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TABLE 1 - CHECKLIST OF REQUIRED DATA <br /> FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br /> Site Name and Location: Hotchkiss Mortuary, 5 W. Highland,Tracy, San Joaquin <br /> NA 1. Distance to production wells for municipal, domestic, agriculture, industry and <br /> other uses within 2000 feet of the site; <br /> 550-gallon gasoline tank <br /> NA 2. Site maps, to scale, of area impacted showing locations of former and existing tank systems, removed 6/90 <br /> excavation contours and sample locations, boring and monitoring well elevation contours, <br /> gradients, and nearby surface waters, buildings, streets, and subsurface utilities, <br /> NA 3. Figures depicting lithology(cross section), treatment system diagrams, <br /> FTI 4. Stockpiled soil remaining on-site oroff-sitedisposal(quantity); <br /> Unknown quantity disposed at unknown location <br /> NA 5. Monitoring wells remaining on-site, fate; <br /> NA 6. Tabulated results of all groundwater elevations and depths to water, 7-ft bgs in San Joaquin Co. <br /> 7.Tabulated results of all sampling and analyses: all soil and groundwater samples were ND for TPH-g, TPH-d,and <br /> BTEX. Groundwater samples were ND for MTBE. <br /> Y❑Detection limits for confirmation sampling <br /> Y]Lead analyses <br /> Y� 8. Concentration of contaminants found and those remaining in soil and Contaminated soil limited to the extent of <br /> groundwater, on-site: the excavation. Groundwater samples <br /> Y Lateral and Y Vertical extent of soil contamination were ND. <br /> ❑ Soil boring at 9 and 12-ft bgs was ND for <br /> Lateral and Y Vertical extent of groundwater contamination petroleum contaminants <br /> U <br /> NA 9.Zone of influence calculated and assumptions used for subsurface <br /> remediation system and the zone of capture attained for the soil and <br /> groundwater remediation system; <br /> FY-1 10.Reports/information YY Unauthorized Release Form 7/30/91 [ QMRs(Dates) <br /> 0 Welland boring logs E PAR FNI FRP 0 Other(report name) <br /> FY 11.Best Available Technology(BAT)used or an explanation for not using BAT, Removed tank in 1990. <br /> 12.Reasons why background wads unattainable using BAT, No contamination found from soil boring at 9 and 12-ft <br /> bgs. <br /> NA 13.Mass balance calculation of substance treated versus that remaining; <br /> HI14.Assumptions,parameters, calculations and model used in risk <br /> assessments, and fate and transport modeling; <br /> Q15.Rationale why conditions remaining at site will not adversely See comment 12 above. <br /> impact water quality, health, or other beneficial uses;and <br /> NA 16.INET or TCLP results <br /> By: Comments: Originally contamination was detected beneath tank in 1990. However, soil samples, collected <br /> from a boring at 9 and 12-ft bgs were ND for petroleum contaminants. The groundwater sample collected <br /> Da : at 12-ft bgs, was ND for petroleum contaminants, also. <br />