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' - TABLE I - CHECKLIST OF REQUIRED DATA <br /> FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br /> Site Name and Location Lt? ,�'z 7�vS+e Care- 1930 , 26500 Neave 11 Road I horn for ,CA <br /> 5 Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 <br /> feet of the site, - <br /> 2 les Site maps, to scale, of area impacted showing locations of former and existing tank systems, <br /> excavation contours and sample locations, boring and monitoring well elevation contours, gradients, <br />' and nearby surface waters, buildings, streets, and subsurface utilities, <br /> A <br /> 3 yes Figures depicting lithology (cross section), --- <br />' 4 iU4 Stockpiled sod remaining on-site or off-site disposal (quantity), <br /> 5 yes Monitoring wells remaining on-site, fate, <br />' 6 `Les Tabulated results of all groundwater elevations and depths to water, <br /> 7 `les Tabulated results of all sampling and analyses <br /> Yes Detection limits for confirmation sampling <br />' NJA Lead analyses <br /> g yes Concentration contours of contaminants found and those remaining in soil and groundwater, both on- <br /> site and off-site <br /> YO Lateral extent of sod contamination <br /> lis Vertical extent of sod contamination <br /> Yes Lateral extent of groundwater contamination <br /> Yes Vertical extent of groundwater contamination <br /> A Zone of influence calculated and assumptions used for subsurface remediation system and the zone <br /> tof capture attained for the soil and groundwater remediation system, <br /> 10 yes Reports 1 information <br /> Unauthorized Release Form (URF) <br /> Is QMRs (Dates) Zs 9-4 5 If 191 Pre,�rausly Svbrnr# <br /> _ PAR <br />' FRP <br /> s Other (report name) FL,14rcls Peso tl,5; 4pori ' o t and Grcwgc wakr lnvesl�r fiari -Ned <br /> 'its Well and boring logs <br />' 11 Les Best Available Technology (BAT) used or an explanation for not using BAT, <br /> 12 `�e5 Reasons why "background" wasps unattainable using BAT, <br />' 13 'fS Mass balance calculation of substance treated versus that remaining, <br /> 14 L'_ Assumptions, parameters, calculations and model used in risk assessments, and fate and transport <br /> modeling, <br /> 15 `fs Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses, and <br /> 1 16 WET or TCLP results <br /> Comments <br /> s <br /> By <br />' Date <br />