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PUBLIC WORKS Pagel of2 <br /> %POW <br /> LTCP Checklist GO EEOTRaCKER HOMEiMANAGE PROJECTS IitEpORTB SEARCH f.{uiQ� <br /> PUBLIC WORKS(T0807700179)-MAPMAP THIS Sin <br /> OPEN-SITEASSESSMENf <br /> 1810 HAZELTON AVE E ACTIVITIES CLEANUP OVERSIGHT AGENCIES <br /> STOCKTON,CA 95201 SAN JOAQUIN COUNTY LOP(LEAD)-CASE a:1141 <br /> SAN JOAQUIN COUNTY PUBLIC WEBPAGE CASEWORKER:ANGELICA SANDOVAMARIN-SUPERVISOR:ADRIENNE EUEAESSER <br /> VIEVIPRIWABI IF CASE SUMseiThis Sn CENTRAL VALLEY RWQCB(REGION 5S)-CASE a:300189 <br /> CASEWORAER:JAMES BARTON-SUPERTSOR:CORI LONDON <br /> Call Claim R:11590 CUP Pdork,Nslgned:D CUFAmoum Pald:19 <br /> THIS PROJECT WAS UST MODIFIED BYNrA HEN coeON ON MN20141039:Aa AM-LUHQBX <br /> THIS SITE Has SUBMITTALS.CLICK HM TO OPEN A NEW WINDOW Wml THE SUBMITTAL APPROVAL PAGE FOR THIS SITE <br /> CLOSURE POLICY THIS VERSION IS FINAL AS OF 6123/2014 cxECI<usr/NmaTEp DN7mr2ora CLOSURE POLY eeTORy <br /> General Criteria-The site Seel the pOtcy general criteria-CLEAN SECTIONwP NO <br /> a.Is the unauthorized release located within Me service area of a blic water s tem? <br /> NameofWafertlyslem: jUsverW se YES r NO <br /> It,The unauthorized release Consists Only Of petroleum fl*j. IS YES r NO <br /> c.The unauthorized(°primary)release from the UST system has been stopped. G YES r NO <br /> d.Free product has been removed to the maximum extent practicable Lnnb�. r FP Not Encountered Ar YES r NO <br /> e.A conceptual site model that assesses the nature,extent,and mobility of Me release has been developed Jim, re YES r NO <br /> L Secondary source has been removed to the extent racticable in <br /> Impodlment to Removing Secondary Source(Check all that Apply): <br /> F Remediation Has Not Ban Attempted <br /> r Remediation Was Designed!Incorrectly <br /> r Remediation Was Shot OR Prematurely r YES fa NO <br /> r Poor Remediation OaM <br /> r Other - SVE pile lest evaluation is perxlirg <br /> g.Soil or groundwater has been tested for MTBE and results reported in accordance cath Health and Safety Code Section <br /> 25298.15. r Not Required G VES r NO <br /> h.Does a nuisanca exist,as darned by Water Code section 13050. f YES la NO <br /> 1.Media-SpeOific Criteria:Groundwater-The Contaminant plume that exceeds waterqualiy objectves is stable or decreasing in areal extent,and <br /> meets all of the additional characteristics of one of the five classes of sites listed below.-CLEAR SECTION AH<y uRa <br /> EXEMPTION-Soil Only Case(Release has DolI Affected Groundwater.jok) r YES ess NO <br /> Does Me Site meet any of the Groundwater Specific Criteria scenarios? r YES re NO <br /> ADDITIONAL QUESTIONS-Please indicate only Mose conditions Mat do not meet the policy Criteria: <br /> Plume Length(That Exceeds Water Quality Objectives): <br /> G t 100 Feet and<250 Feet r>-250 Feet and<1,000 Feet r z 1,000 Feat r Unknown <br /> Plume is Stable or Decreasing in AREA Extent: <br /> r No r Unknown <br /> Free Product In Groundwater. <br /> r Yes r No r Unknown <br /> Free Product Has Been Removed to the Maximum Extent Practicable: <br /> r No r Unknown <br /> For sites with free product,Me Plume Has Been Stable or Decreasing for 5-Years(info) <br /> r No r Unknown <br /> For sites with tree 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 pill is z 3,000 pg/I r Unknown <br /> MTBE Concentration: <br /> r z 1,0000 pg/I r Unknown <br /> Nearest Supply Well(From Plume Boundary): <br /> r s 250 Feet G>250 Feet and s 1,000 Feet r Unknown <br /> Nearest Surface Water Body(From Plume Boundary): <br /> r s 250 Fact r>250 Feet and s 1,000 Feel r Unknown <br /> 2.Media Specific Criteria:Petroleum Vapor Intrusion to Indoor Air-The site is considered/ow-threat for Me vapor-intorsion-to-airpathway ifsita- NO <br /> specific Conditions satisfy items 2a,2b,or 2c-CLEAR sEcTON AxsWERs <br /> EXEMPTION-Ani, - - - - n ling Facility r YES f NO <br /> Does Me site meet any of the Petroleum Vapor Intrusion to Indoor Air specific Criteria scenadus? r YES Of NO <br /> ADDITIONAL QUESTIONS-Please indicate Only Mone conditions Mat do not meet the policy criteria: <br /> Soil Gas Samples: <br /> r No Soil Gas Samples r Taken Incorrectly <br /> https://geotracker.waterboards.ca.gov/regulators/screens/closure—Policy.asp?global_id=TO... 6/23/2014 <br />