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USDA - Natural Resources Conservation Services Landowner Hazmat Interview
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<br />or industrial batteries, building demolition debris, or other waste materials. Yes □ No □ Unknown □
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<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 □
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<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 □
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<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 □
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<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 □
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<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 □
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<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 □
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<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 □
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<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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<br />DocuSign Envelope ID: 480AFBD4-654C-48FA-9CB8-F7C8D7E98DB2
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