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" TABn'I - CHECKLIST OF REQUIRED TA <br /> M- FOR NO FURTHER-^CTION REQUESTS AT UNDERGh.-jUND TANK SITES <br /> Site Name and Location: <br /> LWUrgf- <br /> 1. Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 <br /> feet of the site; <br /> 2. Site maps, to scale, of area impacted showing locations of former and existing tank systems, <br /> r excavation contours and sample locations, boring and monitoring well elevation contours, gradients, <br /> and nearby surface waters, buildings, streets, and subsurface utilities; <br /> 3. 5 Figures depicting lithology (cross section), treatment system diagrams; PP-+-- <br /> oavr ssa Com/ GAS <br /> 4. Stockpiled soil remaining on-site or off-site disposal (quantity); 2s5LId aerP- 7-;?qA1A: /1/96 <br /> 5. 4bMonitoring wells remaining on-site, fate; i oOSpread On s!-le , oN9 2G�GA1. Z>/FS_5/N <br /> 'S <br /> 6. Tabulated results of all groundwater elevations and depths to water; z'-M $ Z' <br /> 7. Y,.A;S Tabulated results of all sampling and analyses: <br /> Detection limits for•confirm,ation sampling - <br /> X*�SLead analyses <br /> 8. Concentration contours of contaminants found and those remaining in soil and groundwater, both on- <br /> site and off-site: <br /> Lateral extent of soil contamination <br /> )(S Vertical extent of soil contamination tz' <br /> Lateral extent of groundwater contamination <br /> Vertical extent of groundwater contamination <br /> 9. S 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. )�3; Reports / information Tr <br /> Cs 4L01- Unauthorized Release Form (URF) F`�rn 7 Ccop�) <br /> QMRs (Dates) ,9�, .4fz, 1-12, 0;14yi.99 G <br /> PAR 7.90 9 9I <br /> FRP <br /> *5 Other (report name) &WwP <br /> ,�2�wP io 9�, wp�•ys; Via.gs wP/�9s <br /> 4j, Well and boring logs <br /> 11. //T Best Available Technology (BAT) used or an explanation for not using BAT; <br /> 12. Reasons why"background"was/is unattainable using BAT; Gk � <br /> 13. p Mass balance calculation of substance treated versus that remaining; 3 `�PPm <br /> 14. Assu�mp#ins, parameters, calculations and model used in risk assessments, and fate and transport <br /> modeling; <br /> 15. 5 Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and 601'�1 n5 501 '-IVAy«a <br /> 16. �� WET or TCLP results <br /> Comments: _6A17 ,1i,�/4:72&I JE_V�F_/s <br /> Lot,, R!S►� �e�ati.,n WAh� <br /> By: <br /> Date: 5 77 <br /> I <br /> i <br />