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APPENDIK B OF TBE TRI41EGIONAL RECOMMMATIONS <br /> ----___.----CHECKLIST OF),t4,,4ULRED.DATA.FOSCLOSURE.OE-TvER OtAED-TeNXSM74 <br /> CLOSURE DOCUMENT APPLICATION <br /> v <br /> 1. Distance to production wells for municipal, domestic, agriculture, industry and other nets within <br /> 2000 feet of the site; <br /> 2. Site maps, to scale, of area impacted sbowmg locations of former and existing tank systems, <br /> excavation contours and*sample locations, boring and monitoring well elevation contours, <br /> /gradients, and nearby surface watersbuildings, streets, an&mbsutface nn7iIIes; <br /> gores depicting lidwiogy (cross section), treatment system diagrams- <br /> ' <br /> 4. Stockpiled soil remaining on-sire or off-sine disposal (quantity); <br /> 5. bl/omtoring wells remaining on-site, fare; <br /> 6. data of all ground water elevations and depths to water; <br /> 7. ✓ Tabulatyd'resuits of all sampling and analyses: <br /> D on limits for con6rmadon sampling <br /> ---- Z�7 UR an&Fn — <br /> 8. � Concentzadott contours of contaminants found and those temaining in soil and ground water, both <br /> on- and off-site: <br /> Lateral extent of soil contamination <br /> 1 _�Vertical exu= of soil contamination <br /> _,� j aterat extent of grrnmd water comamination <br /> - Vertical extent of -- - - <br /> gtoand water eontamiastiott <br /> 9. Zone of i iduet ce calculated and assumptions used for the subsurface temedisrion system and the <br /> zone of rapine attained for the soil and mrd weer remediation <br /> 10. R-portshnfoL--- n missing from bile <br /> _ Umnthorized Release Form (URF) <br /> _QMRs (Danes) <br /> _PAR <br /> FRP <br /> Other (report name) <br /> Well and boring logs <br /> 11. r Best Available Technology (BAT) used or an explanadon far not using BAT; <br /> 12. Reasons why "background" waslis matniaabie using BAT; <br /> 13. Mass balance calculation of the substmee treated versos that remaining; <br /> 14. Assumptions, parameters, calculations and model used in risk assessments, and fate and transport <br /> 15..-Z=why conditions remaining atthe site will not adversely impact water quality, health, or --- <br /> �q other beneficial uses; and <br /> 16. N "T WEr.orTCL.Presults' <br /> Comments: cT LIQ y l ke h2 "b-t_ied �C <br /> ll-Q"41t i. <br /> Std iz, ow i staLkAt t1 ( (n r c�_ ihLv�Y 9 U�EI 2-Y gbu - <br /> \ Pr>S cu�tNAt. (ort�RA O.) ' <br />