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FIELD DOCUMENTS
Environmental Health - Public
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4800 – General/Other Program
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PR0508043
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Last modified
5/24/2021 11:19:37 AM
Creation date
5/24/2021 10:29:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4800 – General/Other Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508043
PE
2960
FACILITY_ID
FA0007905
FACILITY_NAME
CHEVRON PIPELINES
STREET_NUMBER
35500
STREET_NAME
WELTY
STREET_TYPE
RD
City
VERNALIS
Zip
95385
APN
25526003
CURRENT_STATUS
01
SITE_LOCATION
35500 WELTY RD
P_LOCATION
99
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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TABLE 1 <br /> CHECKLIST OF REQUIRED DATA FOR NO FURTHER ACTION REQUESTS <br /> Site Name and Location: US Can—Welty Road, Vernalis, San Joaquin County, California <br /> ® 1. Distance to production wells for municipal, domestic, agriculture, industry, and other uses within <br /> 2,000 feet of the site. <br /> ®2. Site maps,to scale, of impacted area showing locations of any former and existing tank systems; <br /> excavation contours and sampling locations; boring and monitoring well elevation contours; <br /> gradients; and nearby surface waters, buildings, streets, and subsurface utilities. <br /> ❑ 3. Figures depicting lithology(cross section),treatment system diagrams. N/A <br /> ❑ 4. Stockpiled soil remaining on site or off-site disposal (quantity). N/A <br /> ❑ 5. Monitoring wells remaining on site;fate. N/A <br /> ® 6. Tabulated results of all groundwater elevations and depths to water. See Appendix B.20 <br /> ® 7. Tabulated results of all sampling and analyses: <br /> ❑ Detection limits for confirmation sampling N/A <br /> ® Lead analyses <br /> ® 8. Concentration contours of contaminants found and those remaining in soil and groundwater, both <br /> on site and off site: <br /> ® Lateral and ®Vertical extent of soil contamination <br /> ® Lateral and ®Vertical extent of groundwater contamination <br /> ❑ 9. Zone of influence calculated and assumptions used for subsurface remediation system and the <br /> zone of capture attained for the soil and groundwater remediation system: N/A <br /> ® 10. Reports/information ❑ Unauthorized Release Form ® QMRs(2005-2009) <br /> ®Well and boring logs ❑ PAR ❑ FRP ® Other(Appendix B) <br /> ® 11. Best Available Technology(BAT)used or an explanation for not using BAT. <br /> ® 12. Reasons why background was/is unattainable using BAT. <br /> ❑ 13. Mass balance calculation of substance treated versus that remaining: N/A <br /> ® 14. Assumptions, parameters, calculations, and model used in risk assessments, and fate and <br /> transport modeling. <br /> ® 15. Rationale why conditions remaining at the site will not adversely impact water quality, health, or <br /> other beneficial uses. <br /> ❑ 16. WET or TCLP results: N/A <br /> By: Sean Gehlke Comments: <br /> Date: 2/18/2013 <br /> Page 1 of I SAII: <br />
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