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<br />Mtaclunent 2 c..S <br /> <br />LEVEL I SURVEY <br />CONTAHINANT SURVEY CHECKLIST <br />OF PROPOSED REAL ESTATE ACQUISITIONS <br />BUREAU OF RECLAMATION <br /> <br />INSTRUCTIONS~ Check for each category. Explain briefly where something other <br />than "No,. "None," or "Not Applicable" is checked. Discuss whether a level II <br />or III survey will be recommended. Describe the distance if "Nearby~ is <br />checked .and whether there is a known potential pathway for contamination on- <br />site. Attach a legal description of the real estate property covered by this <br />survey. <br /> <br />A. BacKground Information. <br /> <br />Project <br /> <br />Property 10 <br /> <br />County <br /> <br />State <br /> <br />Owner <br /> <br />Date of Survey <br /> <br />Photographs of site taken? Yes No <br /> <br />Available from: <br /> <br />B. Site Inspection Screen: On-site and Nearby. <br /> <br />ONSITE <br />1. Dumps, especially with drums, containers (read <br />labels if possible; do not open or handle! If <br />no labels, note identifying characteristics.) <br /> <br />NEARBY <br /> <br />NONE <br /> <br />2. Other debris: household, farm, industrial <br />waste <br /> <br />3. Fills; possible cover for dumps <br /> <br />4. Unusual chemical odors <br /> <br />5. Storage tanks; petroleum pr9d~~ts, <br />pesticides, etc. . <br /> <br />6. Buildingsi chemical storage, equi~ent <br />repair, solvents <br /> <br />7. Structures--evideoce of asbestos-sprayed <br />fire proofing, acoustical plaster <br /> <br />8. Vegetation different from surrounding for <br />no apparent reason, e.g., bare ground <br /> <br />9. .Sterile. or modified water bodies <br /> <br />10. oil seeps, stained ground, discolored <br />stream banks <br /> <br />1 <br />