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sm XACi1IN TY AMUC HEAL: d tC.-s/E4vIRCMMeiTAL fE i 0 MISICH <br />I WS '.=KSHE=_ FCR Si i s C.OSEMS VALUATICH 10AT-c 1 l ... <br />7 <br />g �q ! <br />MAME V FAC: L. " E SGiE°S CHEF ! ® ® f� <br />p a <br />=REs519'Yo <br />�L.NK LF) <br />e� ( � <br />(TANK SIZ-51 fig• "7P-1 <br />II. ENFRAL SITE HISTORY _ <br />is :emit �'rr t?IYesl loci (Permit :; IFaeility Sans C.xe' face-SaitlG*t C:rstlYes! 'Naf <br />%--hoer of Tanks at raciLityl lAge of Tanks(if availabie)I `Type of TankjStaeL) �F�rgl` �Sctgt! Oual) <br />TANK HISTORY <br />';as lank :est'd?�Yes� NoI �FaiLed precisiat :est ?iYesl INo �tf yes, give :ate(z)� <br />.as a rvair Wade co ate =rdC systmWiYesI Nal If yes. what was recairfty (( { <br />•:as ---pair done under ictsaect cn?'YaI jNoi Eller-- sail samoLes amtnee?jYes� Iii IBIXEI I?H i{ IT? 71 �Fb/E78 <br />"vice or ,"ailure/disinargei Pestastrccnic# Itang-cerm Leakage} (av@rI 1 Ic ter: <br />;v. 2EMOVAL HISTCRY (ATIAM iNspEC'iTcx :2FsMT � STic '3ETAILS/CM_f_:.' OA -A F4R ! AMING PC T-41 UL i11RLYSISI <br />'soil Samies .2eceivesiYes+ ENoE EDe= :a arou a Vater' ERef/'!earf !average AlWIL arecioi ationtA= t4 I10 -moi <br />Cn-Sita VeLL(s)IYesE ENo+ 1M=er & Typal [rrI IO—f lPtai <br />I 'a <br />S <br />Score <br />gh <br />Scare <br />S <br />S=r'o <br />i tan , ft• <br />,pisca :o 'JeLICs aroc <br />C <br />10 its <br />C <br />9 :t.: <br />C <br />5 pts <br />i <br />Q <br />2 <br />o <br />`tf <br />`cotcitiat <br />I is stet <br />Q <br />2 <br />t7 <br />c=aCiticn <br />is xc <br />a <br />2 <br />t' <br />=di ti an <br />is seat <br />iv. Site . eats:re - LeaCsing tctsstiat Analysis <br />!t nirtxata Oeot•t :a grctunca+ater .1,08 ate Soil aasole Creat) c) <br />i <br />` I >ico <br />F---"res-"res in subsurface (acPties = faethills or .=L=taineras) <br />1 `w°_ ( I • ten i EPr� <br />lAverage Annual ;Irvc4pitation CinaSes) <br />{I <br />man-made Conduits ':hilt int:. -ewe ver'.ic3L sigraticn <br />! <br />:os Leacnate Ci.s., sefltie syszems, Untar •.*tLs, ptxtds) <br />Vane i '=ric'e++n <br />iPresem <br />;uniG�ce site '®stores: 2 arcs, terse sett, rtear^yr aetls_ <br />At .e asel <br />More ucan <br />art-- <br />one <br />r"I.I:MM TQTAL3>—raTAL POINTS <br />Lt <br />jSa=Le .AesuL:: (S i X OR 33 <br />UNGc OF TOTAL POINTS149 <br />pts or seer-- `2 :$ pts 40 pts or Less <br />3 <br />T <br />I <br />X = <br />i <br />MAXI" ALLAUMU'r 3- i •X•i L VEU; (P-4)1 <br />i :"fl t SO i :%3 <br />I f <br />I ..i <br />I.z <br />Awoke AesuLt: <br />GASoi.IHE <br />Joao tao 2a <br />MUucI" ALLOUABE3 TPR LEVELS (PPM) <br />(a1E <br />1a, lona 100 <br />F:OTNOfcS: —!.Adownpentedsail and/or around Aacar =tawnetion is present, do not =Ctece the Leaanng potenttac <br />Lysis. (i.e., site is =rrwtly an UGT Caitavination List for soil or ground .attr.l <br />i <br />\1 t f dead is > 5 `te- and < 25 -ft., score 0 points. If de= —s ft., , Co net use cable. <br />\Z If precipitation is > 44 inches, scsr+_ (3 points <br />j \,3 Laveis ftsr 3TXSE are not at;pLicabte at a TPN . ttrat.fcn of to ppa CgasoLine) or 1W ppta (diesel). <br />/I. STAFF 2E-MMENDAT1CM/ ItNI <br />1. Are 3T% I c or -I?% C=urcraCions > ALLoweac Lavels I"YesI (Not <br />�! ?_ 3ecot Site C;osurc}Yes INo! !-If Ya, trier co Site Mitigat.;cn for _valuati <br />'rt 2 _ IS/IEW VAL.:ATTCH • TO 3E CVL_--jM 37 A ATPw2YISCRISENICR <br />=14CUR WITH STAFF AEC=41E1MATTCX FGR C.QSM!YES1 INai I2E RE7 TQ S'aT$ `9IT1GATTCB FaR VALLIATICHIYESI INOt I <br />Aic 2E.-^�RJ I / / (OAT -e C-- =XE Le'- M-3 ? AILMI <br />AME OF <br />?!AL:IATCR 1 <br />iH 2330 (UG74KSHT)\5/9G <br />