1 <br />At leutl <br />More titan <br />x ;c= f None <br />i <br />I <br />one f <br />We I! <br />=LL?d 70TAL9»TOT ATS <br />Sa=t a Result: (3 T X Cit ?) <br />ZANGE OF TOTAL S <br />49 pts or more I SS - :a pts I '0 pts or less <br />MAXIMl71 ALLOWASL: 3 -r -x-= „:YELS (PPM) <br />1` 30� <br />541 50 <br />I .3 <br />I.3 <br />1 <br />1. <br />I !u\3 <br />Saaclte 2esult: <br />IGASCLINE <br />TOGO 1 IDD I 10 <br />MAXIMA( ALLMML_ TPN ' LS (PAM) <br />DIESEL <br />10,000 I 1CCO I 100 <br />T7N <br />�=-:,TYCT'c5_ *"!f documented sail anJgra�rid smtar :ontamination is present, do not co=tete c.'te leach potential <br />aaalysi3. (I.a sit& is cn-rentty on UGT CMntamination List for sail or ?row +ater.) <br />\1 If dAmel is > 5 ft. < Z5 ft., scare 0 points. If deptl —i ft., do not use table. <br />\Z ;f precipitation is > :.1 inches, scan J points. <br />\3 levels for 3TXbE are mac a=ticaote at a IP41 concattration of ',0 ppm (.gasoline) or Ica ,:;= (diesel). � <br />VI. STAFF ZEC=440DATTCM/grC_JS1CX <br />;. Are 3TX 3 : or TPN Cx7Celltr3tiors a Allorraole levels J-Tesl INo) <br />Z- tecotmend Sits C:osure{Tes{ INaf 1•atf res, later to Site Mitigation far 2vatuaticn} <br />'111. 2EYIEW ;VALUATICX - TO 3E CWILETIZ-3 3Y A Si1P9-MVISCR/SE.YIC2 <br />CrVC2 'JITR STAFF 2EC:70rE.VDATICL -C2 LCSUREIYESi 'NOI I2EF=-UE3 TO SITE HIT:ZATTCX =C2 1ALI:ATTCX1TES' INo <br />'CAT'= 2E=_RRE0 j / / (DAT -c � Z -212E '-:i iZR ,AA1L-0 <br />IMAME :F <br />I c'!AL'.'ArC2 1 <br />.ice ?C C'�GT'.7CSiiT)\5/5D <br />