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i <br /> Activities Planned (Check those that are applicable) <br /> Underground storage tank removal <br /> ' Oversight of soil excavation with backhoe or other equipment <br /> Confirmation soil sampling dunng soil excavation and removal <br /> soil gas survey <br /> soil boring and soil and groundwater grab sampling <br /> X Drilling of wells, including installation, development and sampling of groundwater <br /> and soil <br /> X Groundwater sampling of onsite wells <br /> other <br /> II. SITE INFORMATION <br /> Site Description: The site is located at the corner of Harding Way and Cemetery Lane in the <br /> city of Stockton, California The site is an active cemetery facility <br /> ' Unusual Features: Possible underground utile lines Underground Service Alert USA will <br /> g utility g (USA) <br /> be called at least 48 hours prior to site work Driller will be asked to hand auger to five feet <br /> r <br /> below ground surface(bgs) if drilling near any underground utility lines <br /> Site Background/History: Two gasoline underground storage tanks (UST) were removed in <br /> response to a failed tank tightness test Soil under the tanks was saturated with gasoline A total <br /> of five groundwater monitoring wells and four vapor extraction wells have been installed at the <br /> ' site Active remediation has not been initiated Groundwater in the vicinity of the USTs <br /> contains significant concentrations of dissolved gasoline hydrocarbons The two wells to be <br /> installed during this scope of work are intended to be perimeter wells As such, significant <br /> t� concentrations of gasoline hydrocarbons are not expected during drilling and sampling <br /> operations <br /> i, Overall Hazard Level: ❑ Serious ❑ Moderate ■ Low ❑ Unknown <br /> ' Comments: None <br /> i <br /> i <br /> 1 2 <br />