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CENTRAL VALL101 REGIONAL WATER QUALITY CONTROL BOARD <br /> CASE CLOSURE CHECKLIST <br /> Leaking rowitam <br /> ( 1.4 %'e This checklist, CASE CLOSURE letter, and the Unauthorized Release Report Form (URF) is <br /> to be retained by the Regional Board and Local Implementing Agency as documentation of <br /> release and subsequent closure action. All files and reports will be placed on microfiche for <br /> review. <br /> I. Case Information <br /> LUSTIS Case no. N _ URF filing date N A Closure date <br /> Site name/county t3"V4e_.JG' <br /> Site address City -rfo y Zip Phone <br /> Table 1 •Responsible Party Information <br /> Responsible party Name Address,City,Zip Phone <br /> O�viQt..Q Qe/tlo�e.nw� Shoo P'.wa ;A—jc Ade <br /> 19 Property owner ,- 9-% Glo..b CA '9 Vo S1 (408) 2q6- Soo t <br /> Operator P;pc U.✓c N000 po__c, --3 / Si-c. Voo ( sro ) 842—/.93D <br /> C- _ _y Rb— CA 9 e3- 095-41 <br /> Operator 2 ( ) <br /> Operator 3 ( ) <br /> II. Release and Site Characterization Information <br /> Tank size(s) Al a e/%mac Fuel types) c,,—ke 0.'l <br /> Chemical type(s) and quantity(ies) released <br /> Table 11 -Lateral and Vertical Extent of Contamination <br /> 199 s <br /> Environment lateral(ft) Vertical(ft) Contaminant Concentration Range <br /> Soil (,..7Sr000 {:{Z <br /> c 50 -1-. -+SDO mg/kg <br /> Groundwater ;,, :l .+ells io - (o o,�,,�(� 0 1 Trf'H �o.s} 3•c <br /> TePI4.4I.o Z },-+ mg11 <br /> Soil type at the site O/ NA� IY clays <br /> Source of drinking water under SWRCB POLICY 88-63 yes <br /> Were nearby wells (Domestic, Municipal, Ag, etc.) monitored? Yes No <br /> Wells affected (Domestic, Municipal, Ag, etc.) t A <br /> Highest and lowest depths to groundwater 6. 3 / fo 9.5-7 <br /> Seasonal groundwater gradient(s) and direction(s) Alof4l^ <br /> Name of Regional Water Quality Control Plan (Basin Plan) aquifer affected (see attached) <br /> Surface water impacted? Yes No _ C <br /> Name of surface water body affected 6uIA <br />