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<br />At tae hment I <br /> <br />cs <br /> <br />LEvn. I SURVEY <br />SUPPLEMENTAL CONTAMINANT CHECKLIST <br /> <br />INSTRUCTIONS: This checklist iB intended to facilitate consistent, standard <br />protocol for collection of environmental contaminant information. Briefly <br />explain your findings as they apply to each item. ~Not applicable" {NA} may <br />also be used where appropriate. <br /> <br />Site name and location: <br /> <br />Prepared by: <br /> <br />Date of survey: <br /> <br />Photographs of site taken? Yes No <br /> <br />Available from: <br /> <br />DESK AUDIT: <br /> <br />1. Consultation with local contaminants experts: <br /> <br />2. Surficial geology - Soil type/parent material: <br /> <br />3. Historical hydrological conditions: <br /> <br />4. Mining activities: <br /> <br />5. Energy development: <br /> <br />6. NPDES permit: <br /> <br />7. On-aite land use - Current/past: <br /> <br />8. Adjoining land use - Current/past: <br /> <br />9. ~ater quality data: <br /> <br />1 <br />