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PUBLIC WORKS - Page 1 of 2 <br /> LTCP Checklist ® CEOTRACKER HOME I W -------- I QBT_@ F� .SO I LOG'P4 <br /> OPEN.SITEASSESSMENT <br /> PUBLIC WORKS(TO607700379)-MAP THIS SITE <br /> VE F S <br /> STO KION,HAZELTONCA AVEE AfTNIT1ES REPORT SAN ASEW NCWNTY LOP(LEAD)-CASE s:1111 <br /> STOCKTON.CA 95207 CASEWORKER:VALLEY <br /> HARLIN KNOLL-S)-CASE ,3: <br /> ADRIENNE ELLSAESSEF <br /> SAN JOAGUIN COUNTY PUBLIC BPA CENTRAL VALLEYRWOCB(REGION SS)-PASEa 3R:CO <br /> CASEWORItER:'°MFS geR'rOr'I.SUPERVISOR:COFI LONDON <br /> VIEW PRINTADLE CASE SUMbI8RY F THIS$ITE CUF Claim r:11390 CUF Priority Assigned:O CUF Amount Final 12 <br /> THIS PROJECT WAS LAST MOdFIED BV HARLIN KNOLL ON]Nrz0138'3]'.28 AM-�^ Q@�' <br /> 716 gin 111 Slei ITTAL5.of bil To WEN A NEW WINDOW WITII WE SUBMITTAL APPROVAL PAGE FOR THIS SIZE. <br /> CLOSURE POLICY THIS VERSION IS IN PROGRESS AS OF 512912013 CNECKLISTIMTIATEOON151211'20Td <br /> CLOSURP IN=(HISTORY <br /> General Criteria-The site satisfies the policy genera/criteria-CLEAR SECTION AN MRS NO <br /> a.Is the unauthorized release located within the service area of a public waters stem? r YES C NO <br /> NMre of Water system: Calwaler <br /> b.The unauthorized release Consists only of petroleum info. r YES r NO <br /> c.The unauthorized('primay)release from the UST system has been slopped. r YES rNO <br /> d.Free product has bean removed to the maximum extent practicable tjIW, FP Not Encountered r YES r NO <br /> e.A conceptual site model that assesses the nature,extent,and mobility of the release has been developed(into1, r YES r NO <br /> f.S noon,source has been removed to the extent predicable info. <br /> Impediment to Removing Secondary Source(Check all that Apply): <br /> r Remediation Has Not Been ANampted <br /> F Remediation Was Designed Incorrectly r YES ,r NO <br /> F Remediation Was Shut OR Prematurely <br /> F Pod Remediation 08M <br /> r"Inr - SVEpilottestevaluationispeMirg <br /> g.SNI or groundwater has been tested for MTSE and results reported in accordance with Health and Safely Code Section r Not Required-9 YES r NO <br /> 25296.15. <br /> h.Does a nuisance exist,as defined by Water Code section 130W. C YES C NO <br /> 1.Media-Specific Criteria:Groundwater-The contaminant plume that exceeds water quality objectives is stable Or decreasing in areal extent,and NO <br /> meets all of the additional chamclerisfics O/one of the five L/asses of sites fisted below.-ctFaR sacTION ANsw>=Hits <br /> EXEMPTION-Soil Only Case(Release has not Affected Groundwater.Iri r YES I✓NO <br /> Does the site meet any of the Groundwater specific criteria scenarios? r YES r' NO <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do not meet the policy criteria: <br /> Plume Length(That Exceeds Water Quality Objectives): )c <br /> r z 100 Feet and<250 Feet r z 250 Feet and<1,000 Feet r z 1,000 Feet r Unknown <br /> Plume is Stable or Decreasing in AREAL Extent: <br /> r No r Unknown L a/•t c�a{ // <br /> Free Product in Groundwater: <br /> C'Yes C No f Unknown <br /> Free Product Has Been Removed to the Maximum Extent Practicable <br /> f No r Unknown <br /> For sites with free product,the Plume Has Been Stable or Decreasing for 5-Years(info) <br /> I- No r Unknown <br /> For sites with free product,owner Willing to Accept a Land Use Restriction(if required) <br /> r No r Unknown <br /> Free Product Extends Offsite <br /> r yes r Unknown <br /> Benzene Concentration: <br /> r z 1,000 pgll and<3,000 pga C z 3,000 pg/I r Unknown <br /> MTBE Concentration <br /> ,G z 1,w0 pg/I r Unknown <br /> Nearest Supply Well(From Plume Boundary): <br /> C 5 250 Feet f>250 Feet and 51,OD0 Feet r Unknown <br /> Nearest Surface Walter Body(From Plume Boundary): <br /> r s 250 Feet r>250 Feet and 51,000 Feet r Unknown <br /> 2.Media Specific Criteria:Petroleum Vapor Intrusion to Indoor Air-The site is considered low-threat for the vapor-intrusion-to-airpathwayifsite- F NO <br /> specific Conditions satisfy items 2a,26,Or 2c-CLFAR sECTbN ANSWERS <br /> EXE rf P ICN-Active Commercial Petroleum Fueling Foci hty r YES 9 NO <br /> Does the site meet any of the Petroleum Vapor Intrusion to Indoor Air specific criteria scenarios? r YES r NO <br /> ADDITIONAL QUESTIONS-Please Indicate only those conditions that do not meet the Policy criteria: <br /> Soil Gas Samples: <br /> https://geotracker.waterboards.ca.gov/regulators/screens/closure_Tolicy.asp?global_id=TO... 7/11/2013 <br />