Geotechnical Report Checklist Template

• Client / Site

• Site Address
  Address

• Licensed Professional

• Date and time

  Date

Geotechnical Report Checklist

Professional Registration

• Professional Geologist or Engineer Seal

  Done

  In Progress

  Not Applicable

Cover Sheet & Data Summary

• Completed Cover Sheet

  Done

  In Progress

  Not Applicable

• Completed Data Summary For Technical Reports

  Done

  In Progress

  Not Applicable

Site Background & History

• Site ID, ownership, operations and use.

  Done

  In Progress

  Not Applicable

• Color copy of a map showing site location.

  Done

  In Progress

  Not Applicable

• Description of current/historical, known/potential, contamination sources.

  Done

  In Progress

  Not Applicable

• Description of all known discharges.

  Done

  In Progress

  Not Applicable

• List and brief summary of all governmental records reviewed.

  Done

  In Progress

  Not Applicable

• Historical map and aerial photo review summary.

  Done

  In Progress

  Not Applicable

Site Plan

• A title, legend and true north arrow

  Done

  In Progress

  Not Applicable

• Drawn to scale with a graphic scale bar

  Done

  In Progress

  Not Applicable

• Source/creator of the plan

  Done

  In Progress

  Not Applicable

• Location, elevation and datum of a permanent recoverable bench mark.

  Done

  In Progress

  Not Applicable

• Surface topography using spot elevations, contours or noted changes in slope

  Done

  In Progress

  Not Applicable

• Complete site property boundaries

  Done

  In Progress

  Not Applicable

• Site Features

  Done

  In Progress

  Not Applicable

• Public and environmental receptors

  Done

  In Progress

  Not Applicable

Site & Regional Hydrogeology

• Description of stratigraphy, lithology, hydrology & contaminant flow

  Done

  In Progress

  Not Applicable

• Geologic cross-sections

  Done

  In Progress

  Not Applicable

• Potentiometric surface map w/ gw flow direction

  Done

  In Progress

  Not Applicable

Data Presentation

• Groundwater and soil summary tables

  Done

  In Progress

  Not Applicable

Conceptual Model: Groundwater Contamination

• Description of dissolved phase groundwater plume transport mechanisms, migration pathways and degradation pathways

  Done

  In Progress

  Not Applicable

• Description of known or suspected sources of the contaminants detected in the groundwater (i.e., soil contamination, free product, waste storage areas, AST/UST systems, unreported discharges, etc.)

  Done

  In Progress

  Not Applicable

• Groundwater contaminant concentration contours on the site plan and geologic cross-section(s) depicting lateral and vertical extent of representative contaminants exceeding standards.

  Done

  In Progress

  Not Applicable

• Discussion of contaminants that are considered outliers or have no identified source. Provide data to substantiate off-site source claims.

  Done

  In Progress

  Not Applicable

• Estimate of the mass of contaminated groundwater exceeding cleanup standards

  Done

  In Progress

  Not Applicable

• Potential receptor map identifying and locating receptors within 1,000’ and list of water supply wells

  Done

  In Progress

  Not Applicable

Conceptual Model: Soil Contamination

• Soil contaminant concentration contours on the site plan and geologic cross-section(s) depicting the lateral and vertical extent of representative contaminants exceeding cleanup standards

  Done

  In Progress

  Not Applicable

• The estimated mass/volume of contaminated soil exceeding cleanup standards (not required if a source area is not present).

  Done

  In Progress

  Not Applicable

Conceptual Model: Indoor Vapor Intrusion

• Identify, describe and explain potential pathways for indoor vapor intrusion, identify any exceedences, soil vapor monitoring or indoor air screening results (PID/FID meter readings), and provide recommendations for additional vapor intrusion study.

  Done

  In Progress

  Not Applicable

• If pathway is complete and vapor intrusion is identified, provide indoor air monitoring results with comparison to standards and proposed abatement measures.

  Done

  In Progress

  Not Applicable

Remedial Alternatives & Recommendations

• The Geotechnical Report must include either a, b, c or d and, if AGQS is exceeded, a GMZ depiction.

• a. Closure recommended: Describe how site conditions meet closure requirements.

  Done

  In Progress

  Not Applicable

• b. Recommendations for additional investigations and/or initial response actions: This shall include the steps necessary to finalize the groundwater management zone boundary and delineate source areas. Show all proposed explorations and sampling locations on a site plan.

  Done

  In Progress

  Not Applicable

• c. Provide a preliminary screening of remedial alternatives: Including a description of the recommended remedial action and steps necessary to implement the recommended remedial action.

  Done

  In Progress

  Not Applicable

• d. Interim response actions or presumptive remedy.

  Done

  In Progress

  Not Applicable

• e. Preliminary GMZ boundary depiction.

  Done

  In Progress

  Not Applicable

Appendices

• Colored photos of key features.

  Done

  In Progress

  Not Applicable

• Description of field procedures for installing wells and sampling including sample preservation.

  Done

  In Progress

  Not Applicable

• Field screening data.

  Done

  In Progress

  Not Applicable

• Boring logs with PID results and monitoring well construction details.

  Done

  In Progress

  Not Applicable

• Analytical data including chain of custody and holding times.

  Done

  In Progress

  Not Applicable

• Detailed calculations.

  Done

  In Progress

  Not Applicable

• Water Well Board Completion Report Prepared by Licensed Technical Driller.

  Done

  In Progress

  Not Applicable

Completion

• Comments/ Recommendations

• Name and signature of licensed professional

  Sign