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BOULEVARD AUTOMOTI` Page 2 of 2 <br /> Nearest Supply Well From Plume Boundary): <br /> r 5 250 Feet r>250 Feet ands 1 000 Feet r Unknown <br /> Nearest Surface Water Body(From Plume Boundary): <br /> r 2WFaat r>250 Feet antl 5 t 0"Fast r Unknown <br /> 2.Meda Specitid Criteria:Petroleum Vapor Intrusion to Indoor Air-The site is wnsideretl low-Mreat for the vapoMnbusion-Io-air PathwaX i/Site-specific cootitions sedsfy C <br /> items 2a,2b,or 2c- gAn SECT,nR_° <br /> EXEMPTION-Active Commercial petroleum Fueling Facility O YFS r <br /> Goes the she meet any o/the petroleum Vapor Intrusion to Indoor Air specific criteria scenarios? r YES r• <br /> ADDITIONAL ONES MS-Please indicate only those conditions that do not meal the Policy criteria: <br /> Soil Gas Samples: <br /> r No Sal Gas Samples r Taken Inconectly <br /> Exposure Type <br /> C Beudendal r Commercial <br /> Free Product: <br /> is In Gountlwater r In Sol r UclnI <br /> TPH in the Bioadenust on Zorn: <br /> r z 100 nnpg r Unknown r Shc samples not taken at M depMs wi in 5 rt.zoo(only for Sc do 4 wM BiaZ ) <br /> Bloattenuatlon Zone ThiCkMss: <br /> r<5 Feet(No BioZone) r a 5 Feet and<10 Feet r z 10 Feel antl<30 Feet r t"Feet r 3"8ia..Compromised TPH>1"m9Ag r Unknown <br /> 02 Gats in Bioatenuation Zona: <br /> At No Oz Data r of<4% r Oz 4% <br /> Berns.in Groundwater: <br /> C z i"pg/I and<10"PW r a 1,"0 pgd r Unknown <br /> Soil Gas Benzene: ra2""0pg/m3 rUnkrown <br /> C z 85lemo and<280 pyma r i 280 pym3 end<80,0"pg�m3 r i 85,000 pynd ma aa 2@3,000 pg/m3 <br /> Boil Gas EMylBenaene: <br /> r z 1,100 pgm3 and<3,8"PgVM3 r t 3.800 gyms and<1,100,000 pg/m3 r i 1,1""0 pg/ms ad<3,800,0"pg/ms r i 3,"0,0110 pg/m3 r Unknown <br /> Soll Gas Naphthalene <br /> r 193p Vm3 and<310 pym3 r z 310pplm3 and<93.0"pWm3 r k 93,0"pg/msand<31o,000pg/ms ra3100"pg/ms to Unknown <br /> 3.Meda Specilc Criteria:Direct Contacl and Outdoor Air Exposure-The site is considered low-Mreat fordraU contact and outdcorairexposura ifit meets 1,2,or 3 babes.- <br /> C1 PAR SFCTION ANSWSPS <br /> EXEMPPON-Tha upper 10 fast of sal is has of petroleum contamination r YES a <br /> Goestinsdemastanyoftha Glreat CataanodOd wrAir Exposureorileriaswnados? o yES r <br /> 3.1-Sho mum alncenlrafiom ol pabdeum constituents instal are less Man a equal to those listed in the lollov ng WNe WNIQ far the specified depth Nelowground surface. aYES r N <br /> Additional Information <br /> ShouldtNscasebeclosedinspite o NOTmeedngpoic,atelia? r YES r <br /> Has MIs LTCP Checklist seen updated for FY 14/157 a yE5 r <br /> CGFI I CN�(`K <br /> Save Form as Partially Completed Save Form as Complete <br /> lOC!.£O IN AS HENPERSCNNnal r`T r�[R <br /> https://geotracker.waterboards.ca.gov/regulators/screens/closure_policy.asp?global_id=T06... 4/6/2015 <br />