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TABtt 1 - CHECKLIST OF REQUIRED DATA <br /> FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br /> Site Name and Location: Collegeville Market, 13521 Mariposa Road,Stockton, San Joaquin County <br /> 0 1. Distance to production wells for municipal, domestic, agriculture, Site is located southeast of Stockton with no public <br /> industry and other uses within 2000 feet of the site; wells within 2000 feet(USGS Stockton East <br /> Topographic Map). A sensitive receptor survey was <br /> not conducted. <br /> 0 2. Site maps, to scale, of area impacted showing locations of former and existing tank Soil contamination was reported <br /> systems, excavation contours and sample locations, boring and monitoring well under the dispenser island when <br /> elevation contours, gradients, and nearby surface waters, buildings, streets, and dispenser pans were upgraded in <br /> subsurface utilities, 5/02. <br /> 0 3. Figures depicting lithology(cross section), treatment system diagrams; Site lithology consists of silt clay to 25 feet, the <br /> total depth investigated. <br /> FN 1 4. Stockpiled soil disposed off-site(quantity); No contaminated soil was removed. <br /> FN 5. Monitoring wells remaining on-site, fate; <br /> Monitoring wells were not required or installed. <br /> 6. Tabulated results of all groundwater elevations and depths to water,• <br /> The depth to water was estimated at 80 to 100 feet <br /> Regionally, groundwater flows towards the North. <br /> 0 7. Tabulated results of all sampling and analyses: Results of soil samples collected 2 feet below dispensers for <br /> dispenser pan upgrades(5/02);were:xylenes, 0.38 mg/kg;MtBE, <br /> Y Detection limits for confirmation sampling 12 mg/kg;and TBA, 25 mg/kg. On 11/02, one soil boring adjacent to <br /> Lead analyses dispenser reported non-detect for TPHg(<1 mg/kg), BTEX(<0.005 <br /> mg/kg),and MtBE(<0.005 mg/kg)at 10-and 20-foot depths. <br /> FN 1 8. Concentration contours of contaminants found and those remaining in soil <br /> and groundwater, both on-site and off-site: The dispenser pan upgrade soil samples <br /> Y® Lateral and ®Y Vertical extent of soil contamination and on-site soil boring define the extent of <br /> Lateral and Vertical extent of groundwater contamination <br /> contamination. <br /> FE 9. Zone of influence calculated and assumptions used for subsurface Based on the limited extent of soil <br /> remediation system and the zone of capture attained for the soil and contamination,an engineered remediation <br /> groundwater remediation system; system was not required at this site. <br /> Y� 10.Reports/information Y❑ Unauthorized Release Form q QMRs <br /> a Boring logs El PAR El FRP Y❑ Other Closure Summary Report <br /> Y� 11.Best Available Technology(BAT)used or an explanation for not using BAT, <br /> Natural attenuation. <br /> Q12.Reasons why background was/is <br /> unattainable using BAT, Minor soil contamination remains on-site. _ <br /> 0 13.Mass balance calculation of substance <br /> treated versus that remaining; Mass balance was not calculated for soil. <br /> 0 14.Assumptions,parameters, calculations and model used in risk A risk assessment was not required. <br /> assessments, and fate and transport modeling;and <br /> Y 15. Rationale why conditions remaining at site will not adversely Soil contamination is limited in extent,and is not <br /> impact water quality, health, or other beneficial uses. expected to reach groundwater. <br /> By: Comments: Soil contamination was observed and reported during dispenser pan upgrade at the subject site in 5/02. <br /> JLB Minor soil contamination was identified at the dispenser island area. One soil boring(11/02)did not reveal visible <br /> contamination at five-foot soil boring sample intervals to 25 feet bgs. Soil results from 10 and 20-foot depth samples <br /> Date: were ND. Depth to groundwater was estimated at 80 to 100 feet bgs. Based on the minor soil contamination and <br /> 5-24-04 minimal threat to water quality, Regional Board staff concur with San Joaquin County's Closure Recommendation. <br />