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t <br /> SAN JOAGUI <br /> N COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> LUFT - ENVIRONMENTAL FATE WORKSHEET <br /> repared by <br /> i to Address <br /> ite Code C <br /> ate \ \ <br /> acility Name �. <br /> Type of Fuel Constituent PH-D PH-G <br /> A <br /> Tank ID/!i <br /> verage <br /> nual <br /> recipitation <br /> Inches <br /> IB - C = D) <br /> E F G <br /> leanu 7 <br /> istance From=istanc emulative cceptobte YES IF E > f <br /> urface to ontemination ontamination NO IF E ( F <br /> round Water evels (CCL) eveLs EACHINGSANALYSIS) <br /> * CCL 0 <br /> p FT 5ft ft + SAMPLE 1 ft c CCL <br /> 1 Des Do <br /> • CCL 1 <br /> + ft SAMPLE 2 ft + CC <br /> ample t ___j>pn �es []no <br /> 5ft <br /> ! CCL 2 <br /> i ft SAMPLE 3 ft + sample 3 ___ppm <br /> = CCL 3 Des o <br /> 5ft <br /> * CCL 3 <br /> + ft SAMPLE 4 ft + sample 4 ---_-ppm Des <br /> = CCL 4 [ao <br /> 5ft CCL' 4 <br /> A ft SAMPLE 5 ft + sample 5 _ ppm <br /> CCL 5 Des o <br /> 5ft <br /> ! CCL S <br /> i ft SAMPLE b ft + sample 6 __j*m <br /> = <br /> 5ft CCL 6 Des Da <br /> } <br /> CCL 6 <br /> il0 t SAMPLE 7 ` ft + sample 7 f�xo <br /> = CCL 7 Des Elo <br /> 5ft Q CCL 7 pF3 <br /> y <br /> ft SAMPLE B � ft + sample S �_�n <br /> = <br /> 5ft CCL 8 Des DO <br /> I <br /> ! CCL 8 <br /> + ft SAMPLE 9 ft + sample 9 ____J:Ixn [:j <br /> — ••= CCL 9 D5ft__--_---------*------- ----------*-------�-----_- __------C`ll` <br /> p "OP41----------------------------------------------- <br /> ��� K41L�1[���sR1F�tiCi� �Q <br /> Rltasit YQ�R`�Q PFagC �QQ��ci�i�F �'im[Q��cf �Q ------ IF dC�aQ� <br /> TOTE: Concentrations for any single soil sample cannot exceed 100 ppm for Benzene; 80 ppm for Toluene; 40 ppm for Xylene And <br /> 0 ppm for Ethylbenzene in order to be used with the GENERAL RISK APPRAISAL. The last sample to be included in the <br /> elculations for cumulative contamination must be at or above the detection limit; DO NOT INCLUDE BOTTOM SAMPLES WHICH HAVE <br /> ONCENTRATIONS LESS THAN THE DETECTION LIMIT. <br /> EH UNIT VI 2/91 PILEHFTW <br /> EH 29 02 <br />