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TAF0`9 I - CHECKLIST OF REQUIRED C`�A <br /> :- .. FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br /> Site Name and Location: . Fc>n (criCcoNo GA, 5-rpTjc Q i Li 32S E. <br /> STOCIc70u, S tiJ�+oy� <br /> A <br /> 1. ts Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 feet <br /> of the site; <br /> 2. 1gr Site maps, to scale, of area impacted showing locations of former and existing tank systems, excavation <br /> contours and sample locations, boring and monitoring well elevation contours, gradients, and nearby <br /> surface waters, buildings, streets, and subsurface utilities; R&,„aveo 42sIBS <br /> 3. Figures depicting lithology(cross section), treatment system diagrams; ZX <br /> 4. Stockpiled soil remaining on-site or off-site disposal (quantity); <br /> . WAxFcr` o�c rmv�� <br /> 5. 1� Monitoring wells remaining on-site, fate; y$SVC 3 AA`1- 1^'s'►+ -- <br /> 191:;, F9S? J911 <br /> 6. Tabulated results of all groundwater elevations and depths to water;So_>sa > <br /> 7. Tabulated results of all sampling and analyses: <br /> Detection limits for confirmation_sampli_ng. <br /> Lead analyses <br /> 8. Concentration contours of contaminants found and those remaining in soil and groundwater, both on-site <br /> and off-site: <br /> Y Lateral extent of soil contamination <br /> Y Vertical extent of soil contamination <br /> Y Lateral extent of groundwater contamination <br /> Z/ _Vertical extent of groundwater contamination <br /> 9. yv, Zone of influence.calculated and assumptions used for subsurface remediation system and the zone of <br /> capture attained for the soil and groundwater remediation system; <br /> 10. Y Reports 1 information <br /> Y Unauthorized Release Form (U.RF) 1/)619 z <br /> It QMRs (Dates) r sn ►/ss 7/1?d ' S9 7 g4 7 s4 rZ/$ <br /> PAR 7117 3/1aI$8 /I/s a <br /> FRP <br /> _ Other(report name) <br /> Well and boring logs <br /> 11. yam' Best Available Technology(BAT) used or an explanation for not using BATS � 4vFti JO��°''' lbs i9as-,9sr <br /> 12. Reasons why"background'wastis unattainable using BAT; _ <br /> ter4c,VZi']rcoo, <br /> 13. ' Mass balance calculation of substancetreated'versus that remaining; <br /> 14. u Assumptions, parameters, calculations and model used in risk assessments, and fate and transport <br /> modeling; <br /> 15. "Ikz Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and <br /> 16. 9J WET or TCLP results <br /> Comments: So,c Ujgp., EYtR�4cq.n..� $Y�Tt� RE�e�tJ IDRo aldclbrCi <br /> Comments: <br /> MW � Fc,k'T?14 lMj a� d�►cc)c�Cs Y-7, � :�.Mw*L3 <br /> N�=Art T <br /> By: JET <br /> Date: 87 M67 <br /> .l <br />