Laserfiche WebLink
TABLE 1 - CHECKLIST OF REQUIRED DATA <br /> FOR NO FURP' 'Z ACTION REQUESTS AT UNDEr ROUND TANK SITES <br /> Site Name and Location: L"!. <br /> 1. s ",+S Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 <br /> feet of the site; T,�C,i,ne54 tc u . C r.c �.�Y►�e!ted) r v ;h 1z ov-#4• <br /> 2. 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 /> 3. L� Figures depicting lithology (cross section), treatment system diagrams; <br /> 4. Ls Stockpiled soil remaining on-site or off-site disposal (quantity); �o �t���xcc����c k�, �,� d s U 6LC k `1 <br /> 5. Ute. Monitoring wells remaining on-site, fate; <br /> At C3 <br /> 6. Tabulated results of all groundwater elevations and depths to water, !�E,'•LU coca` <br /> 7. ifs Tabulated results of all sampling and analyses: <br /> I n Detection limits for confirmation sampling <br /> Bbl s Lead analyses <br /> 8. 'LConcentration contours of contaminants found and those remaining in soil and groundwater, both on- <br /> site and off-site: =L' <br /> LI-C, Lateral extent of soil contamination <br /> r; Vertical extent of soil contamination <br /> dpc Lateral extent of groundwater contamination <br /> t 4 c, Vertical extent of groundwater contamination NT). <br /> 9. i�4, Zone of influence calculated and assumptions used for subsurface remediation system and the zone <br /> of capture attained for the soil and groundwater remediation system; <br /> 10. Reports/ information <br /> 2& Unauthorized Release Form URF <br /> QMRs (Dates) .1 -• _ — /i/ f/ -1a7 i <br /> PAR ��,4•�Z� il�i4 <br /> FRP <br /> i.LC2 Other (report name) AAirn.lob f, 7.i ,of 1.a D 1u e 1.93 <br /> SLS Well and boring logs <br /> 11. Best Available Technology (BAT) used or an explanation for not using BAT; h � ) <br /> 12. Lq Reasons why"background"wasfis unattainable using BAT; <br /> 13. IL5 Mass balance calculation of substance treated versus that remaining; 11, 110 <br /> saw l its f1� YCVV(P f, t k'T0'• r0 <br /> 14. 1* Assumptions, parameters, calculations and model used in risk assessments, and fate and transport <br /> modeling; <br /> 15. )/S Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and <br /> 16. WET or TCLP results <br /> Comments: i P; k. <br /> By: <br /> Date: -1. ' i <br />