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SAN 4cAcUt TT PUSUC HE LN sRvT=-S/ERVt2MME4TAL REs1 -ti OIVLSZCH <br />i s.CRKSe%EET FCR SI—1c e ==M VALUArICM CATE <br />NAME OF FACIL! T •' �S*sS .:..E} <br />d i <br />�ACORESSI TANK iI) =! ` <br />i G%� <br />(TANK slj IfttEL c-t ; <br />, <br />t 1tI . ±c?IF-RAL SIT c :4ISTCRT <br />is :ermit =rrent?iyesl lNcl 1P.-Cwt t! �Facitity Status C=ei iQec."aaitl1711 Cznt�Yes! 'No� <br />yu:cer or larks at factti^/l Age of ianks(if avaitable)i IType of Tank�Steet} ji=cr3l! iSML} Ouat <br />TANK HISTCRT <br />.as tank testac?iTesi 'Na} 4Faited prxisian test ?'Tes4 IRel 'if yes. give =te(s)I <br />:as a -e--air mace :o -_4e :ark systeWlyess4 Vei Iif yes, wtat was reoairet?I I <br />-:as -®^air dere ::neer i rspesti on? 1 Yes i I Nei 1 vers sci t sues armLyz_ed7 f yes # I ua4 13TXE 6 i z TPN-TP4t) `PC/E7S <br />'yce of raiture/discharsei 1eatast1001rie# ;tang-tar:a teaxage{ larerritd }moi Iot'er: <br />Ev, IF_uGVAL RISTCRY (ATTACf INSPu:ICH RE MT FCR Stic 9ETAILS/CLEC: IATA I—5A='IG PC1 HT' ANALYSIS) <br />Soi L Sa=Les Receive INC! `Qeocr :a G-cu^a 'tatarl lRef/''ear ;Average Arniat A=114, 110-251 <br />r <br />1Cn-Sita'aetL(s) Tesl jN®p PNuamr a type# Itrj if ;Ptbi f i <br />._ M 3 Score 3 I S=r- 3 Scarpa <br />i - let s) fraa tank C TO pts - 4 C 5 pts <br />!o:s.anca :a L( i <br />I 0 �if C IiA a if <br />R Cenci ti on .z c= i ti on i =nci ti an <br />iv. Site • eattxe - Leaching Pot�ttiat Ar�lysis _ is set } ::s :xc - is xt <br />I:Minirmm Oecr-'i tc 3rcta%caater frim Cse Snit Samote Cfaet) ) >iQa <br />1 F •--actures i n sa:ilsur-,'ace C aepL i es tss foat t i t is or .=:eta i n arm) <br />r <br />Average Annuat Pr=ioitation (ira"ses) �x � <,a } 4 1II-=� lxxxzxa�� Z5-:•II\2 <br />^.•^,=ItS wnl= incresse Vert :cat STgraticn i } <br />of l eactaL_ C i . e. , semi c system, water wtLs, ares) ` !Ione � � z:xrcan � i pr."'t i <br />;Unique sit_ features: 3ecsar;e ares, =arse soil, ^:ear y setts_ At trot Mare ::tan <br />i xx cp Vose ( ana ( one <br />4PA 3 - ® — UMFi TvALs> Tom POINTS <br />' SA=Le 2esut :: Cs t x CR 3) -- 2AN tQT'AL ZHTSJ1.9 pts or acre ` :(1 ,:ts or Less <br />51)6 I^ x- t 3'�4xI- 3 T NAt3 <br />fi - ® 4AXI" ALLCWASLE 3-t-x-2 L_=JEa.S CF. 1 ell sal 5a .1 I 1.� t <br />S Le R®sut:GASCLIHE StfaQ taa 4a <br />f - �` • �� a TPR t_wVM.5 (PM)' <br />jolEx: tag tta ( taa <br />F THaT-S: ^^*!f docimmed scit and/or ;rocacx3 water rntaffination is ;resent, do not esctictg poterttiat <br />anaLysis- (i.s., site is =a-wcty an UGi' Contamination List far soil zr gttxatd water.) <br />s77;&=-pi <br />1 .t®° .not, is > 5 ft_ and < 25 ft., score 0 ,rots. If dead —5 ft., do not =0 tabLe- <br />pitation is > 40 inC=r-.tes=r-.0 points. <br />-� _- Ls for 3TXSE are not aopticabte at a TPt1 of Ta spm (SascLim) ac- 400 ppa Cdieset). <br />YI. sTAFF IS-=CMMERDATIC1J1=HCLUS4d <br />Are 3TX b _ or TPFI Cm=wrtratianz > ALLoaebte Lavets I'Yes <br />4 Imo} foC ! l <br />Z. Recamlend Site Ctcsursiyes4 `No4 ,If Yes, Refer to site mitigaivan ror :VaLuaticnl <br />`III. ;vrat :/ALLIATICH - &a 3E C2Vt_°TW 3Y A 3270-IVISMUSOICR i <br />1=i=R 'aITA sTAF= 2E•=MMeWATTCX FM ;.X-MIUREiTES} 140i IRE.E¢RED Ta Siic 'MITiGAT'tCX FCR cVALUATICHITESI iNci i <br />DA—.z c 2EFE3RS' i ! ! f QATc C. St7RE L_:•"T MAILMi ! ! <br />NAME OF <br />EIALUATCRI <br />_:! 23 30 CUG .XSRT)\5/90 <br />