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<br /> USDA -Natural Resources Conservation Services Landowner Hazmat Interview
<br /> or industrial batteries,building demolition debris, or other waste materials. Yes ❑ No ❑Unknown❑
<br /> 6. Are there any floor drains in the onsite structures or areas where chemicals (e.g.,waste oil, antifreeze,
<br /> solvents, and pesticides)were used or stored? If yes, indicate the locations of the structures and the types,
<br /> quantities, and time frames related to the associated chemical use or storage. For each area or structure, also
<br /> indicate the discharge location for the floor drains. Yes ❑ No ❑Unknown ❑
<br /> 7. Do the walls, floors, or ceilings of the structures used to store hazardous materials have any chemical stains?
<br /> If yes, indicate the areas in each structure that has chemical staining. Yes ❑ No ❑Unknown❑
<br /> 8. Are there or have there been any floors, drains,walls, or ceilings stained by substances other than water or
<br /> that are emitting foul or unnatural odors (e.g.,mold,mildew, algae)? If yes, describe the locations and the
<br /> nature of the past and current site operations. Yes ❑ No ❑Unknown ❑
<br /> 9. Are there electrical transmission lines,transformers, capacitors, lighting ballast, or hydraulic equipment(e.g.,
<br /> elevators,presses,lifts, or doors)on the property? If yes,identify the locations and approximate age of the
<br /> equipment. Yes ❑ No ❑Unknown ❑
<br /> a) If the site has electrical transmission lines,transformers, capacitors, lighting ballast, or hydraulic
<br /> equipment,has testing been done to determine the presence of polychlorinated biphenyls(PCBs) or
<br /> has any onsite equipment contained PCBs? If yes, indicate the locations,type of equipment, and
<br /> dates. Yes ❑ No ❑Unknown ❑
<br /> b) If the site has or had PCBs, are you aware of any release of PCBs that have occurred? If yes, describe
<br /> the release and indicate the date, locations and whether the release was mitigated.
<br /> Yes ❑ No ❑N/A ❑ Unknown❑
<br /> 10. Has there ever been any mercury-containing equipment(e.g., switches,thermostats,thermometers,
<br /> manometers, or sink traps)on the property? If yes,indicate the locations and type of equipment and dates.
<br /> Yes ❑ No ❑Unknown ❑
<br /> 11. Are you aware of any radon, asbestos-containing materials, or lead-based paint on the property? If yes,
<br /> indicate the type, locations and dates. Yes ❑ No ❑Unknown❑
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