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SAIL JOAQUIN LdU%TY PWL1C REALTH S"VtcEajZ%YIk0#KVrAL dEAL:+i 01Y1SIOR <br /> =7 WORKSHEET FOR SITE CLO"E "ALUATIOm <br /> PHE OF FACILITY 0. f EPS NDE {G� <br /> oDRES$ ,AyK is QI <br /> ' ANK SIZE ! rY <br /> ,r. 6H1E8RAL S'T' <br /> ■IsroRy <br /> ar <br /> s perm t CurrmtT es a arrear ff east ity states CadetfG4! Cont ce a <br /> ue6er of Tt�rika at faeflity ➢e of Tanksiif cveilebte) ype of 'tart teet brgi n91 Oual <br /> III TA" HISTORY <br />' ar Tar* tCsted9 dS P sirted precisian test o es o 1f yes, 91" eata(s) ! s J ! <br /> as a rewair made to+ the twk system? yes No f yes, what vaa repetrrd'i <br /> ns repoir dons; itidpr inWcotion? cs re soli samples anaiyxe4d3 t0r, 10 TXE Pti-ti PR-D b/EDD <br /> TwM of fall+.re/diszh6rge atactrapltic lime-rem le kaye veHill 11 known I iher. <br /> IV. REnDVAL HISTORY CATTACM INVECTION REPORT FOR SITE DETAILS/COLLECT DATA FCS LEACHING POTEsi"IAL ANALYSIS) <br />' ate SaVlea Received cz 110 th to Ground Water 15 of/Year mage ?rnwal Precipitationrc=.orel <br /> site We(LCs) es o mbar & Tye trr Ors ubS core 5 cora 5 istenx to blel!(a) from Teri tt; ft; Tt C r0 pts I C pts C 0 if 0 R orditiae R onditson R Site Feature - Leaching Potential Armlysit ! s met f is Mt E <br /> irimuip Depth to groundvatee from the Sail Sasple (lee,) i5r EACs >1Q0 T-740 25-50\7 <br /> ractures in bub5urfm;e (Bppltes to foothitty or moue talm areas) I NQric UnViorw, resent <br /> average A;nuat Precipitation (irnhea) x -10 9 10-25 xxxx 26-e0i2 <br /> •made conduits which increase verveat migration <br /> f leachate Ci e , septic systems, dater Vella, ponds) Kane Lkdff1>�i resent <br /> uilqua site feat"es. racharge area, acerae sot L, noarb)r walls. At low, i s Aare tRan <br />' KXXMA uPrve ;.p ane C aria <br /> COLUMN TWAL3> ),TOTAL POINTE I + J <br /> ampt0 Result (B r X OR V RANGE OF TOTAL nIWT5 9 pts or more 41 - 48 pts 40 ;is or less <br /> J11T x JE A 1 X E <br /> NAXIMM ALLWhOLE B-T-X_g LEVELS (PPM 1 50 150150 3 3 1. 1. NAN3 <br /> sepia Reruit, hAmLLRE TODD 4q0 10 <br /> ��}�tP itiUM 14LLOilASL! TPI{ LEVELS (PP") rESfiL 70,ODD 1000 1O4 <br />' FOOTNOTES. :}*If daewwntrd sail &Wor Orad mater cortemlratipn is prar,"t, do not ewplete the Leaclssre potentt3t <br /> artaiysis. t1.e., site is cs.rrerltly an UGT Contnminatsar. List for sell or aro:tsd vete^ ) <br /> 11 if depth is a 5 ft and a 25 ft., score 0 points, If depth ­5 ft , Co not use table <br /> \2 if precipitation fc } 40 inchas, score G points. <br /> N3 Levets for BrAU an net applicable at a Vii coni;cntration of 1,0 ppm (gasotine) or 100 cpr (dicot). <br />' ill. STAFF REC"MATIWCONCW6ION <br /> 1- Are STX & £ or TPH CerCcrtrttionS Atloble LevetS TCS tiD� _ <br /> aio L. <br /> f <br />' 2 Ra[am1>cxidEste CL azure e5 a If les, Beier to Sate Msef9etion for Ew'ue*sg'i ,f - <br /> 's1. ileJIEH EVALLLATIC'R TO 6E COMPLETED DY A SUPEkVISORfSEN40t <br /> WITH STAFF REICIMENDATiCNi MR CLOSI E ES EfERREO r0 S1TE MIT1OATiWI FOR EVALUATIQit rU 40 <br /> ATE FEFERN£D J l ATE CLOSURE LCTTER MAILED / ! <br /> ANE AF =� - <br /> YALUATOR <br />' I:a a� 69 ct�sncsHt��3lga <br /> >-M-14 W1 4T4 <br /> Cs:bc0thcr.7 rr rr rnn�„T.Tn <br />