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TABLE 1 -CHECKLIST OF REQUIRED DATA <br /> FOR NO FURTHE..OACTION REQUESTS AT UNDER_DUND TANK SITES <br /> Site Name and Location: azso, �3 <br /> 1. S Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 <br /> feet of the site; 6,4w15. <br /> 2. 4P" Site maps, to scale, of area impacted showing locations of former and existing tank systems, <br /> excavation contours and sample locations, boring and monitoring well elevation contours, gradients, <br /> and nearby surface waters, buildings, streets, and subsurface utilities; <br /> 3. 7 Figures depicting lithology(cross section), treatment system diagrams; <br /> 4.�Stockpiled soil remaining on-site or off-site disposal (quantity);. <br /> 5. Z g on-Monitoring wells remaining site, 'fateoAvE <br /> � nEmo�r� �/e7 <br /> 6. �S Tabulated results of all groundwater elevations and depths to water, s rd /a�G41�s <br /> P ,9 �7zvc 85230 Ga/ Z�Wsr/ <br /> 7. $W Tabulated results of all sampling and analyses: Y <br /> S Detection limits for confirmation sampling <br /> s Lead analyses 1/Ppm IP;iia/ <br /> 8. Concentration contours of contaminants found and those remaining in soil and groundwater, both on- <br /> site and off-site: <br /> �Zo Lateral extent of soil contamination i--o"'IcRoss <br /> Vertical extent of soil contamination .45'l <br /> FLateral extent of groundwater contamination <br /> A Vertical extent of groundwater contamination <br /> 9. /I Zone of influence calculated and assumptions used for subsurface remediation system and the zone <br /> of capture attained for the soil and groundwater remediation system; <br /> 10. /41�F Reports/information <br /> Unauthorized Release Foran-(URF) 9.2&• 83; 5/4.94 <br /> OMRs (Dates) <br /> PAR <br /> FRP <br /> (*s Other(report name) AP//.a u,>o.4•-H, 7,9!0 <br /> Well and boring logs <br /> 11. ,Best Available Technology(BAT) used or an explanation for not using BAT; <br /> 12. S Reasons why-background*was/is unattainable using BAT/-a!41e 440. <br /> 13. A Mass balance calculation of substance treated versus that remaining; <br /> 14. ,/�q Assumptions, parameters, calculations and model used in risk assessments, and fate and transport <br /> modeling; <br /> 15. Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and ��'Pcr�roJ,/e��r�-� ,L� <br /> 16. WET or TCLP results <br /> Comments: 6d Dr?lc�. i ��� c /moi r s 77�f/� yPrnQ ir�5 <br /> 1IP1I� i �i, ✓Jir�� �'`g �2-/��11rt2 s <br /> NFA2 S� <br /> Date: <br />