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3500 - Local Oversight Program
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PR0545328
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 8:51:28 PM
Creation date
2/11/2020 11:00:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545328
PE
3528
FACILITY_ID
FA0009569
FACILITY_NAME
Custom Design Manufacturing
STREET_NUMBER
248
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206046
CURRENT_STATUS
02
SITE_LOCATION
248 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Case Closure Summary Page 2 <br /> Leaki Underground Fuel Storage Tank gram <br /> III. Release and Site Charaerization Information (continuer <br /> Maximum Documented Contaminant Concentrations--Before and After Cleanup <br /> .Contaminant Soil (ppm) Water (ppm) Contaminant Soil (ppm) Water (ppm) <br /> Before After Before After Before After Before After <br /> TPH (Gas) 1 ND ND N/A N/A Xylene .006 ND N/A N/A <br /> TPH (Diesel} ND ND N/A N/A Ethylbenzene ND ND N/A N/A <br /> Benzene 053 ND N/A N/A Oil & Grease ND ND N/A N/A <br /> Toluene .007 ND N/A N/A Heavy metals ND ND N/A N/A <br /> Other ND ND N/A N/A Other N/A N/A N/A <br /> Comments (Depth of Remediation, etc. ) : <br /> SIZE OF EXCAVATION WAS 22' LONG X 15' WIDE X 17' DEEP <br /> IV. Closure <br /> Does completed corrective action protect existing beneficial uses per the Regional Board <br /> Basin. Plan? (Yes) No <br /> Does completed corrective action protect potential beneficial uses per the Regional Board <br /> Basin Plan? (Yes) No <br /> Does corrective action protect public health for current land use? (Yes) No <br /> Site management requirements: NONE <br /> Should corrective action be reviewed if land use changes? Yes (No) <br /> Monitoring wells Decommisioned: Yes No Number Decommisioned: Number Retained: <br /> List enforcement actions taken: NOTICE OF REIMBURSEMENT <br /> ( List enforcement actions rescinded: NONE <br /> E![ <br /> I <br /> V_ Local Agency Representative Data <br /> Name: DO HERAN Title: DIRECTOR OF ENVIRONMENTAL HEALTH <br /> Signature: buDate: <br /> VI, RWQCB Notification <br /> Date Submitted to RB: RB Response: <br /> RWQCB Staff Name: Title: Date: <br /> VII. Additional Comments, Data, etc. <br /> SOIL ONLY <br /> i <br /> This document and the related CASE CLOSURE LETTER, Shall be retained by the lead agency <br /> as part of the official site file. (08/24/93) <br /> Exhibit N Page 2 of 2 <br />
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