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42 <br /> U.S. Department of Agriculture <br /> Natural Resources Conservation Service Hazardous Materials Field Inspection Checklist <br /> 19.Treatment for vegetation or invasive species ❑ ❑ <br /> 20.Spills or releases of pollution ❑ ❑ ❑ <br /> D. EVIDENCE OF PAST USE(check all that are applicable) <br /> Manufacturing ❑ Scrap metal, auto, or battery recycling <br /> Service station Military <br /> Dry cleaning ❑ Laboratories <br /> Air Strip ❑ Wood preserving <br /> Pipeline ❑ Tanning <br /> Railroad line ❑ Monitoring wells <br /> Facilities with large electrical transformers ❑ Wells no longer providing water <br /> Petroleum production ❑ Piles of soil,rock, debris <br /> Landfills ❑ Any unnatural topographic features <br /> Other(describe) <br /> E. PHYSICAL EVIDENCE OF EASEMENTS OR RIGHTS-OF-WAY ower lines,pipelines,railroads,roads <br /> F. NEARBY LAND USES: (describe all surrounding land uses—especially those upstream orupgradient) <br /> ONTAMINATED SITES RECORD SEARCH: <br /> List all known contaminant sites within a 1-mile radius of the site. Check with Federal or State environmental <br /> protection agencies and local authorities. Are there any known hazardous material problems on or near the site <br /> (National Priority List, State sites,etc.)? (Attach additional sheets as necessary) <br /> H. INTERVIEWS: (Interviewee Name) (Title) (Interview Date) <br /> Present Owner(s) <br /> Past Owner(s) <br /> County Agent <br /> 2 <br />