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U . S . Department of Agriculture <br /> Natural Resources Conservation Service Hazardous Materials Field Inspection Checklist <br /> 19. Treatment for vegetation or invasive species F] F1 F] <br /> 20. Spills or releases of pollution <br /> D. EVIDENCE OF PAST USE (check all that are applicable) <br /> Manufacturing F1 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 (power lines , pipelines , railroads , roads <br /> F. NEARBY LAND USES : (describe all surrounding land uses — especially those upstream or upgradient) <br /> G. CONTAMINATED SITES RECORD EARCH : <br /> List all known contaminant sites within a I -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 />