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BOULEVARD AUTOMOTIV VA./ Page 2 of 2 <br /> r z 1,000 poll r Unknown <br /> Nearest Supply Well(From Plume Boundary): <br /> C 5 250 Feet r>250 Feel and s 1,O00 Feet r Unknown <br /> Nearest SurWe Water Body(From Plume Boundary): <br /> C 1250 Feet r>250 Feet and 51,000 Feel r Unknown <br /> 2.Media Specific Criteria:Petroleum Vapor Intrusion to Indoor Air-The site is considered low-threat for the vaporJntmsion-fo-airpethway ifsite- NO <br /> specific conditions satisfy items 2a,2b,or 2c-CL,,Nit EXEMPTION-Active Commercial Petroleum Fueling Facility e - <br /> r YES r NO <br /> Does the site meet any of the Petroleum Vapor Intrusion to Indoor Air specific criteria scenarios? r YES Or NO <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do not meet the policy criteria: <br /> Soil Gas Samples: <br /> C No Soil Gas Samples r Taken Incorrectly <br /> Exposure Type: <br /> r Residential r Commercial <br /> Free Product; <br /> r In Groundwater r In Soil r Unknown <br /> TPH in the Biostle tuation Zone: <br /> C i 100 hi r Unknown r Soil samples not taken at two depths within 5 h.zone(only for Scenario 4 with BioZone) <br /> Bioadenuation Zone Thickness: <br /> r<5 Feet(No BioZone) Is t 5 Feet and<10 Feet r z 10 Feet and<30 Feet C z 30 Feet r 30h BioZone Compromised!TPH>100mglkg r Unknown <br /> 02 Data in Bioattenuation Zone: <br /> C No Oz Data r Oz<4% rOzz 4% <br /> Benzene in Groundwater <br /> r z 100 pg/I and<1,000 P9/I Or z 1,000 poll r Unknown <br /> Sell Gas Benzene: <br /> r z 85 Pgtm3 and<280 Pglm3 rz 280 Pg/ms and<85,000 pg/ms r z 85,000 polms and<280,000 pg/m3 r z 280,000 perms r Unknown <br /> Soil Gas EfhylBenzene: <br /> r z 1,100 Pglmi and<3,600 pyms r z 3,600 Pg/ms and<1,10D,000 Pgnns r a 1,10,000 pglms and<3,600,000 pg/ms r z 3,600,000 Ptym3 r Unknown <br /> Soil Gas Naphthalene: <br /> C>93 pglm3 and<310 pgans r z 310 pi and<93,000 pgims r z 93,000 pgrms and<310,000 pg/ms r z 310,000 pglm3 r Unmown <br /> 3.Media Specific Criteria:Direct Contact and Outdoor Air Exposure-The site is considered low-threat for direct contact and outdoor air exposure FYES <br /> if it meets 1,2,or 3 below.-OLE R sECTICN ANswERs <br /> EXEMPTION-The upper 10 feet of soli 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? r YES r' NO <br /> 3.1-Maximum concentrations of petmieum constituents in soil are less than or equal to those listed in the following table(LINK)for the speciietl depth as VES r NO <br /> below ground surface. <br /> Additional Information <br /> Should this case,be dosed in spite of NOT meeting poliq criteria? r VES r NO <br /> Has this LTCP Checklist been updated for FY 13/14? r VES O NO <br /> SPELL CHECK <br /> Save Form as Partially Completed Save Formas Complete <br /> LOGGED IN AS HENDERSONN CONTACT GEOTRACKER HELP <br /> https:Hgeotracker.waterboards.ca.gov/regulators/screens/closure_policy.asp?global_id=T06... 5/8/2014 <br />