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-kPPENDIX B OF THE TRI-REGIONAL RECOMMENDATIONS <br /> CHECKLIST OF REQUIRED DATA FOR CLOSURE OF UNDERGROUND TANK SITES <br /> • I <br /> CLOSURE DOCUMENT APPLICATION SITE. re &!�j(ekrh CnC <br /> 1 NA Distance to production wells for municipal, domestic, agriculture, industry and other uses within <br /> ZSite <br /> 2000 feet of the site, <br /> 2 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, <br /> gradients, and nearby surface waters, buildings, streets, and subsurface utilities, <br /> 3 �]� Figures depicting lithology (cross section), treatment system diagrams, ' <br /> Jh freVtoi.-,f rer+r#-.r } <br /> 4 NA Stockpiled soil remaining on-site or off-site disposal (quantity), & 5l bdcpr'leJ So+l <br /> 5 :�/: Monitoring wells remaining on-site, fate, <br /> 6 V Tabulated data of all ground water elevations and depths to water, <br /> 7 Tabulated results of all samp1mg and analyses <br /> Detection limits for confirmation sampling <br /> Lead analyses ' <br /> 8 Concentration contours of contaminants found and those remaining in soil and ground water, both <br /> on- d off-site <br /> Lateral extent of soil contamination pop-defe&f- S'b;( Pori;,!, S'oyMple3 <br /> �. Vertical extent of soil contamination <br /> Lateral extent of ground water contamination OrOV l4-S (�fm r7*v+r,G w Cohn <br /> �1 Vertical extent of ground water contamination Y1en—de�a+Lf` <br /> 9 Zone of influence calculated and assumptions used for the subsurface remediation system and the , <br /> zone of capture attained for the soil and ground water remediatton system, <br /> 10 Reports/information ` <br /> Unauthorized Release Form (URIC <br /> QMRs (Dates) <br /> PAR <br /> FRP <br /> ,Other (report name) <br /> well and boring logs <br /> 11 Best Available Technology (BAT) used or an explanation for not using BAT, <br /> 12 _ Reasons why "background" was/is unattainable using BAT, <br /> f <br /> 13 r"A Mass balance calculation of the substance treated versus that remaining,Yf 6) re-"JKa <br /> 14 Assumptions, parameters, calculations and model used in risk assessments, and fate and transport <br /> 15 _Z,modeling, <br /> Rationale why conditions remaining at the site will not adversely impact water quality, health, or <br /> �fk other beneficial uses, and <br /> C0 16 r' WET or TCLP results <br /> Comments <br /> By <br /> Dau <br />