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SAN JOAMIN COISITT,,"w'`:— NEALTN SERVICES/EIIVIRtNNMUL KTALTR Q1YF1 W �- +•--++� <br /> UGST M FOR SITE CLOSURE EVALUATION 0AT1E Z 19 2. <br /> FACILITY Fir vck \A e r/ 6 7 <br /> sS C7 L.j < -0-\ on TAMC tot 51 rO Z. <br /> (AHK SI 1[.St FUEL TYPE OO <br /> R. GENERAL SITE HISTORY `j 490 v <br /> res <br /> Is permit current? Yes No Parmit At Facility Status Codel Ooc.Soil/Cii Cant Yes 1"k I <br /> NuWxr of Tanks at facility rL_ Aye of Tanks(If avaitable) nk Type of TaSteel Fbcgl-tj Srgl Oust <br /> M. TANK HISTORY <br /> Was Tank tested? Yes No Fatted precision test T Yes NON If yes, give dates) <br /> Was a repair made to the tank systed Yea No if yes, what was repaired? <br /> Was repair done under inspection? Yes voK Were soil, samples analyzed?Les Na 5TXE TPN•G TPN-0 Pb/E0! <br /> Type of faitur•/dtschargt estastrophic tang-tern leakage overfilt unknown other: <br /> IV. IF_vvAL NIsTORY CATTACN INSPECTION REPORT FOR SITE DETAILS/COLLECT DATA FOR LE401MG POTENTIAL ANALYSIS) <br /> Soil Samples Received Yes No Dept11 to Ground Water Z�R•f/Year �; Average Annual Precipitation A-114 10-23 <br /> On-Site Wetl(s) Yes No Number i Type IrrPub <br /> S score s sear• s score <br /> Distance to Watt(s) from Tank ft; ft; ft C 10 pts C 9 pts C S pts <br /> 0 If 0 if O if <br /> R condition R codItton R condition <br /> V. Site Feature - Leaching Potential Analysis B is met E is mat E is suet <br /> Minimus Depth to groundwettr from the Soil U Mie (feet) 31100 51-100 25-50\1 <br /> Fractures In subsurface (applies to foothitts or mountain areas) Nara tJttknonun Present <br /> Average Annual Precipitation Cinches) x:ooant 410 9 10-25 xxMO= 2b' <br /> Nan-Made conduits which increase vertical migration None Qf �k� Pmt <br /> of lae.Mte (i.e., septic systems, Water welts, ponds) _ ` <br /> Unique site features: Recharge ares, coarse snit, nearby welts. � At least more than <br /> rotxrooc Noes ons owe <br /> MUM TOTALS>»TOTAL POINTS <br /> E. <br /> • <br /> Saapte Result: Ci T X OR E) RANGE Of TOTAL POINTS 49 pts Or more 41 - 48 pts 40 pts or Lou <br /> ! T X E • T X E <br /> Y.�; �� MAXIMUM ALLOAKII !-TeX-f LEVELS CPM) 1 SO S0 SO .3 .3 1. 1. NA\3 <br /> OA <br /> saapte Result: CLINE 1000 100 10 <br /> MAXIMUM ALLOMM TPN LEVELS CPPM) 1000 100 <br /> Cee—TP, OtESEL 10,000 <br /> FOOTNOTES: "'If documwted soft and/or grand +*ter COMMInsttan is preaents do not eosplste the teac <br /> hing <br /> anstysis. (I.s., site is currWMty •n UGT Contamination List for seit or ground Wa <br /> \1 if depth is > S ft. and t 2S ft., score 0 points. if depth pt ft., do not use taws. <br /> \2 if precipitation is s 10 11-11t , seers 0 points. P!es CgasettrWe) or t00 pp <br /> �3 Levels for lTXiE ars net applicable at a TM Conctntrstien of 10 <br /> Vt. STAFF RECOMMENDATtON/CORCMION <br /> 1. Are !TX & E or TPN Concentrations n► Altowbte LevOts 'Yes NO <br /> 2. Reeaamed sitz attan <br /> CtOalre Yes No if Yes, Refer to sits, Mitigation for Evalu <br /> VII. REVIEW EVALUATION - TO M CWUTEO !Y A SUMMSOR/fENiOR <br /> CONCUR WITS STAFF REOOIMENDATION FOR CLOSURE YES M REFERRED TO SITE MITtOATION FOR EVALUATION Yrs NO <br /> DATE REFE>MED / / DATE CLOSURE LETTER MAILED <br /> NAME Of <br /> EVALUATCR <br /> EN M 80 CUGTWI=)\5/90 <br />