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I CRYSTAL CREAM & BUT i ,R - Page 1 of 2 <br /> LTCP Checklist ® MEIMANAGE W Ts 19EPOBI913EARCHIIDQ <br /> CRYSTAL CREAM & BUTTER (TO607700029) - MAPOPEN- SITEAWESSMENT <br /> 404 FREMONT ST ACTIVITIES REPORT CLEANUP OVERSIGHT AGENCIES <br /> STOCKTON , CA 95203 SAN JOAQUIN COUNTY LOP rLEAd- CASE l: zea <br /> SAN JOAQUIN COUNTY PUBLIC WEEPAGER R: ANGELC sAN Ex soR.ADRIENNEE1saESSEN <br /> CENTRALVALLEV RWOCB (REGION IS) - CASE*, 4 <br /> CASEWORKER: JAMES BAR - ORI CONDON <br /> CUP dXtyA siigned5 Pald:922e� <br /> OR SHE aItoi NOT SPECIFIEDp <br /> THIS.PROJECT WAS LAST MODIFIED BY NUEL HENOER m ON 4/14201522436 PM - HISTORY <br /> To IS SUR! HAS SUMMITTAILS. cN)_EM TO OPEN A NEW WINDOW <br /> CLOSURE POUCY THIS VERSION IS FINAL AS OF 411412015 <br /> General Criteria - The site satisfies the policy general corona - CLEAR SEcnox ANSWER NO <br /> a. Is life unauthorized rel ease located within the service area of public water system? <br /> waecr (: VEE r N <br /> I. The unaultwnzed release consists only of petroleum Qnyfo1. As VES r N <br /> C The unauthorized ("primary) release from the UST system has been stopped. R VES r' N <br /> d. Free product has been removed to the maximum extent pr olioableIjmi r FP Not Encountered IS YES r N <br /> e. A conceptual site model thatassesses the nature, extent, and motoillty of the release has been developeadfinuo. <br /> Description (Check all that Apply): <br /> gF OW Not Evaluated <br /> F Groundwater Assessment Incomplete -Areal Extent of Contamination Not Defined <br /> rGroundwater Assessment Incomplete - Depth of contamination Not Defined <br /> F Hydrogeology Not Adequately Defined <br /> r rr' Potential c Identified <br /> YES N <br /> Soil Asesame ad Areal Extent Not Defined <br /> Sal Assessment hmorists - epth Unknown <br /> F Soil Vapor Not Evaluated , <br /> II70ther <br /> I. Secondary source has been removed to the extent practicable lam, r YES r N <br /> g. Sol or groundwater has been tested for MTBE and results reported in accordance with Health and Safety Code Section 25296.15. f Not Required IS YES r N <br /> In. Does a nuisance exisk as defined by Water Code se m 13050. r YES N N <br /> LMedia-Specific Criteria: Grountlwater - The contaminantplume that exceeds water quality objectives is stable ordecreasing In areal Extent, and meets all ofthe adoutional NO <br /> charadensties ofone Of the five Gasses of sites listed below. - cLEARSzatioNAinvool <br /> EXEMPTION - Soil Only Case (Release has yt Affected Grountlwater- Info) r YES as N <br /> Does the site meal any of the Groundwater specific criteria scenarios? f YES IS N <br /> ADDITIONAL QUESTIONS - Please indicate only those conditions that do not meet the policy cdterla: <br /> Plume Length (That Exceeds Water Quality Objectives) : <br /> r 2100 Feetand < 250 Feet r 2250 Fact and < 1,000 Feet r 21,OCD Feet IS Unknown <br /> Plume is Stable or Decreasing in AREAL Extent <br /> r No r Unknown <br /> Free Product in Groundwater : <br /> C Yes of No C Unknown <br /> Free Product Has Been Removed to the Maximum Extent Practicable <br /> C' No r Unknown <br /> For sites with free product, the Plume Has Been Stable or Decreasing for 5-Years (Info) <br /> r' No r Unknown <br /> Forsttes with free product, owner Willing to Accept a Land Use Restriction (if required) <br /> C No r Unknown <br /> Free Product Edends Offsite : <br /> C Yes r Unknown <br /> Benzene Concemattlon : <br /> r 21,000 Aill and < 3,000 poll r >3,000 Pod r Unknown <br /> MTBE Concentration : <br /> r >_ 1,OOo Hill r Unknown <br /> Nearest Supply Well (From Plume Boundary) : <br /> C s250 Feet r > 250 Feet and s 1,000 Feet r Unknown <br /> Nearest Surface Water Body (From Plume Boundary) : <br /> r <250 Feet is > 250 Feet and <_ 1,000 Feet r Unknown <br /> 2. Media Specific Criteria: Petroleum Vapor Intrusion to Indoor Air - The site is Considered low-treat for the vapor-intrusion-to-mirpathway ifsitespecificconditions satisfyNO <br /> items 2a, 2b, or 2c - CLEAR SECnox ANSWER <br /> EI(EMPTION -Active Commercial Petroleum Fueling Facility r YES IS N <br /> Does the site meet any of the Petroleum Vapor Intrusion to Indoor Air specific criteria mechanics? r YES as N <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 /> ExposureType : <br /> https :Hgeotracker.waterboards.ca. gov/regulators/screens/closure_policy.asp?global_id=TO . . . 4/15/2015 <br />