COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

SAN J 0 A Q 0 I N Environmental Health Department —COUNTY— Greatness grows here. PRELIMINARY SITE ASSESSMENT/FINAL REPORT CHECKLIST p SITE LOCATION: h9✓C+ 2143 Wne &f Dr APN: OC�Z- 2! 145 PR#: 09{�')0 1 REPORT DATE: M&1 S = sufficient California Health and Safety Code Section 25400.37 I = Insufficient S I 1.0 INTRODUCTION & DESCRIPTION OF PROPERTY ❑ 1.1 Description of location of property, including the street address and mailing address of the contaminated property, the owner of record and mailing address, a legal description of the property. �] ❑ 1.2 Report includes a parcel vicinity location map with clear directions for locating the property. ❑ 1.3 Report includes a site map showing the location of all items on property(i.e., structures, drives, wells, septic systems, large trees, pastures, pools, natural drainage courses, ponds,waterways, etc.). MA ❑ 1.4 Report includes a diagram of the contaminated property that includes the floor plans of all affected buildings, the location of damage and contamination. 2.0 SAMPLING SUMMARY AND DISCUSSION ❑ 2.0 Report includes a diagram showing the location of sampling points used in the preliminary site assessment. All sampling point locations shall be keyed to the sampling results and remediation recommendations. ❑ 2.1 Description of the sampling methods and analytical protocols used in the preliminary site assessment. L.4CI, ❑ 2.2 Description of the sampling results, including in tabular format. ❑ 2.4 Description and discussion relating to the background samples and results obtained. 3.0 REMEDIATION/REMOVAL SUMMARY AND DISCUSSION ❑ 3.1 Discussion of the methods used to remediate (cleanup and/or removal)each specific area. ❑ 3.2 Summary and discussion of the post remedial sampling results. ❑ 3.3 Discussion of the methods used to dispose of any materials removed and/or wastewater generated during the remediation process. Copies of disposal receipts/manifests included in report. 4.0 ADDITIONAL RECOMMENDATIONS – Initial Work/Sampling Shows Remaining Contamination p¢, ❑ 4.1 Specific recommendations, including methods (decontamination, removal, demolition, and disposal),for any U� additional remedial actions required to meet the human occupancy standards. ❑ 4.2 Description of the plan for any additional post remediation site assessment, including specific sampling requirements and methodologies, and locations at which samples are to be obtained. V1 ❑ 4.3 Any additional work proposed will require the submittal of an Addendum to the Preliminary Assessment Report or VNIa Final Report. 5.0 FINAL REPORT CONCLUSIONS – Initial Work/Sampling Shows Occupancy Standards Met ❑ 5.1 Summary and discussion of the project results that demonstrate and conclude the regulatory occupancy 14 standards have been successfully met. 6.0 REPORT SIGNATURE ❑ 6.1 Report included the notarized signatures of the authorized contractor and a certified industrial hygienist. Reviewed By: bff_T�j M , REHS Reviewed Date: MAq 11 ,2011 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com