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SAH :CAOJ!N CCUNTT N HEALTH Sc3VICESIEAVIACNHENTAL 4E.iLi�O,v f- , ATE ( /z�z r•L.p'? <br /> UCST '.i FCR SITE CLOSURE E'?AL'JATICN w 1 f <br /> E CF FAC(LITT <br />-.ESS I (TANK f0-s <br /> C S(ZEI "UEL STPE <br /> cRE.7AL SITE 4ISTCRT I <br /> xrmi t <urrenel i es a er:m t 3 mei t i cY Sea cus Cade l aoc.Sa i l/CJ ConC es 4o <br /> mer of Tanks at facility �ge of Tankscit available) I I Ype at r"; :eel �Fbr;l TSngl Oual <br /> { <br />(AHK HISTORY : <br /> Tank testedl as o aited preeisfon test 7 as Ital If yes, give date(s) <br /> a repair xde to the lark sYscm? <br /> es <br /> I Va f yes, what was repaired? I <br /> repair done under inspection? �4as �la I ere soil samples analyted7 llfes I o 177a it ( �PN-0 I b/E78 <br /> i <br />, of tai lure/discharge �acascraphie I tang-term leakage ,Pverf ill I n i cher: <br />:':OVAL 4ISTCRT CATTACM IHSPEGTICH .REPORT FCR SITE DETAILS/COLLECT OASA FCR 1LeAC4I H0 POTENTIAL ANALYSIS) I <br /> h Samples .Received ` es oI epch to Oreurd 'Jacer Nib �ef/TearI overage Arruat Precipitation = hC 0-25 <br />;ice 'Jetl(s7 fifes I o )ober i Type I Irr poo 5care S core 5 icor_ <br />�•ance ;o :ell(s) from Tank I ft; - ft; ft C {IPO pts C 9 pcs G P pcsI <br /> 0 f 0 ( 0 t <br /> R �ondicion R condition R ('^rdicion <br />�Size Feature - Leaching ?gcentlal Arelysis <br /> ns .met E is mac Es avec <br />'mw OrJch to 9rour+dwaeer trm the Soil Saavle (feet) I >100 I �t-ICO I ( 25.50\1 <br /> aures in su'nsurface (applies to feochitls or mountain areas) I lone I r I Unknarn Iresent <br /> cage Arcual Precipitation (Inches) I c10 I 9 110-25 --XXX F125-40\, <br /> I4ade condui cs unie4 increase vertical migration resent <br />'cachate (i.e., septic systems, water wells. Cards) lone ' Unknown <br /> it <br />•ce site features: Rechar;e area, coarse soil, nearby wells. �, At lac _ Tare than i <br /> XXX Rahe 6667 ` La/n�e <br /> CCLUMI TOTALS>WOTAL POUTS <br />(a .Result: (3 T X CR c) ^E RAHC'c OF TOTAL POINTS 9 pts or snore 47 - 48 pts GO PCs or lets <br /> 3 T50 1X 3 T.3 X <br />/i Jz .-T �S�''K MAXI.". ALLMAilLE 3-T•%•? LEVELS (PPM) 1 150 15 .3 1. ( 1. <br /> le Result: CLIms 1060 I 100 I 10 <br /> I)L71 ALLCt:ABCE�.TPX LEVELS (?PN7 <br /> �AX <br /> T?X IEScL10,OCO I 1CC0 100 <br /> AOSE$: ••'If docurented soil and/or groud water contamination is present, do c completa t leaching potential <br /> aralysis. (f.e., site is currently on UCT Contamination List to soil ar ovd water.) <br /> \1 If depth is > 5 ft. and a Z5 ft., score 0 points. If depth 4=5 te., do no a :able. <br /> n \Z If precipitation is > 40 incies, scare 0 points. <br /> \3 levels tar 3TXEe are mC-applicable at a TPN concentration of 10 ppa (gasoline) or ICO rpm (diesc". <br /> tFF aECCMME.WATICM/(CHCJSIOH <br /> i <br /> Are 3TX t E or TPM Cameneratiem > Allawable els Tea I o <br /> Jr_omnerd Site Ctosare�Tes I Ilo Irjtj yes, Refer to Site Mitigation for -.valuation <br /> WIE'J -.VALUATtCH - To 3E COMPLETED 3Y A SL9ERVISCR/SENICR <br /> :'7R 'JITB SUFF RECCMMENDATICH FCR CLOSURE 4531 �O I �E:_RBEO i0 SITE M[TICAi ICH FOR a/ALUAi fCH YEi �!O <br /> ' .TEF"c3RE7 I / / ATE CLOSURE LETTER MAILED I 1 / <br /> F � <br /> 3 30 (U6T:ZSlT)\5/90 <br /> { <br />