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LOW-THREAT UST CASE CLOSURE POLICY - CHECKLIST <br /> c <br /> Responsible Party: <br /> Case Name: <br /> Site Address: <br /> Lead Agency: <br /> GeoTracker Global ID: 3T�Pj� <br /> In the absence of unique attributes of a case or site-specific conditions that demonstrably increase <br /> the risk associated with residual petroleum constituents, cases that meet general and media-specific <br /> criteria described below pose a low threat to human health, safety or environment and are <br /> appropriate for UST case closure. <br /> General Criteria: <br /> 1. Is the unauthorized release located within the service area of a public water system? <br /> ❑ Yes L�rNo <br /> 2. Does the unauthorized release consist only of petroleum? <br /> Yes [:] No <br /> 3. Has the unauthorized ("primary") release from the UST system been stopped? <br /> Yes ❑ No <br /> 4. Has free product been removed to the maximum extent practicable? <br /> ❑ Yes ❑ No �2/ <br /> 5. Has a conceptual site model that assesses the nature, extent, and mobility of the release been <br /> developed? <br /> ❑ Yes .❑'No <br /> 6. Has secondary source been removed to the extent practicable? <br /> ffYes ❑ No <br /> 7. Has soil or groundwater been tested for MTBE and results reported in accordance with Health and <br /> Safety Code Section 25296.15? <br /> . 'Yes [:] No <br /> 8. Does nuisance as defined by Water Code section 13050 exist at the site? <br /> ❑ <br /> YesVo <br />