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9 <br />' TABLE 11 - CHECKLIST OF REQUIRED DATA <br /> 011k NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br />' 1te Name $rid Location. S C ' toS a S r )21-k S TR.a e-.4 C <br /> Ontance to product"walla for municipal, dornWct egricufture, industry and other uses wrtNn 2000 <br /> feat of"She; 3tt-',a n G 0 <br /> 2. ✓ Stte s,to scale,of area Impacted showng locations of fomrwet and exisfing tank wymems. <br /> excavation oonlours aW sample locations, boring wwd mortiltonn$well elevation contoum. gradents, <br /> and nearby surface waters. Wilcgng% streets, anti subsurface utilities; <br /> 3 ✓ Figures depicting Iitttv#ogy (Cross section), treatment system diagrams, fr,9,,rcr fS <br />' 4 Z Sledded salt remalting on-site or off slte disposal (quantdty); 5eZTIM 3 0 <br /> 5 ✓ Monitoring wOs remalrift an-site, fate, 5ecj-,o+N -7.0 <br />' g r/ Tabulated results of ilrif ahxj�dwaW ekwallarws and de wths to water; TA 61,r-_,s 1 <br /> 7 ✓ Tabulated rests of al sampling and analy� I- (,lcS -H <br /> Z Deteclion lk t9ts for conn rnmation sanding <br />' NLS lead analyzes A)/A <br /> 8 Concentratrvrt omtours of cDritaminants found and these remaining in soil and groundwater, bath on- <br /> site and off-site <br /> 7 Lateral extant of soil contamination �,5,,r� � <br /> 1e ed) al extent of soil cbntarrdnalk)n �', vre- $ <br />' / Lateral extent of groundwater contanvaWton 9,5''r� 9 <br /> N4 A Vertical extent of groundwater contarrnnation ,v Ji% <br /> 9 t l� Zoft of infkmr= calculated and assunptions used for subsurface reffmmMation system and the zone <br />' of capture attained for the sail and gr undwate+r remediation "tern, <br /> ✓ Reports I inforrnation <br /> _ Unauthorized Release Form (URF) <br />' ✓ MRS (Dates) O 03 )of©3 <br /> PAR <br /> FRP ,oA '�i <br />' ✓ Mor(report nwm) 5 j% Concr gn.a I /Y1041111 er C - Sir <br /> Z even and bonng fts ft??e,,9,x L <br /> 11 +` Best AvalltNe TechnokVy(BAT) used or an explanation for not using BAT, 5er-T�o^s 3 0-7.0 <br />' 12_ Reasons why*bacdcground`was rrs unaltai nave u!94ng BAT, 5 Le.T%o--:, 30-'7-C) <br /> 13 Mass balavce calculator m of subidanee treated versus that remairnng. S Ct s ti o� 9- 0 <br />' 14 ✓ Assumptions, parameters, c WmAatlons and model used in risk assessments. and fate and transipw <br /> rnodellin%, 5GC,r,on Li.0 <br /> 15 f Rawnwe why c ondMons remaNng at site will not adversety impact water qualdy, heaKh, or other <br /> berieticxal uses; and 5c t T,oA 3 D-7_-0 <br /> 15 A)LPt WET or TCLP results <br /> Comments <br /> Cat <br /> e <br /> 4 <br />