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USDA - Natural Resources Conservation Services Landowner Hazmat Interview <br />2 <br />2.Has the property ever been used for an industrial or commercial use (e.g., official and unofficial shooting <br />ranges; processing, handling, management, disposal, storage, manufacture, or transportation of hazardous <br />substances or petroleum products, such as a gasoline station, motor repair facility, commercial printing <br />facility, dry cleaners, photographic developing laboratory, methamphetamine laboratory, junkyard, bone yard, <br />or landfill, or as a waste treatment, storage, disposal, processing, or recycling facility). If yes, describe the <br />activities and provide the time frames, types, locations, and quantities of hazardous substance use and storage. <br />Yes □ No □ Unknown □ <br />________________________________________________________________________________________ <br />________________________________________________________________________________________ <br />3.Has there ever been permitted or planned mining activity or oil and gas exploration or development on the <br />property? If yes, describe the activities and provide the time frames, locations, and scope of operations. <br />Yes □ No □ Unknown □ <br />________________________________________________________________________________________ <br />________________________________________________________________________________________ <br />4.Has the property ever been used for agricultural purposes, such as livestock or crops? If yes, describe the <br />operations and indicate the locations and time frames involved. Yes □ No □ Unknown □ <br />________________________________________________________________________________________ <br />________________________________________________________________________________________ <br />a.If yes, did the operation involve the use or storage of chemicals such as pesticides, fertilizers, and <br />or solvents? If yes, describe and provide locations and the type, quantity, duration of use, and <br />management practices. Yes □ No □ Unknown □ <br />______________________________________________________________________________ <br />______________________________________________________________________________ <br />______ <br />5.Are there, or have there been, any improvements, such as buildings, water towers, smokestacks, smelters, and <br />old building foundations on the property? If yes, describe each improvement, including construction date for <br />each improvement; location on the property; square footage; past and current uses; dates of major <br />renovations, additions, modifications; number of stories; type of construction; heating and cooling sources; <br />water sources; sewage, solid and hazardous waste disposal; and removal date (if applicable). <br />Yes □ No □ Unknown □ <br />________________________________________________________________________________________ <br />________________________________________________________________________________________ <br />B.Hazardous Materials and Substances <br />1.Do the current operations on the property involve the use and storage of chemicals? If yes, please describe <br />the operations and indicate the locations, types, and quantities of materials used. Describe locations of <br />chemical storage, mixing, and loading. Discuss any use, storage, mixing, or disposal of automotive or other <br />batteries, pesticides (e.g., insecticides, herbicides, and fungicides), paints, solvents, or other chemicals on <br />fence lines, rights-of-way, or other structures such as airstrips, heliports, or crop duster operations. <br />Yes □ No □ Unknown □ <br />________________________________________________________________________________________ <br />________________________________________________________________________________________ <br />a)If yes, has there been a spill or release of hazardous substances, petroleum products, or other potential <br />environmental problems on the property associated with current operations? If yes, describe the <br />nature and locations of the release and the quantities and types of hazardous substances. This <br />DocuSign Envelope ID: 480AFBD4-654C-48FA-9CB8-F7C8D7E98DB2