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HUMAN SERVICES AGENCY' Page 1 of 2 <br /> LTCP Checklist • ® rrDTaACKER HOMEIMAw.GE PRv1ECTs 19EPCRTSIBEABGt1llf6r <br /> HUMAN SERVICES AGENCY(70807700218)-MAP THIS W OFEN-SITEASSMUENT <br /> 145 WITTER STS ACTIVITIES REPORT CLEANUP OVERSIGHT AGENCIES <br /> STOCKTON,CA 95202 SAN JOAQUIN COUNTY LOP(LFAO)-CAW al,Lau <br /> SAN JOAQUIN COUNTY PUBLIC WEBPAGE CASEWrames.euC{uGAS+vrbvAL MARIN_SUPERWSOR:ADRIENNEELLSAESSER <br /> VIFW FRIM¢ c p IMMeoY Fdt TXle enE CENTRK VALLEY Rmce(REGION Sm-CASE*890396 <br /> CASEWQRNER:JAWS BART0.V-SUPENNSpi:COFICONOON <br /> Cup Claim 9:M88 CUP Priorly Assigned:D CUFM MPald:n <br /> OR She ID a:NOT SPECIFIED <br /> THIS PROJECT WAS LAST MODIFIED BYON K282015110s 3o PM- 1j1_$jQ$1' <br /> THIS WE HAS SUBMITTALS.CLICK fIEBE TO OPEN A New WIND=WITH THE SUBMITTAL APPROVAL PAGE FOR THIS WE. <br /> CLOSURE POLICY THIS VERSION IS FINAL AS OF 412312015 CWCKtrsnwolA ON anrzofa CLOfum Farcy He <br /> General Cdteda-The bite satisfies the policy general cdteda-a FAR secrlou Ausex Rs NO <br /> a.Is Ole unautiwrirel leleass l W within the service area a pushlic waters tem'! <br /> Nalre of Webr9 slam: Sir <br /> cal ware' VES r N <br /> D.The u1W Wwnzetl release consists only a petmlelanypmt. W YES r N <br /> C.The urea dhorsed("pnma7l release ford Me UST system has been stopped to YES r N <br /> d.Free product M1as been removed to the maximum extent pra[drable in r FP Not ErcounteW tP YES r N <br /> a.A consca fuel site model Uat assesses tree nature extent and firobsity ofthe release has been devel <br /> -Description(Check all met Apply): <br /> F OW Not Evaluated <br /> I✓Ommdwater Assecsm 1Incomplete-Anal PxbM of CoMaminaaon Net Dented <br /> r GrowdwNer Assessmentmeompled Depth of Contamination Not Defined <br /> r Hydrogeology Net Adequately Defined] <br /> r Potential Receptors Not Identified r VES N N <br /> r Sed Asaessmenl Incomplete-Areal EteM Net Dented <br /> F Soil Aasessmenl Incomplete-Depth Unknown <br /> r Soil Vapor Not Evaluated <br /> r Omer - <br /> f Secatlery source has been removed In the extent pracfczNe Dom). is VES r N <br /> g.Soil ce grwndevaler has been tested for MTBE and results reported in ecwMence with Health arW Safety Code Section 25298.15. r Has Required N VES r N <br /> M1.Does a nulsance exist as defined by Warr Cade sectim 13050. C YES G N <br /> 1.Media-Specific Cdteda:Groundwater-The Contaminant plume that exceeds water quality obecb'ves is Stable or decreasing in draw extent,and meets all of the additional NO <br /> Characteristics of are of the five classes of sites listed belay-cl FAIR sscrlON ANresps <br /> EXEMPTI ON-So1l Only Case(Release M1as=Affected Groundwater-M r YES M N <br /> Does the site meet any of the Groundwater specific mteda soared As? r YES F N <br /> ADDITONAL OUESTIONS-Please Indicate only ITose cchad III ones that do not meet the policy'Reda: <br /> Plume Length(T1M Exceeds Water Quality Objectives): <br /> r t 100 Feet and<2%Fast r i 250 Feet and.1,000 Feet r a 1000 Feel R Nrknoxn <br /> Plume is Stable or Decreasing in AREAL Extend, <br /> r No r Unknrnvn <br /> Free Product in Groundwater: <br /> r Yes r No r Unknown <br /> Froe Product Has Been Removed tome Maximum Extent Praaiuble: <br /> r No r Unknown <br /> For cites with free product.the Plume Has Been Stable or Decreasing for SYMM(M fO): <br /> r No r Unknown <br /> portable with fm product,owner Willing to Accept a Land Use Restnction(if required): <br /> r No r Unknown <br /> Free Product Extends ONshe: <br /> r Yes r Unknown <br /> Become Concentration: <br /> R t 1,000 piA and<3,000 pgA r i 3,0011 pgll r Unki-Own <br /> MTBE Concentration: <br /> C z 1,000 pgA r Unknown <br /> Nearest Supply Well(From Plume Boundary): <br /> r s 250 Feat R 1250 Feet ant s 1,00D Feet r Unknown <br /> Nearest Surface Water Body(From Plume BourNary): <br /> r s 250 Feet r a 250 Feet and 51,000 Feet r Unknown <br /> 2.Media Specific Crileda:Petroleum Vapor Initiation to Indoor Air-The site is Considered/ow-threat for the vaporJrkrvshertoair pathway if site-spedfic roMitions satisfy NO <br /> items 2a,2b,or 2c-rL<eR secnoN ANswsas <br /> EXEMPTION-Active Commercial Petroleum Fualing Facility rYES fir <br /> Does the site meet anyer the Petroleum Vapor Intrusion to Indoor Air specific cntena scenarios? r YES R N <br /> ADDITIONAL QUESTIONS-Please indicate Only those conditions MM do net meet that policy criteria: <br /> Soil Gas Samples: <br /> C No Soil Gas Samples r Taken InConecity <br /> Exposure Type: <br /> https:Hgeotracker.waterboards.ca.gov/regulators/screens/closure_policy.asp?global_id=TO... 4/23/2015 <br />