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E T <br /> L.eaWng Underground Fuel Storage Tarlle Program <br /> } NII. Release and Sitelaracterization Information ontinued <br /> Maximum Documented Contaminant Concentrations -- Before and After Cleanu <br /> -Contaminant Sod (ppm) Water mContaminant Soil n0m) Water m <br /> �l <br /> Before Alter betare re Alter Betore Alter <br /> - TPH Gas /Y10 Xylene <br /> TPH PiewA E (benzene .43 d <br /> Benzene Oil &Grease <br /> Toluene 14 Hem metals - <br /> Other Other <br /> Comments (Depth of Remediation, etc.): <br /> o cf! <br /> I <br /> IV. Closure - <br /> Does completed corrective action protect existing beneficial uses per the Regional Board Basin Pian? Yes No <br /> Does completed corrective action protect potential beneficial uses per a Regional Board Basin Plan? es No <br /> Does connective action protect public health for current land use? LYe'�2 No <br /> Site management requirements: <br /> Should corrective action be reviewed if land use changes? Yes No <br /> Monitoring wells Decommisioned: Yes No I Number Decommisioned: Number Retained: <br /> List enforcement actions n: <br /> List enforcement actions rescinded: <br /> V. Lo I Agetjpy ElepresentativeAge Data <br /> Name: Titre: <br /> Signature: 8 D te: ZL <br /> Vl. RWQCB Notification <br /> Date Submitted ta RB: aZ RB Response: <br /> RWOC$ Staff Name: T 1s: Date: <br /> Vll. Additional Comments Data etc. <br /> 'Itis document and the related CASE CLOSURE LETTER,shail be retained by the lead agency 8/24193 <br /> a as part of the official site file. <br /> t <br />