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• <br /> • fil'�P FILLING STATION Page 2 of2 <br /> • <br /> C YES P NO <br /> G YES r NO <br /> Does the site meet any a the Petroleum Vapor Intrusion to Indoor Air specific criteria scenarios? <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do meet the policy criteria: <br /> not <br /> Soil Gas Samples: <br /> C No Soil Gas SamPlas C Taken Inconeclly <br /> Exposure Type: <br /> C Residential C Commercial <br /> Free Product: <br /> C In Groundwater C In Soil C Unknown <br /> TPH in the Bioatumua1150-Zone <br /> C Soil samples not taken at two depths wkhin 5 ft.zone(only for Scenario 4 with BioZone) <br /> f z 100 mrykg C`Unknown �� <br /> BloaHenaalion Zone Thickness: Cz30 Feet C 301t BioZone Compromised TPH>100mg4cg y'unKrxm'^ <br /> C<5 Feet(No BioZone) C z 5 Feat and<10 Feet C z 10 Feel and<3p Feet <br /> 02(DarIn Bloettenuatlon Zone:C <br /> OZDam C'02<4% 'Ozz4% <br /> Benzene in Groundwater: ('Unknown <br /> C z 100 4911 and<1,000 pga srz 1,100 pgll <br /> Soil Gas Benzene: s C <br /> C'z 85 pg/ma and<280 pglma C't 280 pglma and<85,000 pg/ms C z 85,000 pg/ma and<280,000 pBrma C z 280,000 pglm k^own <br /> Soil Gas EthylBerrzene: a C z 1,100,000 pglma and<3.600,000 Pglma C z 3,600,000 p9/ma K Unknown <br /> C z 1,100 pglma and<3,600 pglma C z 3,600 pglma and<1,1 00,000 p91m / - <br /> Soll Gas Naphthalene: a C z 93,000 pgIM3 an <310,000 pglm3 C z 310,000 pglma CN^mown <br /> C'2 93 pglma and<310 pglma C a 310 pglma and<93,000 pg/m <br /> 3.Media Specific Criteria:Direct Contact and Outdoor Air Exposure-The site is considered lo"reat fordirect contact and outdoor airexposure NO <br /> ifit meets 1,2,or 3 below.->EAR SECTION ANSWERS OYES tG1 No <br /> EXEMPTION-The upper 10 feet of soil is free of petroleum contamination O YES fNO <br /> Does the site meet any of the Direct Contact and Outdoor Air EXPesero criteria scenarios? <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do not meet the policy criteria: <br /> Exposure Type: <br /> C Residential C Commercial G Utility WOrkef <br /> Petroleum Constituents In <br /> Soil <br /> C s 5 Feet bgs G—�6 Feet bgs and sl0 Feel bgs C Unknown <br /> Soil Concentrations of Benzene: C>12 m Ik ands 14 mglkg C>14 mglkg known <br /> C>1.9 mglkg and s 28 19A9 C>2.8 mglkg and s 8.2 mg/kg C>8.2 mgfkg and 512 mglkg 9 9 <br /> Sail Concentrations of EthylBenzene: (->134m and C>314 mglkg WnKnown <br /> C>21 m91kg and 132 mg/kg r 132 mg/kg and s 89 mglkg C>89 mg/kg and 5134 mg/kg 9lkg 9lkg <br /> Soil Concentrations of Naphthalene: (.>219 m P pnknavn <br /> C>9.7 mg/kg and s 45 mglkg C>45 mglkg and s 219 mgAg 91k9 <br /> Soil Concentrations of PAH: <br /> C>0,063 mg4cg and s 0,68 mglkg C>0.68 mg/kg and 5 4.5 mg/kg C>4.5 m91k9 ,"nknowo <br /> Area of Impacted Soil: <br /> C Area of Impacted Soil>82 by B2 Feet C Unknown <br /> Additional Information <br /> Should this case be closed in spite of NOT meeting polity criteria? C VES NO <br /> SPELL CHECK <br /> Savein Progress Save as Final <br /> LOGGED IN AS HENOERSONN (X)f4rACr GEOTRACKERHELP <br /> https:Hgeotracker.waterboards.ca.gov/regulators/screens/closure_policy.asp?global_id=TO... 7/30/2013 <br />