Attachment 1 Worksheets.pdf

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APPENDIX A: LAND ACQUISITION SCREENING PROCESS WORKSHEETS

Agencies must do the land acquisition screening process for all proposed real property acquisitions to determine whether there may be any hazardous substances or other environmental problems on the real property. The purpose of the process is to help ensure that Federal agencies do not unknowingly acquire contaminated property and to limit exposure to environmental liability.

The following worksheets are required but may be accomplished in any order:

1. Worksheet 1: Records Search. Review maps, photographs, and records

2. Worksheet 2: Questionnaire for Interview. Conduct interviews of individuals familiar with the property and its history

3. Worksheet 3: Site Visit Survey. Visit site and inspect thoroughly

The completed worksheets contain information required for the land acquisition screening process. This information may also be used to complete the pre-acquisition environmental site assessment report. The worksheets are useful guides, but alone do not meet all the requirements for the CERCLA defenses. For example, the worksheets do not include the four documentation requirements that must be included in the report. Additionally, in order to meet the statutory requirements for any of the defenses to liability following acquisition, a landowner must meet certain threshold requirements and satisfy continuing obligations not addressed in this guidance.

The worksheets are not exhaustive and should be tailored based on professional judgment and site conditions.

Some questions may not be applicable for the property. All questions noted as incomplete, data gaps or “not applicable” should be documented. Documenting these determinations is required in the report.

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Records Search Worksheet * * * February 9, 2009 * * * Page 18

All Appropriate Inquiry - Land Acquisition Screening Worksheet 1: RECORDS SEARCH4

This worksheet should help agencies complete the “Records Search” portion of the All Appropriate Inquiry land acquisition screening. While this worksheet should be a useful guide, by itself a completed worksheet does not meet all the requirements for the CERCLA defenses. For example, the worksheets do not include the four documentation requirements that must be included in the report. Additionally, in order to meet the statutory requirements for any of the defenses to liability following acquisition, a landowner must meet certain threshold requirements and satisfy continuing obligations not addressed in this guidance. The worksheets are not exhaustive and should be tailored based on professional judgment and site conditions.

I. Gathering Existent Records.

1. The AAI rule requires a review of historical sources to determine previous uses and occupancies of the real property since the property was first developed using sources such as those listed below. If “not available” explain in Question #3.

a. Site Description (address, site map, property boundaries, contact information) Not Available _____ Attached _____

b. Chain of Title Documents (i.e., deeds, deed restrictions, liens, institutional and/or engineering controls, and other documentation of ownership) Not Available _____ Attached _____

c. Aerial Photographs Not Available _____ Attached _____

d. Building Department Records Not Available _____ Attached _____

e. Land Use Records Not Available _____ Attached _____

f. Sanborn Fire Insurance Maps Not Available _____ Attached _____

g. Topographic Maps Not Available _____ Attached _____

h. Local Fire Department Records Not Available _____ Attached _____

i. Easements Not Available _____ Attached _____

j. Leases (attach copies of contract(s)) Not Available _____ Attached _____

k. Concessions (attach copies of contract(s)) Not Available _____ Attached _____

l. Well Permits Not Available _____ Attached _____

4 “Historical documents and records reviewed must cover a period of time as far back in the history of the subject property as it can be shown that the property contained structures or from the time the property was first used for residential, agricultural, commercial, industrial, or governmental purposes.” (40 CFR 312.24(b)) “Historical documents and records reviewed must cover a period of time as far back in the history of the real property to when the first structure was built or when it was first used for residential, agricultural, commercial, industrial, or governmental purposes.” (33 CFR 137.50 (b))

Records Search Worksheet * * * February 9, 2009 * * * Page 19

m. Oil Records Not Available _____ Attached _____

n. Gas Records Not Available _____ Attached _____

o. Other Mineral Records Not Available _____ Attached _____

p. Waste Water Permits Not Available _____ Attached _____

q. Lead Based Paint Survey Records Not Available _____ Attached _____

r. Asbestos Survey Records Not Available _____ Attached _____

s. Polychlorinated Biphenyls (PCBs) Survey Records Not Available _____ Attached _____

t. Drinking Water Systems Not Available _____ Attached _____

Records Search Worksheet * * * February 9, 2009 * * * Page 20

2. The AAI rule requires a review of Federal, State, Tribal and local government records. Is the property listed under any of the categories below? If yes, attach documentation. If no, explain in Question #3. Many of these databases may be queried through EPA’s Environfacts website at http://www.epa.gov/enviro/

a. CERCLA Information System (CERCLIS) or Docket List No _____ Attached _____

b. Critical Habitat No _____ Attached _____

c. DOT Hazardous Materials Information Reporting System (HMIRS) No _____ Attached _____

d. EPA Aerometric Information Retrieval System (AIRS) No _____ Attached _____

e. EPA Emergency Response Notification System (ERNS) Database No _____ Attached _____

f. EPA FIFRA/TSCA Tracking System (FTTS) No _____ Attached _____

g. EPA National Priorities List (NPL) No _____ Attached _____

h. EPA No Further Remedial Action Planned (NFRAP) Database No _____ Attached _____

i. EPA NPDES No _____ Attached _____

j. EPA PCB Activity Database (PADs) No _____ Attached _____

k. EPA PCB Transformer Registration Database No _____ Attached _____

l. EPA Permit Compliance System (PCS) No _____ Attached _____

m. EPA RCRA Corrective Action Report (CORRACTS) Database No _____ Attached _____

n. EPA RCRA Information System (RCRIS) Database No _____ Attached _____

o. EPA Safe Drinking Water Information System (SDWIS) No _____ Attached _____

p. EPA Toxics Release Inventory (TRI) Database No _____ Attached _____

q. EPA or State Resource Conservation and Recovery Act (RCRA), treatment, storage, or disposal (TSD) facility No _____ Attached _____

r. Federal Emergency Management Agency (FEMA) Flood Map No _____ Attached _____

s. Federal, State, Tribal Permitted and Closed Solid Waste Landfill or Management Facilities No _____ Attached _____

t. Local Zoning and Land Use Records No _____ Attached _____

u. State environmental agency equivalent of an NPL site or a CERCLIS site No _____ Attached _____

v. State Leaking Underground Storage Tanks (LUSTs) No _____ Attached _____

w. State Registered Aboveground Storage Tanks (ASTs) No _____ Attached _____

x. State Registered Underground Storage Tanks (USTs) No _____ Attached _____

y. State, Local, Tribal Environmental Liens, Deeds, and Land Use Restriction Records No _____ Attached _____

z. State Local, Tribal Hazardous Materials Management Records (e.g., Business Plan, Contingency Plan.) No _____ Attached _____

aa. Oil, gas or other mineral records No _____ Attached _____

bb. Waste Water Systems No _____ Attached _____

cc. Wetlands Inventory No _____ Attached _____

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3. What information sources were used in attempts to find records that could not be found? List information sources, locations where they are found and date the source was used.

4. Any other relevant records provided by owner(s) or others? No _____ Attached _____

List:

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II. Records Review (Subject Property). The purpose of the records review is to obtain and review records and to help agencies identify conditions indicative of releases and threatened releases of hazardous substances on, at, or in the subject property. This section will help agencies develop a chronology of the site use(s).

A. Property Use(s)

1. Is there any information in the chain of title that indicates commercial or industrial use of the property? If yes, describe current and previous property use(s) and provide information sources such as Title insurance company, abstract company, and County deed records.

Yes ___ No ___

2. Are there other records indicating commercial or industrial activities on the property? Examples of such activities include warehouses, vehicle maintenance, mixing, handling, or disposal of chemicals, paints, pesticides (e.g., insecticides, herbicides, and fungicides), petroleum products or wastes. If yes, describe site activities and document and provide information sources such as records, aerial photographs, and maps. Identify the location(s) on the property where the activities occurred and the timeframe when they occurred.

Yes ___ No ___

3. Are there records indicating current or previous agricultural use? Examples of such use include pesticide use, drainage history, surface or subsurface drains, livestock, nurseries, crops, and livestock dip tanks. If yes, describe the agricultural use and identify when the use occurred and where on the property. Provide information sources such as records, aerial photographs, and maps). Yes ___ No ___

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4. Have there been any special use permits, leases, Plans of Operation, or concessionaire contracts associated with the property. Examples of such activities and uses include rights-of-way, easements, mining, landfills, solid waste transfer facilities, log transfer facilities, small arms ranges, silviculture, lodges, resorts, and campgrounds. If yes, describe the permitted activities and provide information sources such as permits, records, aerial photographs, and maps). Yes ___ No ___

B. Hazardous Substances

1. Are there records, such as State and EPA hazardous site lists, of the storage, release, or disposal of hazardous substances or petroleum products on the property? If yes, attach a list describing the type(s), quantities involved, approximate locations and dates.

Yes ___ No ___

2. Has anyone ever done an environmental investigation of the property?

Yes ___ No ___ Unknown ____(If yes, answer the following questions.)

Indicated the release of hazardous substances, petroleum products, or other potential environmental problems on the property? If yes, describe the nature and location(s) of the release and the quantities and types of hazardous substances.

Yes ___ No __ Not Applicable ___

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Recommended further assessment of the property? If yes, explain and provide the information sources such as State hazardous site lists or acquisition files). Yes ___ No___ Not Applicable ___

3. If an environmental investigation identified contamination of the property, is there information indicating that response actions have remained uninitiated or been ineffective in reducing or eliminating the contamination? Explain and provide information sources such as State hazardous site data). Yes ___ No ___ Not Applicable ___

If yes, has any response action been taken? Describe the response actions taken, who did them, and what lead regulatory agency oversaw the response action.

If no, is there a cost estimate for the response actions? If a cost estimate has been provided, indicate the source of the estimate.

Has remediation been completed? If yes, indicate if a no-further action (NFA) determination has been issued by the lead regulatory agency. Also indicate if contamination still remains. Provide supporting documentation.

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If remediation is completed, are there any institutional controls/land use restrictions in place or long term monitoring and maintenance requirements? If yes, describe and provide supporting documentation, including costs and durations for monitoring and operations and maintenance.

4. If acquiring land from another Federal agency, has the disposing agency notified the acquiring agency of the past or current presence of any hazardous substance, used and stored, at the property? If yes, describe the location(s), types, and quantities of the hazardous substances and the timeframes for use and storage. Provide supporting documentation. Yes ___ No ___ Not Applicable ___

5. If acquiring land from another Federal agency, has the disposing agency notified the acquiring agency of the past or current presence of any hazardous substance release or disposal at the property? If yes, describe the date, location(s), types, and qualities of the hazardous substances release and/or disposal. Provide supporting documentation. Yes ___ No ___ Not Applicable ___

6. Are there any records that indicate the past or present existence of transformers, capacitors, or hydraulic equipment containing

Polychlorinated Biphenyls (PCBs); use, storage or disposal of PCB-containing equipment; or contaminated soils? If yes, indicate date of manufacture, size, location(s), and owner and provide information sources (e.g., EPA PCB Activity Database, local electric utility).

Yes ___ No ___

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C. Water and Wastewater

1. Are there any records indicating operating or abandoned water wells on the property? If yes, indicate locations, constructed dates, well construction details, and capacities. If any well was abandoned, indicate if it was abandoned according to applicable regulatory standards? Provide abandonment date and information sources such as State water well registry.

Yes ___ No___ Not Applicable ___

2. Are there any records indicating the presence of a drinking water system on the property? If yes, describe the location, size, and age of the water system. Yes ___ No ___

3. If the property is served by an on-site water supply well, are there any records indicating whether anyone has ever identified contamination in the well? If yes, identify the contaminants, timeframe when contamination was detected, and contaminant levels. Also, indicate the source of the contamination and any mitigation measure implemented. Provide information sources such as State water well registry and water quality data). Yes ___ No ___ Not Applicable ___

4. Are there any records indicating the presence of an on-site waste water disposal system, including septic systems? If yes, describe the system and provide age and location. Provide information sources Yes ___ No ___

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D. Compliance and Permits Attach documentation if information is found. If information is not found, list information sources that were checked, include the location, contact name and telephone number.

1. Are there any permits or plans related to activities such air or water discharges; mining; oil or gas exploration or development; hazardous substance use or storage; or solid or hazardous waste treatment, storage, or disposal? If yes, describe the location(s), types of discharges and materials, and timeframe of activities. Identify information sources. Yes ___ No ___

2. Have there been any compliance or environmental notices issued? If yes, explain and provide information sources such as State hazardous substances office or EPA Region). Yes ___ No ___

3. Is there any information indicating recurrent violations of environmental laws with respect to the property and current and past on-site operations and activities? If yes, describe the violations and when they occurred and provide sources. Yes ___ No ___

4. Is there any information indicating an environmental lien against the property? If yes, describe the lien and its effect on property use and provide information sources (e.g., County deed records and court judgments). Yes ___ No ___

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5. Is there evidence of any past, threatened, or pending lawsuits, administrative or judicial proceedings, consent agreements or related actions concerning a release or threatened release of any hazardous substance or petroleum product involving the property by any current or previous owner or occupant of the property? If yes, explain and provide sources. Yes ___ No ___

6. Have there ever been any registered or unregistered storage tanks (above or underground) on the property, particularly for storage of hazardous substances or petroleum products? If yes, describe and list location(s), material stored, installation date, removal date, and Federal and State identification numbers and provide information sources (e.g., State UST and LUST records, aerial photographs, and maps). Yes ___ No ___ Unknown ____

7. Have there ever been any registered or unregistered non-water supply wells (e.g., underground injection, monitoring, oil and gas)?

Yes ___ No ___ Unknown ____

E. Other

1. Have there been any public complaints about the property regarding dumping, burning, or odors? If yes, explain and provide information sources (e.g., State hazardous substance sites list.) If no, list resources that were checked, including the location, contact name, and telephone number. Yes ___ No ___

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2. Are there any other records or historical uses that might indicate existing or potential environmental problems on the property? If yes, explain and identify information sources. If no, list resources that were checked, including the location, contact name, and telephone number.

Yes ___ No ___

III. Site Chronology. Develop site chronology of site uses and activities, including construction date and upgrades. Attach additional sheets, as needed. 40 CFR 312.24 requires review of historical records as far back in time as the property was first used for residential, agricultural, commercial, industrial, or governmental purposes.

Name, title and signature of person conducting records review: ____________________________________________________________

Date(s) of Searches __________________________________________________________________________________________

Records Search Worksheet * * * February 9, 2009 * * * Page 30

IV. Records Review (Adjacent and Surrounding Properties)

1. The AAI rule requires a review of Federal, State, and local government records. Is the adjacent property listed under any of the categories below? If yes, attach documentation.

a. CERCLA Information System (CERCLIS) or Docket List No _____ Attached _____

b. Critical Habitat No _____ Attached _____

c. DOT Hazardous Materials Information Reporting System (HMIRS) No _____ Attached _____

d. EPA Aerometric Information Retrieval System (AIRS) No _____ Attached _____

e. EPA Emergency Response Notification System (ERNS) Database No _____ Attached _____

f. EPA FIFRA/TSCA Tracking System (FTTS) No _____ Attached _____

g. EPA National Priorities List (NPL) No _____ Attached _____

h. EPA No Further Remedial Action Planned (NFRAP) Database No _____ Attached _____

i. EPA NPDES No _____ Attached _____

j. EPA PCB Activity Database (PADs) No _____ Attached _____

k. EPA PCB Transformer Registration Database No _____ Attached _____

l. EPA Permit Compliance System (PCS) No _____ Attached _____

m. EPA RCRA Corrective Action Report (CORRACTS) Database No _____ Attached _____

n. EPA RCRA Information System (RCRIS) Database No _____ Attached _____

o. EPA Safe Drinking Water Information System (SDWIS) No _____ Attached _____

p. EPA Toxics Release Inventory (TRI) Database No _____ Attached _____

q. EPA or State Resource Conservation and Recovery Act (RCRA), treatment, storage, or disposal (TSD) facility No _____ Attached _____

r. Federal Emergency Management Agency (FEMA) Flood Map No _____ Attached _____

s. Federal, State, Tribal Permitted and Closed Solid Waste Landfill or Management Facilities No _____ Attached _____

t. Local Zoning and Land Use Records No _____ Attached _____

u. State environmental agency equivalent of an NPL site or a CERCLIS site No _____ Attached _____

v. State Leaking Underground Storage Tanks (LUSTs) No _____ Attached _____

w. State Registered Aboveground Storage Tanks (ASTs) No _____ Attached _____

x. State Registered Underground Storage Tanks (USTs) No _____ Attached _____

y. State, Local, Tribal Environmental Liens, Deeds, and Land Use Restriction Records No _____ Attached _____

z. State Local, Tribal Hazardous Materials Management Records (e.g., Business Plan, Contingency Plan.) No _____ Attached _____

aa. Oil, gas or other mineral records No _____ Attached _____

bb. Waste Water Systems No _____ Attached _____

cc. Wetlands Inventory No _____ Attached _____

Records Search Worksheet * * * February 9, 2009 * * * Page 31

2. The AAI rule requires a review of Federal, State, and local government records of the surrounding properties and specifies a minimum search distance on some records. Are the surrounding properties listed under any of the categories below within the specified search radius? If yes, attach documentation. If no, explain in Question #3.

Records / Sources Minimum Search Distance miles (kilometers)

a. Federal NPL Site Database 1.0 (1.6) No _____ Attached _____

b. State- and Tribal-Equivalent NPL Sites 1.0 (1.6) No _____ Attached _____

c. EPA Deleted NPL Site List 0.5 (0.8) No _____ Attached _____

d. Former CERCLIS Sites w/No Further Remedial Action Planned 0.5 (0.8) No _____ Attached _____

e. EPA RCRA CORRACTS Facilities List 1.0 (1.6) No _____ Attached _____

f. Registries or Publicly Available Lists of Engineering Controls 0.5 (0.8) No _____ Attached _____

g. Federal, State, Tribal Permitted and Closed

Solid Waste Landfill or Management Facilities 0.5 (0.8) No _____ Attached _____

h. Federally or State-Registered, or State-Permitted, Hazardous Waste

Sites Identified for Investigation or Remediation 0.5 (0.8) No _____ Attached _____

i. EPA RCRA non-CORRACTS TSD Facilities List 0.5 (0.8) No _____ Attached _____

ii. State- and Tribal-equivalent CERCLIS 0.5 (0.8) No _____ Attached _____

iii. EPA CERCLIS List 0.5 (0.8) No _____ Attached _____

iv. Federal, State, Tribal Leaking Underground Storage Tank 0.5 (0.8) No _____ Attached _____

v. State and Tribal Voluntary Cleanup Sites 0.5 (0.8) No _____ Attached _____

vi. State and Tribal Brownfield Sites 0.5 (0.8) No _____ Attached _____

3. What information sources were used in attempts to find records that could not be found? List information sources, locations where they are found and date the source was used.

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4. Any other relevant records provided by owner(s) or others? No _____ Attached

5. On the basis of a review of available records, is there any indication of the release or threatened release of hazardous substances at/on adjacent and nearby properties? Properties considered to be “nearby” may vary depending on the area’s geology and topography and the nature of the threat. If yes, describe the release or threatened release and provide the location(s) and relative distance to the property, indicate whether it is up stream or up gradient of the property, identify the types and quantities of hazardous substances, and dates.

Provide information sources (e.g., local fire department and environmental data base search services). Yes ___ No ___

If yes, has the release or threatened release been mitigated? If yes, describe the mitigation and identify the regulatory agency that oversaw the mitigation measures and provide the sources of the information. Yes ___ No___ Not Applicable ___

If yes, do adjacent or nearby properties have contamination residual contamination that poses a threat or may pose a future threat to the property? If yes, describe the threat or potential threat and provide the sources of the information.

Yes ___ No___ Not Applicable ___

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6. Are there other nearby land uses or activities, especially upstream or up-gradient that might have had a legal or illegal waste or dump site?

For example, are there upstream or up-gradient active or abandoned mine sites that may adversely affect the property? Properties considered to be “nearby” may vary depending on the area’s geology and topography and the nature of the threat. If yes, describe the land use or activity, distance to the property, and potential threat. Provide the information sources. Yes ___ No ___

Name, title, and signature of person conducting records review: ______________________________________________________________

Date(s) of Searches _________________________________________________________________________________________________

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Interview Worksheet * * * February 9, 2009 * * * Page 1

All Appropriate Inquiry - Land Acquisition Screening

Worksheet 2: INTERVIEWS WITH PAST and PRESENT OWNERS, OPERATORS, and OCCUPANTS

This worksheet should help agencies complete of the “Interview” portion of the All Appropriate Inquiry land acquisition screening. While the worksheet should be a useful guide, it is not all inclusive and does not meet all the requirements for CERCLA defenses. For example, the worksheets do not include the four documentation requirements that must be included in the report. Additionally, in order to meet the statutory requirements for any of the defenses to liability following acquisition, a landowner must meet certain threshold requirements and satisfy continuing obligations not addressed in this guidance. The worksheets are not exhaustive and should be tailored based on professional judgment and site conditions.

The AAI rule requires interviews with the current owner and occupant of the subject property. If the property has multiple occupants, the inquiry of the environmental professional should include interviewing major occupants, as well as those occupants likely to use, store, treat, handle or dispose of hazardous substances, pollutants, contaminants, petroleum and petroleum products, and controlled substances, or those who have likely done so in the past. Additionally, if the current owner is a third party holding company who obtained title to the property with the sole intent of selling it to the Federal government, it is suggested that the previous owner also be interviewed. In either case, at least one of the following individuals should also be interviewed.

Representative of the local fire department that serves the property;

Representative of the State and/or local health agency or local/regional office of state health agency serving the area in which the property is located;

Representative of the State and/or local agency or local/regional office of state agency having jurisdiction over hazardous waste disposal or other environmental matters in the area in which the property is located; or Representatives of Local agencies responsible for the issuance of building permits or groundwater use permits that document the presence of AULs that may identify issues of concern in the area in which the property is located.

Current and past facility managers with relevant knowledge of uses and physical characteristics of the property;

Past owners, occupants, or operators of the property; or Employees of current and past occupants of the property.

In the case of inquiries done at “abandoned properties,” where there is evidence of potential unauthorized uses of the subject property or evidence of uncontrolled access to the subject property, the inquiry must include interviewing one or more (as necessary) owners or occupants of neighboring or nearby properties from which it appears possible to have observed uses of, or releases at, such abandoned properties.

(Separate questionnaires must be completed for each interview)

Interview Worksheet * * * February 9, 2009 * * * Page 2

Name of person interviewed: ____________________________________________Telephone number: ___________________________ Affiliation with Property:

(E.g., Owner, operator, caretaker, previous owner, or neighbor)

Time frame affiliated with Property:

“To the Best of Your Knowledge…”

A. Property Use(s)

1. Do you have or know of the existence of any of the following records related to the property? If yes, please provide copies or make them available. Yes ___ No ___ Unknown ___

a. Radon, Asbestos, or Lead-Based Paint Surveys No ____ Copy/s Attached ____ No copy avail. ___

b. Environmental Compliance Audit Reports No ____ Copy/s Attached ____ No copy avail. ___

c. Environmental Permits Related to Current or Previous Site Activities

(e.g., waste disposal permits, wastewater permits, NPDES permits) No ____ Copy/s Attached ____ No copy avail. ___

d. Registrations for underground and above-ground storage tanks. No ____ Copy/s Attached ____ No copy avail. ___

e. Hazardous Materials Management Plans (Emergency Planning and Community

Right-To-Know Act (EPCRA)) No ____ Copy/s Attached ____ No copy avail. ___

f. Facility safety plans No ____ Copy/s Attached ____ No copy avail. ___

g. Preparedness and prevention plans No ____ Copy/s Attached ____ No copy avail. ___

h. Spill Prevention, Control, and Countermeasure (SPCC) plans No ____ Copy/s Attached ____ No copy avail. ___

i. Hydrogeologic and geotechnical reports on the property or surrounding area. No ____ Copy/s Attached ____ No copy avail. ___

j. Notices or other correspondence from any government agency relating to past or current violations of environmental laws with respect to the property. No ____ Copy/s Attached ____ No copy avail. ___

k. Notices or other correspondence from any government agency relating to environmental liens encumbering the property. No ____ Copy/s Attached ____ No copy avail. ___

l. Hazardous waste generator notices or reports. No ____ Copy/s Attached ____ No copy avail. ___

m. Risk assessments No ____ Copy/s Attached ____ No copy avail. ___

n. Recorded deed or environmental land use restrictions No ____ Copy/s Attached ____ No copy avail. ___

o. Other environmental studies or investigations No ____ Copy/s Attached ____ No copy avail. ___

Interview Worksheet * * * February 9, 2009 * * * Page 3

2. Has the property ever been used for an industrial or commercial use (e.g., official and unofficial shooting ranges; processing, handling, management, disposal, storage, manufacture, or transportation of hazardous substances or petroleum products, such as a gasoline station, motor repair facility, commercial printing facility, dry cleaners, photographic developing laboratory, methamphetamine laboratory, junkyard, bone yard, or landfill, or as a waste treatment, storage, disposal, processing, or recycling facility). If yes, describe the activities and provide the time frame, types, location(s) and quantities of hazardous substance use and storage. Yes ___ No ___ Unknown ___

3. Has there ever been permitted or planned mining activity or oil and gas exploration or development on the property? If yes, describe the activities and provide the time frame, location(s), and scope of operations. Yes ___ No ___ Unknown ___

4. Has the property ever been used for agricultural purposes, such as livestock or crops? If yes, describe the operations and indicate the location(s) and time frames involved. Yes ___ No ___ Unknown ___

If yes, did the operation involve the use or storage of chemicals such as pesticides, fertilizers, and or solvents? If yes, describe and provide location(s) and the type, quantity, duration of use, and management practices. Yes ___ No ___ Unknown ___

Interview Worksheet * * * February 9, 2009 * * * Page 4

5. Are there, or has there been, any improvements, such as buildings, water towers, smokestacks, smelters, and old building foundations on the property? If yes, describe each improvement, including construction date for each improvement; location on the property; square footage; past and current uses; dates of major renovations, additions, modifications; number of stories; type of construction; heating and cooling sources; water sources; sewage, solid and hazardous waste disposal; and removal date (if applicable).

Yes ___ No___ Unknown ___

Interview Worksheet * * * February 9, 2009 * * * Page 5

6. Other Questions as necessary based on the records review:

B. Hazardous Materials and Substances

1. Do the current operations on the property involve the use and storage of chemicals? If yes, please describe the operations and indicate the location(s), type, and quantities of materials used. Describe locations of chemical storage, mixing, and loading. Discuss any use, storage, mixing, or disposal of automotive or other batteries, pesticides (e.g., insecticides, herbicides, and fungicides), paints, solvents, or other chemicals on fence lines, rights-of-way, or other structures such as airstrips, heliports, or crop duster operations.

Yes ___ No ___ Unknown ___

If yes, has there been a spill or release of hazardous substances, petroleum products, or other potential environmental problems on the property associated with current operations? If yes, describe the nature and location(s) of the release and the quantities and types of hazardous substances. This includes staining or soils and floors in areas utilized for the use and storage of hazardous materials.

Yes ___ No ___ Unknown ___

If there had been a spill or release of hazardous substances or petroleum products, did someone report the incident to the National Response Center or a local or State emergency response authority? If yes, identify the agency.

Yes ___ No ___ N/A ___ Unknown ___

Interview Worksheet * * * February 9, 2009 * * * Page 6

If a spill or release of hazardous substances or petroleum products has occurred, has the release been mitigated? If yes, describe the mitigation, identify the lead regulatory agency that oversaw the mitigation and indicate if the lead regulatory agency issued a no-further action (NFA) determination. Yes ___ No ___ N/A ___Unknown ___

If remediation is completed, does the property have contamination or residual contamination? If yes, are there any institutional controls/land use restrictions in place or long term monitoring and maintenance requirements?

Yes ___ No ___ N/A ___Unknown ___

2. Are there any past operations at the property that involved the use or storage of hazardous materials and substances? If yes, describe the operations and the location(s), types, and quantities of materials. Yes ___ No ___ Unknown ___

If yes, has there been a spill or release of hazardous substances, petroleum products, or other potential environmental problems on the property associated with past operations or tenants? If yes, describe the nature and location(s) of the release and the quantities and types of hazardous substances. Yes ___ No ___ N/A ___Unknown ___

Interview Worksheet * * * February 9, 2009 * * * Page 7

If a spill or release of hazardous substances or petroleum products had occurred, was it reported to the National Response Center or a local or State emergency response authority? If yes, identify the agency. Yes ___ No ___ N/A___ Unknown___

If a release of hazardous substances or petroleum products had occurred, was the release been mitigated? If yes, describe the mitigation, identify the regulatory agency that oversaw the mitigation and indicate if the lead regulatory agency issued a no-further action (NFA) determination. Yes ___ No ___ N/A ___Unknown ___

If remediation is completed, does the property now have contamination or residual contamination present? If yes, are there any institutional controls or land use restrictions in place or long-term monitoring and maintenance requirements?

Yes ___ No ___ N/A ___ Unknown ___

3. Have there ever been any easements, rights-of-way, pipelines, utility lines, railways, entry or exit ports and associated structures, either buried or overhead, crossing the property? If yes, please describe and indicate the location(s), approximate construction date, and the owner’s identity. Yes ___ No ___ Unknown ___

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If yes, are you aware of any spills or releases associated with these features? If yes, please describe the spills and releases and indicate the date, type and quantities of materials involved. Yes ___ No ___ Unknown ___

If a spill or release has occurred, are you aware if the release has been mitigated? If yes, who did the mitigation and what regulatory agency oversaw the mitigation? If known, indicate whether the lead regulatory agency issued a no-further action (NFA) determination.

Yes ___ No___ N/A ___ Unknown ___

If remediation is completed, are you aware if there the property still has contamination or residual contamination? If yes, are there any institutional controls or land use restrictions in place or long-term monitoring and maintenance requirements?

Yes ___ No ___ N/A ___ Unknown ___

4. Are you aware if the property’s topography has been altered or if the property has any unnatural topographic features present? If yes, please describe the topographic alterations or unnatural features. Indicate their location(s) on the property and, if known, when the alterations occurred and by whom. Yes ___ No ___ Unknown ___

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5. Has fill material ever been brought onto the property that originated from a contaminated site or that was of an unknown origin? If yes, describe the date and quantity of material brought to the property, indicate the location where the material was placed.

Yes ___ No ___ Unknown ___

If fill material came from a contaminated site, identify the fill’s origin and describe the contamination.

6. Is there any evidence that waste materials were dumped above grade, buried, or burned, either currently or previously, on the property?

Examples include hazardous materials, petroleum products, labeled or unlabeled drums or containers, pesticide containers, household and farm debris, automotive or industrial batteries, building demolition debris, or other waste materials. Yes ___ No ___ Unknown ___

7. Are there any floor drains in the on-site structures or areas where chemicals (e.g., waste oil, antifreeze, solvents, and pesticides) were used or stored? If yes, indicate the location(s) of the structures and the types, quantities, and time frames related to the associated chemical use or storage. For each area or structure, also indicate the discharge location for the floor drains.

Yes ___ No ___ Unknown ___

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8. Do the walls, floors, or ceilings of the structures used to store hazardous materials have any chemical stains? If yes, indicate the areas in each structure that has chemical staining. Yes ___ No ___ Unknown ___

9. Are there or have there been any floors, drains, walls, or ceilings stained by substances other than water or that are emitting foul or unnatural odors (e.g., mold, mildew, algae)? If yes, describe the location(s) and the nature of the past and current site operations.

Yes ___ No ___ Unknown ___

10. Are there electrical transmission lines, transformers, capacitors, lighting ballast, or hydraulic equipment (e.g., elevators, presses, lifts, or doors) on the property? If yes, identify the location(s) and approximate age of the equipment.

Yes ___ No ___ Unknown ___

If the site has electrical transmission lines, transformers, capacitors, lighting ballast, or hydraulic equipment, has testing been done to determine the presence of polychlorinated biphenyls (PCBs) or has any on-site equipment contained PCBs? If yes, indicate the location(s), type of equipment, and dates. Yes ___ No ___ Unknown ___

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If the site has or had PCBs, are you aware of any release of PCBs that have occurred? If yes, describe the release and indicate the date, location(s) and whether the release was mitigated. Yes ___ No ___ N/A___ Unknown ___

11. Has there ever been any mercury-containing equipment (e.g., switches, thermostats, thermometers, manometers, or sink traps) on the property? If yes, indicate the location(s) and type of equipment and dates. Yes ______ No ______ Unknown ______

12. Are you aware of any radon, asbestos-containing materials, or lead-based paint on the property? If yes, indicate the type, locations and dates. Yes ______ No ______ Unknown ______

If yes, has anyone done any radon, asbestos-containing materials, or lead-based paint surveys on the property? If yes, indicate whether radon, asbestos-containing materials, or lead-based paint has been identified in any on-site buildings. Identify the dates of the surveys, the structures, the results, and condition of the materials. Yes ___ No ___ Unknown ___

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13. Is there current or past use of above-ground or underground storage tanks, including drums or other fuel containers, on the property? If yes, identify the tanks locations, installation dates, and the types and quantities of materials stored. If the tanks were removed, indicate the removal date and whether the lead regulatory agency issued a closure certification notice. Yes ___ No ___ Unknown ___

If above-ground or underground storage tanks are or were used on the property, was there ever a spill or release of hazardous substances associated with the tank system? If yes, indicate the date and nature of the spill or release. Yes ___ No ___ Unknown ___

If a spill or release has occurred related to an on-site tank system, was it mitigated to the satisfaction of the lead regulatory agency? If no, describe further actions that must be undertaken to address the spill or release. Yes ___ No ___ Not Applicable___ Unknown ___

14. Are you aware of any hazardous substance or pollutant or contaminant spill or release, or other potential environmental problems on any adjacent or nearby properties? If yes, please describe (if known) the location(s) of the release, the type and quantities of materials involved, and the approximate dates. If known, also indicate the owner of the property where the release occurred.

Yes ___ No ___ Unknown ___ If there was a release of hazardous substances, petroleum products on any adjacent or nearby properties are you aware if the release

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15. Are you aware of contamination or residual contamination on adjacent or nearby properties that poses a threat or may pose a future threat to the property? If yes, describe the threat or potential threat.

Yes ___ No ___ Unknown ___

16. Are you aware of any institutional controls, land use restrictions, long-term monitoring, or maintenance requirements in place on adjacent or nearby properties that affect the property? If yes, please describe and identify the adjacent or nearby property and the property owner. Yes ___ No ___ Not Applicable ___ Unknown ___

17. Other Questions as necessary based on the records review:

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C. Water and Wastewater

1. Does the property currently or has it ever been supplied by an on-site drinking water supply well? If yes, provide the well location(s) and construction dates. Yes ___ No ___ Unknown ___

Have contaminants ever been identified in the on-site drinking water well or the water system that exceeded acceptable levels? If yes, describe the contamination and indicate the dates, contaminant levels and the source of the contamination, if known.

Yes ___ No ___ Not Applicable___ Unknown ___

If an on-site drinking water well is no longer used, has it been properly abandoned according to applicable regulatory requirements? If yes, indicate the date the well was abandoned. Yes ___ No___ Not Applicable___ Unknown ___

2. Has the property ever had an on-site wastewater treatment and disposal systems (e.g., septic systems or sewage lagoons). If yes, please describe of the system, including the location(s), size, date constructed, and which buildings discharge to the system.

Yes ___ No ___ Unknown ___

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If the on-site wastewater treatment and disposal system is no longer used, has it been closed? If yes, describe method of closure and date closed. Yes ___ No ___ Not Applicable___ Unknown ___

3. Does the property have any monitoring wells? If yes, explain the purpose of the wells and provide the location(s), dates of construction, and any analytical results. Yes ___ No ___ Unknown ___

If the monitoring wells are no longer used, were they properly abandoned according to applicable regulatory requirements? If yes, indicate the date the well was abandoned. Yes ___ No ___ Not Applicable___ Unknown ___

4. Does the property have surface water (e.g., pits, ponds, lagoons, rivers, creeks, or oceans)? If yes, describe the location(s) and type of surface water. Yes ___ No ___ Unknown ___

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If the property has surface water, are you aware of any unnatural characteristics such as color, sheens, odors, or sterility? If yes, please describe and indicate whether the situation is new or pre-existing.

Yes ___ No ___ Not Applicable___ Unknown ___