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i <br /> U . S . Department of Agriculture <br /> Natural Resources Conservation Service Hazardous Materials Field Inspection Checklist <br /> Other Authorities <br /> I. AGRICULTURAL HISTORY : <br /> Type, Duration and Extent of Agricultural Activity : <br /> Surface Drains Present PRESENT NOT PRESENT <br /> Subsurface Drains Present PRESENT NOT PRESENT <br /> J. RECOMMENDATION . <br /> In my professional opinion and based on my inspection of the site this project should move forward : <br /> YES NO FURTHER INVESTIGATION NEEDED <br /> K. CERTIFICATION : <br /> I hereby certify that on 520 I made a personal examination and inspection of the tract or <br /> parcel of land identified above, and that I am fully informed as to the boundaries , lines and corners of said tract. Based <br /> upon a careful and thorough investigation and inquiry I hereby certify that the Hazardous Materials Field Inspection <br /> Checklist and the attachments are true to the best of my knowledge and belief. <br /> EXAMINER (Name and Signature) OFFICIAL TITLE <br /> 3 <br />