Laserfiche WebLink
4 <br /> Case Closure Sur Diary <br /> Laaldng Underground Fuel Storage Tank P'r'ogram <br /> c. <br /> Agency information Date: Z� 9 <br /> Agency rsarne: Coy--• �f /ic trk Ac:dre:s f� a D Eq LI/-c r v�r�� <br /> cwstat+ernp: 4C! +-. <br /> R �siota <br /> staff pe=n: �Lcr f +- i-.o� Y i die h� r r -��G E`,✓. h' �c/a.1� <br /> lI_ Case Information <br /> sloe tacmty rome: SO 1— _E Z O <br /> Site fatality address: 1 j' r r /�o �1^d f <br /> RS U1STiS Czse No: it Local Case NLOP Case No: <br /> Ur'i•F firing date: ,?6 SwEE5'S Na: <br /> Resoonzsible Parties {-Addresses Phone Numbers <br /> Tank No Size in Gal. I dontents Clcsed in—Plece/Removed? Date <br /> O 00c, r•�� sa� v 3�� <br /> 2 o aafl I 13/ <br /> 111. Release and Site Characterization information / <br /> Causeandtype atrekease: �.,` U-. rouw� c,..[_ cc c. 6/.�ck�L�C <br /> S"rta charidnriz2i3on Complete? Yes No �gaze approved by oversighz agency: , <br />{ I Monr-taring Welts 1rsslted? Yes No Nisr:shef Proper Wised irsser+raf? vs No <br /> }Eyghest SIN depth below ground surface:4 �. �L r Lax�est depttz 6.�{� �. Flow au ar./IZ y Ss <br />+ !�Most Serve Currwt Use: °i r <br /> Are drznidng water wells affected? Yes Nfl Aquifer rsaate: 7' <br /> Ls surface Water affected? Yes ;� No j Meavatfectt-d SW r=, e: <br /> { off—she beneficsa.i use impar, (address2sflocatiocis): �E„ ;� <br /> Report(s) on file? Where is repon(s)nled? ca pw, tt< rv!a <br /> s <br /> I Treatment and Disposal of Affected Material <br /> Mater81 Amount Onclude Units) ;k mon (Treatment or dis:iosa]wJdezzim6on) Cate n <br /> �. Tank 3— O OOo T� Ca—Se'16 <br /> Pipes ��� .�. I ,f o ,s a� / i 3 <br /> _ Free Prod= <br /> Sod �S s a ,77 411M, <br /> Groundwafer1 <br /> SaTels <br /> �zhibit N Page 1 or 2 <br /> t .i. <br />