COVER PAGE
REMEDIAL ACTION SYSTEM STATUS REPORT
<LIST YEAR, QUARTER, ETC>
SITE NAME
ADDRESS
FACILITY ID
PREPARED BY:
DATE:
1
REMEDIAL ACTION SYSTEM STATUS REPORT
<DATE>
<FACILITY NAME>
<ADDRESS>
<FDEP FACILITY ID>
CERTIFICATION PAGE
I hereby certify that in my professional judgment, the engineering components of this
document satisfy the requirements set forth in Chapter 471, Florida Statutes, and other
applicable rules and regulations of the state of Florida. I have completed and/or been in
responsible charge of work completed by a qualified engineer working directly under my
supervision.
Prepared by:
________________________
Reviewed by:
________________________
NOTE: This page will be required only with Annual O&M reports. However, it is
anticipated that remedy effectiveness will be evaluated at quarterly and semi-annual
intervals.
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TABLE OF CONTENTS
SECTION
PAGE NO
1.0
GENERAL INFORMATION
 Site Assessment Completion Date
 FDEP Decision Memo date, remedy, and goal of remedial action.
 RAP Approval date
 RAP Implementation date
 Modifications
 Groundwater Sampling-Last date
2.0
METHODOLOGY
2.1
Depth-to-Groundwater Measurements
2.2
Groundwater Sampling Monitor wells sampled and methodology
 Field analysis
3.0
RESULTS AND DATA EVALUATION
3.1
Groundwater Elevations and Hydraulic Gradient
3.2
Groundwater Quality-Evaluation of Sampling Results
3.3
Natural Attenuation-if applicable
4.0
REMEDIATION SYSTEM OPERATION AND MAINTENANCE
4.1
System Maintenance and Site Visit Data
4.2
Treatment System Operation and Performance
 Compare RAP Performance indicators to existing conditions
 If mechanical system-total hours run-time; operational time
 Contaminant mass removal
5.0
QUALITY ASSURANCE/QUALITY CONTROL
5.1
Laboratory Certification/Hold time evaluation/Method Detection
5.2
Duplicate Analysis
6.0
CONCLUSIONS AND RECOMMENDATIONS
6.1
Conclusions-General and Specific
6.2
Recommendations
LIST OF TABLES
TABLE 1
REMEDIAL SYSTEM SUMMARY
TABLE 2
SYSTEM PERFORMANCE SUMMARY
TABLE 3
GROUNDWATER EVALUATION TABLE
TABLE 4
GROUNDWATER SYSTEM ANALYTICAL SUMMARY
TABLE 4a
GROUNDWATER MONITORING WELL ANALYTICAL SUMMARY
TABLE 4b
NATURAL ATTENUATION/ FIELD DATA
TABLE 5
VES SYSTEM ANALYTICAL AND PERFORMANCE SUMMARY
TABLE 5a
VES WELL DATA
TABLE 6
AIR SPARGING WELL DATA
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TALBE 7
Table to be developed by contractor for other types of remediation.
LIST OF FIGURES
FIGURE 1
FIGURE 2
FIGURE 3
FIGURE 4
FIGURE 5
FIGURE 6
FIGURE 7
FIGURE 8
FIGURE 9
FIGURE 10
SITE MAP
TREATMENT COMPOUND LAYOUT
GROUNDWATER ELEVATION MAP-PREVIOUS REPORT
GROUNDWATER ELEVATION MAP-NEW DATA
GROUNDWATER CONCENTRATION MAP-PREVIOUS PERIOD
GROUNDWATER CONCENTRATION MAP-THIS PERIOD
MONITOR WELL CONCENTRATION CURVES-GRAPH
QUARTERLY AND CUMULAITVE MASS RECOVERY-GRAPH
PREDICTED SYSTEM OPERATIONAL TIMELINE-GRAPH
(ACTUAL ESTIMATED MASS VS REMOVAL OF MASS)
SYSTEMS-DESIGN STATUS-IE: Radius of influence-SVE
APPENDICES
APPENDIX A
APPENDIX B
APPENDIX C
LABORATORY CERTIFICATION FOR DATA
FDEP ACTIVE REMEDIATION STATUS SUMMARY REPORT S
PREVENTATIVE MAINTENANCE CHECKLIST-SITE
SPECIFIC-EACH VISIT; TELEMETRY INFORMATION
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1.0 GENERAL INFORMATION AND INTRODUCTION
1.1 SITE LOCATION
1.2 ASSESSMENT APPROVAL DATE
1.3 FDEP DECISION MEMO DATE AND REMEDY SELECTION
1.4 REMEDIAL ACTION PLAN APPROVAL DATE
1.5 STARTUP DATE
1.6 LIST OF SYSTEM QUARTERLY MODIFICATIONS AND DATES
(TABLE 1 SHOULD INCLUDE OTHER HISTORICAL MODIFICATIONS)
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2. METHODOLOGY
<TO BE USED FOR GROUNDWATER SAMPLING INCLUDED IN THE
OPERATION AND MAINTENANCE REPORT>
2.1 DEPTH TO GROUNDWATER MEASUREMENTS
2.2 GROUNDWATER SAMPLING
2.2.1 LIST WELLS
2.2.2 DATE COLLECTED
2.2.3 SUMMARY OF SAMPLING PROTOCOL
2.2.4 FIELD ANALYSIS-LISTING
2.2.5 DOCUMENT LABORATORY CERTIFICATION AND NOTE APPENDIX A
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3. RESULTS AND DATA EVALUATION-GROUNDWATER/SOIL
INFORMATION. <Soil information can be included as a summary of present site
conditions (ie: confirmatory soils were taken on <date>, <method>and data
indicated that all soil samples were below the SCTLs.>
3.1 GROUNDWATER ELEVATIONS AND HYDRAULIC GRADIENT
3.2 GROUNDWATER QUALITY
3.3 AIR INFLUENT AND EFFLUENT
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4.0 REMEDIATION SYSTEM OPERATION AND MAINTENANCE
4.1 SYSTEM MAINTENANCE AND SITE VISIT DATA
 MAINTENANCE INFORMATION
 SUMMARY OF SITE VISITS DURING PERIOD
4.2
GROUNDWATER/SOIL TREATMENT SYSTEM OPERATION AND
PERFORMANCE
 DATA COMPARED TO DESIGN REQUIRMENTS IN THE RAP TO
EXISITNG SYSTEM PERFORMANCE
 AVERAGE MONTHLY FLOW RATE-GROUNDWATER
 DESIGN FLOW RATE
 TOTAL TREATMENT SYSTEM OPERATION TIME-BY COMPONENT
 ACTIVE TIME DURING THIS QUARTER/SEMI-ANNUAL-Component
 MASS REMOVAL RATES
 RADIUS OF INFLUENCE
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5.0 QUALITY ASSURANCE/QUALITY CONTROL PAGE
9
6.0
CONCLUSIONS AND RECOMMENDATIONS
6.1 CONCLUSIONS





SYSTEM OPERATIONAL %
SYSTEM INFORMATION-IE: ROI-SVE UNIT
QUALITATIVE COMPARISON OF PLUME POSITION
OTHER ASPECTS IE: INFILTRATION GALLERY
GRAPHICAL ANALYSIS OF CONCENTRATIONS THROUGH TIME FOR
SEVERAL MONITORING WELLS
 MASS RECOVERY
 DISCUSSION OF PREDICTED SYSTEM OPERATIONAL TIMELINE
6.2 RECOMMENDATIONS
 NOTIFICATION THAT ACTIVE REMEDIAL GOALS HAVE BEEN MET
AND RECOMMENDATIONS TO TURN SYSTEM OFF; OR
 ENHANCEMENT TO SYSTEM; AND/OR
 OPERATE SYSTEM WITH NO CHANGES.
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