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SAN laACl1IN,' ' NTY PUSLIC 4EI SERVICi/ENVIRCNMENTAL :{" "] [VISICH <br /> GST uOAKSNE- FOR SITEE CLOSURE E/ALUATICM DATE ( / LS <br /> l / <br /> NAME OF FACT L .' Ty IY <SWf"�GUYL , l�r7ti� S OG W C. 1 // r Eo IS <br /> 3 l <br /> ' ( TANK 10 t <br /> ( TANK SIZE ( / C� �1) ( FUEL TYPEI " — <br /> [ I . �ENE.RAL SITE HISTORY e <br /> Is -ennit current? YesNol Permit dl - IFaciliry 5tat6 Gde4 7 1 IOcc.Sai l/GW Cant Yell No C�( <br /> � At:mer of Tanks at faciliryl lAge of T3nk5( IT ava l laale) I �jA hype err iankl S .eelrergll lSngll Oual VAI <br /> RANK HISTORY <br /> - uas lank test.d? IYesl MCI Failed Precision ccs: ? IYesl INoIf x I [ Yes . give care(s ) / / <br /> ":as a repair mde .a :he :ank sysz;llYesl Nei Iif Yes , what uas repalred? l <br /> Vas repair done under inspection? lYesl IMeI ( Were sail sales analyzed? Yesl No aD ITPH-SI ITPM-Ol lPb/EDal l <br /> - -yce of failure/discharge ) lcat35trvcnicl lLwg- term leakage ) lwerfilll a+Ia+�+^ l lather: l <br /> : 11 , IE.IOVAL HISTCRY (ATTIC! INSPECTION REPORT FOR SITE 7ETAILS/©LLC' TATA FOR LEACJIHG POTcVTIAL ANALYSIS) <br /> : Soil Samples .ReceivediYesl INoI ( Depth ca Ground 'Jaterl' Ref/Yearl /J ) Average Arcual Preci pi tatianlA= l 14 110- 251 <br /> Cr- Si cz UeIL ( s ) IYes INC NtsEer i iypel [ rr , lDami ' Pup' <br /> - <br /> SI Score Score <br /> Ois :ance :o Vell ( s ) frau Tankl ft; , <br /> C m ps O 9 pts C 5 pts <br /> O IT D f D IT <br /> ^ . r .2 I �-sldi c4 on R cahai cion R condi ti an <br /> V . Site Featctre - Leaching Potential Arta Lysis bf� 3 is mc E is set <br /> mi nilntaa Death :0 3reur Cer fr® ate Sail aartole ( feet ] l I > 1C0 I I51 - iCo l L-Ser\ 1 <br /> lF ^aczures in subsurface ( aeplies :a foothills or mcuttain dress ) l © Nae I l Uru own Present <br /> Average AnnuaL Precipitation ( inches ) laaasszl d0 I 9 l 10 Izcuzccl 25-40\2 l <br /> I <br /> ! Man-made odreuits uhf n inc.�ease vertfcat sigraticn (� <br /> r leachate ( i . e seatic systems , water 'wells , ;.ones ) I l None 9 I Unkraun ( Present <br /> i � / <br /> v <br /> : Unique size features : .Recharge arta, coarse sail , nearer/ el ls_ A: least More than <br /> IsuzxK ' Hcre C/ one one <br /> l =LUNN iCTALSA»TOTAL POINTS <br /> � Samele sul- : ( 3 T x OR ) .7ANrc OF TOTAL POINTS149 pis or Amro l 4; 4d pts :a pts or less l <br /> MAI ALLfNA9L£ 311 sa 5513 � t . I 1 . HA\3 <br /> f <br /> sets le Aesul,: : GASOLINE moa l im to <br /> H G7 MAxIMtM ACLOWABL TPH LEVELS (PPM) IDIESEL, moa l too l <br /> F•;OTHOT'c5 : (Jr . f docmmced sail and/or ground water cntaminatian is present , do m a the leeching patencial <br /> aria Lysis. ( i .e. , site is currencty an UGI Contamination List `err sail or grau<+d nater. ) <br /> \ 1 If death is > 5 ft. and < 25 ft . , scare 0 pains. If depth e5 ft. , da not use MbLe. <br />[ \2 If precipitation is > 4o inches , scare 0 points. <br /> U Levels far 3TXEE are not appLicante at a tPM cancentration of to ppm (gasoline) or t0a FFa (diesel ) - <br /> . 'Ii . STAFF .2E0CHMENOATICM/=C1ISICN <br /> 7Wn) u 5 <br /> I . Are 3TX 3 E or TPM Cancetltratians > ALlauacle Levels ^.'esl INo <br /> I <br /> l2 . tecam>end Size C ; asurel Yesl INoI X tIolf Yes , Refer ca Site Mitigazian nor Evalwtfca <br /> VII . REVIEW _/ALATICH - 70 3E CCMPI=•TED 9Y A SLIPE.iVI50R/SE41CR <br /> G.VGR 4I7H STAFF .RE•CCHMENOATTCN FOR .^..OSUREj YES ( INCI IREFEJUED III SITE IITI=T'CN FOR =MLUATICLIYESI INOI l <br /> DA` .REFERRE71 / / IOAT`c CLCSURE LE'i"It MAIL01 / / l <br /> HAME OF <br /> E'IALL'ATCR <br /> EN Z3 30 (UG-, L'KSHT ) \5 /90 <br />