This document contains a field screening questionnaire for a Phase I Environmental Site Assessment being conducted by Tetra Tech EM, Inc. for D.R. Horton. The questionnaire asks a series of yes or no questions to the client regarding the property's history and any potential environmental concerns. Questions cover past and present on-site operations, structures, waste disposal, chemical storage, known contamination issues, and more. The purpose is to gather relevant information from the client to help determine if any recognized environmental conditions exist on the property that require further investigation.
This document contains a field screening questionnaire for a Phase I Environmental Site Assessment being conducted by Tetra Tech EM, Inc. for D.R. Horton. The questionnaire asks a series of yes or no questions to the client regarding the property's history and any potential environmental concerns. Questions cover past and present on-site operations, structures, waste disposal, chemical storage, known contamination issues, and more. The purpose is to gather relevant information from the client to help determine if any recognized environmental conditions exist on the property that require further investigation.
This document contains a field screening questionnaire for a Phase I Environmental Site Assessment being conducted by Tetra Tech EM, Inc. for D.R. Horton. The questionnaire asks a series of yes or no questions to the client regarding the property's history and any potential environmental concerns. Questions cover past and present on-site operations, structures, waste disposal, chemical storage, known contamination issues, and more. The purpose is to gather relevant information from the client to help determine if any recognized environmental conditions exist on the property that require further investigation.
As part of fulfilling the requirements of the ASTM standard E1527-00 outlining the practice of Phase En!ironmental Site Assessment "ESA#$ and to full% meet the needs of &'(' )orton in this practice$ Tetra Tech$ EM$ nc' *ill request the follo*ing information from the appropriate di!ision le!el personnel and incorporate the a!aila+le findings into the completed report' nformation pro!ided *ill +e deemed relia+le and ma% +e used in determining the need for further re!ie*$ anal%sis, recommendations and or actions relati!e to the our in!estigation of the su+-ect propert%, tas.' Cli ent Cont act : Proj ect Name: Proj ect Locat i on: Tetra Tech EM, Inc. Proj ect Number: &o %ou ha!e a site map outlining the site +oundaries/ 0000000 &o %ou .no* the current,past o*ner"s# of the su+-ect propert%/ 0000000 1ame2 0000000000000000000000000000 Phone 3 00000000000000000000000000000 1ame2 0000000000000000000000000000 Phone 3 00000000000000000000000000000 Are there possi+le restrictions to recei!e access to the su+-ect propert% "i'e' fences$ gates$ loose animals$ etc'#/ 000000 Please identif% an% on-site personnel or residents "other than the propert% o*ners# of the site that can +e inter!ie*ed for information regarding current and,or past usage of the su+-ect propert%/ 1ame2 0000000000000000000000000000 Phone 3 00000000000000000000000000000 1ame2 0000000000000000000000000000 Phone 3 00000000000000000000000000000 s there an% reason *h% EM$ nc' should a!oid contact *ith on-site personnel$ or *h% EM$ nc' should not contact current,past o*ners/ 0000000 f %es$ please e4plain' PHASE I - FIELD SCREEN QUESTIONNAIRE Page 1 Environme nt al Due Dili ge nc e Ques t i onnai r e 5ength of time %ou ha!e +een associated *ith or had .no*ledge of the site' 00000 &o %ou ha!e an% special .no*ledge or e4perience *ith the site/ 0000000 s the su+-ect propert% priced significantl% lo*er than mar.et !alue/ 000000 n con!ersations *ith personnel familiar *ith the site$ "o*ners$ residences$ etc'# ha!e %ou +een made a*are of an% en!ironmental concerns/ 0000000' f %es to either question$ please e4plain' &o an% of the follo*ing documents e4ist$ or ha!e %ou +een made a*are of them in the past2 0006es0001o0007n.*n En!ironmental Site Assessments 0006es0001o0007n.*n En!ironmental Permits 0006es0001o0007n.*n 7nderground storage tan. applications$ permits$ or registrations 0006es0001o0007n.*n 8ommunit% (ight-to-9no* Plan$ Material Safet% &ata Sheets$ En!ironmental Safet% Plans$ En!ironmental :perations and Maintenance Programs ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; 0006es0001o0007n.*n Are %ou a*are of an% conditions *ithin the su+-ect propert% or near the su+-ect site that either e4ist$ or ma% represent an en!ironmental concern to the site "i'e' landfills$ gasoline fueling stations$ manufacturing facilities$ etc'#/ 0006es0001o0007n.*n Are there an% structures$ *ater *ells$ storage tan.s$ oil *ells$ dump sites$ streams$ ponds$ flood plains$ etc' on the site/ 0006es0001o0007n.*n Are there an% en!ironmental liens or use limitations on the su+-ect propert%/ 0006es0001o0007n.*n )as the Propert% or Ad-oining Propert% +een used for an industrial use in the past/ 0006es0001o0007n.*n s the Propert% or an% Ad-oining Propert%$ or has the Propert% or Ad-oining Properties +een used as a gasoline station$ motor repair facilit%$ commercial printing facilit%$ dr%-cleaners$ photo de!eloping la+orator%$ -un.%ard or landfill$ or as a *aste treatment$ storage$ disposal$ processing$ or rec%cling facilit%/ 0006es0001o0007n.*n Are there currentl% or ha!e there +een pre!iousl%$ an% operations at the Propert% that in!ol!ed the processing$ storage or handling of petroleum in indi!idual containers of greater than fi!e gallons in !olume$ or fift% gallons in the aggregate' 0006es0001o0007n.*n Are there currentl% or ha!e there +een pre!iousl%$ an% automoti!e or industrial +atteries in significant quantities$ or pesticides$ paints$ or other chemicals in indi!idual containers of greater than fi!e gallons in !olume PHASE I - FIELD SCREEN QUESTIONNAIRE Page 2 or fift% gallons in the aggregate$ stored on or used at the Propert% or *ithin the facilit%' 0006es0001o0007n.*n )as <ill &irt +een +rought onto the Propert% *hich originated from a contaminated site or *hich is of an un.no*n origin/ 0006es0001o0007n.*n Are there currentl% or ha!e there +een pre!iousl%$ an% Pits$ Ponds$ Surface mpoundments or 5agoons located on the Propert% in connection *ith *aste treatment or *aste disposal/ 0006es0001o0007n.*n Are there currentl% or ha!e there +een pre!iousl%$ an% ncinerators$ n-ection =ells$ Transfer Stations$ =aste (ec%cling :perations$ =aste Treatment &eto4ification$ or 5and &isposal Areas located on the Propert% in connection *ith *aste treatment or *aste disposal/ 0006es0001o0007n.*n s there currentl% or has there +een pre!iousl%$ an% stained soil on the Propert%/ 0006es0001o0007n.*n Are there currentl% or ha!e there +een pre!iousl%$ an% ASTs or 7STs located on the Propert%/ 0006es0001o0007n.*n Are there currentl% or ha!e there +een pre!iousl%$ an% !ent pipes$ fill pipes or access *a%s indicating a fill pipe protruding from the ground on the Propert% or ad-acent to an% structure located on the Propert%/ 0006es0001o0007n.*n Are there currentl% or ha!e there +een pre!iousl%$ an% flooring$ drains$ or *alls located *ithin the facilit% that are stained +% su+stances other than *ater$ or are emitting foul odors/ 0006es0001o0007n.*n f the Propert% is ser!ed +% a pri!ate *ell or non-pu+lic *ater s%stem$ ha!e contaminants +een identified in the *ell or s%stem that e4ceed guidelines applica+le to the *ater s%stem or has the *ell +een designated as contaminated +% an% go!ernment en!ironmental and or health agenc%/ 0006es0001o0007n.*n &oes the :*ner or :ccupant of the Propert% ha!e an% .no*ledge of En!ironmental 5iens or go!ernment notification relating to past or current !iolations of en!ironmental la*s *ith respect to the Propert% or an% facilit% located on the Propert%/ 0006es0001o0007n.*n )as the :*ner or :ccupant of the Propert% +een informed of the past or current e4istence of ha>ardous Su+stances or Petroleum Products or en!ironmental !iolations *ith respect to the Propert% or an% facilit% located on the Propert%/ PHASE I - FIELD SCREEN QUESTIONNAIRE Page 3 0006es0001o0007n.*n &oes the :*ner or :ccupant of the Propert% ha!e an% .no*ledge of an% En!ironmental Site Assessment of the Propert% or facilit% that indicated the presence of )a>ardous Su+stances or Petroleum Products on$ or contamination of$ the Propert% or recommended further assessment of the Propert%/ 0006es0001o0007n.*n &oes the :*ner or :ccupant of the Propert% .no* of an% past$ threatened$ or pending la*suits or administrati!e proceedings concerning a release or threatened release of an% )a>ardous Su+stances or Petroleum Products in!ol!ing the Propert% +% an :*ner or :ccupant/ 0006es0001o0007n.*n &oes the Propert% discharge *aste*ater other than storm *ater$ directl% to a ditch or stream on or ad-acent to the Propert%/ 0006es0001o0007n.*n To the +est of %our .no*ledge$ ha!e an% )a>ardous Su+stances or Petroleum Products$ unidentified *aste materials$ tires$ automoti!e or industrial +atteries or an% other *aste materials +een dumped a+o!e grade$ +uried$ and or +urned on the Propert%/ 0006es0001o0007n.*n To the +est of %our .no*ledge$ ha!e an% railroad ties$ telephone poles$ treated lum+er$ *ooden *ire or ca+le storage reels or spools +een dumped a+o!e grade$ +uried$ and or +urned on the Propert%/ 0006es0001o0007n.*n To the +est of %our .no*ledge$ in the past or the present ha!e an% railroad trac.s or railroad right-of-*a%s +een located on$ or ad-acent to the Propert%/ 0006es0001o0007n.*n s there a transformer$ capacitor or an% h%draulic equipment for *hich there are an% records indicating the presence of P8?s/ ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; f the site has +een used historicall !or agricultural "ur"oses2 0006es0001o0007n.*n )a!e chemical applications +een in compliance *ith manufacture@s instructions/ 0006es0001o000 7n.*n An% .no*n on-site chemical mi4ing areas/ 0006es0001o000 7n.*n An% .no*n on-site crop dusting airstrip or plane storage/ f the site has +een used historicall !or cattle gra#ing2 0006es0001o000 7n.*n An% .no*n on-site dipping areas' PHASE I - FIELD SCREEN QUESTIONNAIRE Page 4 f the site has +een used for on$site in%ustrial & manu!acturing activit: 1' agricultural or horticultural production " # 6es " # 1o 2' airport or aircraft maintenance " # 6es " # 1o A' anal%tical testing la+oratories " # 6es " # 1o B' asphalt or cement plant " # 6es " # 1o 5' chemical manufacturing or treatment " # 6es " # 1o C' dair%$ meat or food processing " # 6es " # 1o 7' dr% cleaning facilities " # 6es " # 1o D' e4plosi!es manufacturing " # 6es " # 1o E' foundries$ smelters or casting operations " # 6es " # 1o 10' freight terminals " # 6es " # 1o 11' gasoline station or con!enience store " # 6es " # 1o 12' her+icide or pesticide manufacturing " # 6es " # 1o 1A' incineration furnace or air emissions " # 6es " # 1o 1B' in.s$ d%e and paint manufacturing or use " # 6es " # 1o 15' -un. or scrap %ard " # 6es " # 1o 1C' landfill or open dump " # 6es " # 1o 17' li!estoc. feed lots or manure stoc.piles " # 6es " # 1o 1D' machine shops " # 6es " # 1o 1E' metal fa+rication or production " # 6es " # 1o 20' metal plating or finishing " # 6es " # 1o 21' militar% +ase " # 6es " # 1o 22' mining or quarr% acti!ities " # 6es " # 1o 2A' motor !ehicle maintenance or repairs " # 6es " # 1o 2B' oil and gas production or refining " # 6es " # 1o 25' paper manufacturing " # 6es " # 1o 2C' pharmaceutical or medical production " # 6es " # 1o 27' photochemical la+oratories " # 6es " # 1o 2D' plastic or fi+erglass fa+rication or manufacturing " # 6es " # 1o 2E' po*er plant " # 6es " # 1o A0' printing industries " # 6es " # 1o A1' railroad %ard or spur " # 6es " # 1o A2' treatment$ storage F disposal "TS&# facilit% " # 6es " # 1o AA' !ehicle or equipment de-greasing or *ashing " # 6es " # 1o AB' *aste treatment process " # 6es " # 1o A5' *ood preser!ation or finishing " # 6es " # 1o AC' fertili>er manufacturing " # 6es " # 1o &escri+e the industrial,manufacturing acti!ities and the o!erall house.eeping appearance' 6our comments should include a discussion of the potential impact these acti!ities could ha!e on the su+-ect propert%' PHASE I - FIELD SCREEN QUESTIONNAIRE Page 5 Propert% 7se2 Age of 8urrent :peration2 8urrent de!elopment status of the site "i'e' ra* land$ partiall% de!eloped lots$ etc'#2
Propert% Si>e "acre or square feet#2 ?uilding Si>e"s# "indi!idual square feet#2 Age of E4isting Structure"s#2 Past 7ses of Propert%,Structure"s# include appro4imate time periods2
Ad-acent Propert% 7se2 )istoric Ad-acent Propert% 7se2 dentif% Pro!ider2 Gas2 Electricit%2 Propane2 <uel :il2 =ater2 Se*er2 =aste &isposal2 PHASE I - FIELD SCREEN QUESTIONNAIRE Page 6 This questionnaire *as ans*ered +%2 &ate20 Hia2 000n Person 000Telephone 8on!ersation This questionnaire *as ans*ered +%2 1ame2 Title2 <irm2 &ate2 This questionnaire *as administered +%2 1ame2 Signature2 &ate2 PHASE I - FIELD SCREEN QUESTIONNAIRE Page 7 'n$ (it e Ins"e c t i on Chec)l i s t : A ph%si cal inspect i on of the su+- ect proper t % including o+ser!at i on of e4isti ng condi tions$ +usines s acti!ities and oper at i ons' Pro"ert Descri"tion: 00000000Si>e "acres,sf# " # unde!eloped land " # pa!ing F utilit% impro!ements " # +uilding impro!ements " # fenced 3 of +uildings00000000 " # occupied " # unoccupied <or each +uilding descri+e the impro!ement$ estimate the %ear of construction$ and ans*er the follo*ing questions2 ?uilding &escription2 0000000000000000000000000000000000000006ear0000?uilt2 )as an as+estos containing materials sur!e% +een conducted pre!iousl%/ 6es " # 1o " # s an :perations F Maintenance Plan in place for the +uilding 6es " # 1o " # Are there plans for reno!ation to the +uilding/ 6es " # 1o " # )as an% a+atement ta.en place on the su+-ect site/ 6es " # 1o " # *as evi %e nc e o! the !oll o+i ng obs erv e % on the subj ec t "ro"ert , 1' =at er +odi es$ springs$ lagoons$ s*amps$ ri!ers$ la.es$ ponds$ etc' " # 6es " # 1o 2' Stor m drai ns$ *ells$ cist er ns " # 6es " # 1o A' <loor drai ns$ septic s%st e ms " # 6es " # 1o B' &amage d, l ea.i ng transfor mer s " # 6es " # 1o 5' )ea!% equi pme nt $ tan.er s$ spra% rigs$ paint +oot hs " # 6es " # 1o C' Storage cont ainers$ drums " # 6es " # 1o 7' 8hemi cal$ pet rol eum$ foul odors " # 6es " # 1o D' &umpi ng$ dist ur+ed soil$ direct +uri al acti!it %$ in-ection *ells$ other dispos al acti!iti es " # 6es " # 1o E' Surface impoundme nt @ s, hol di ng ponds "other than stor m*at er ret ent i on# " # 6es " # 1o 10' =ast e*at er dischar ges " # 6es " # 1o 11' Sumps$ h%dr aulic lifts, equi pme nt " # 6es " # 1o PHASE I - FIELD SCREEN QUESTIONNAIRE Page 8 12' ASTs$ 7STs$ fill pipes$ !ent pipes$ !ault s$ 7ST manhol e co!ers$ pumpi ng equi pment $ pat ched areas of asphal t or concr et e indicati!e of pre!ious 7ST locations or repai rs " # 6es " # 1o 1A Monitoring *ells$ pie>omet er s$ other su+surf ace moni t ori ng de!i ses$ remedi al acti!ities " # 6es " # 1o 1B' St ai ned, di scol or ed soil " # 6es " # 1o 15' 5eachat e or seeps " # 6es " # 1o 1C' 8hemi call% distr es s ed$ discolor ed$ st ai ned !eget at i on " # 6es " # 1o 17' 8hemi cal spills,rel eas e s " # 6es " # 1o 1D' Petrol eum sheen@s on *at er "e4cludi ng par.ing lot pondi ng# " # 6es " # 1o 1E' Prolonged use or misapplicat i on of pesti ci des her+ici des$ soil condi tioner s$ fertili>ers " # 6es " # 1o 20' :ther " # 6es " # 1o &escri +e the en!ironme nt al concer ns identified' 6our comme nt s shoul d include a discussi on of the pot ent i al impact thes e concer ns could ha!e on the su+- ect proper t %2 00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000000000000000000000 PHASE I - FIELD SCREEN QUESTIONNAIRE Page 9 -%jace nt & -but t i ng Pro"ert Chec)l i s t 2 :+ser!e and docume nt to the fullest possi +l e e4t ent $ land uses$ +usi ness oper at i ons$ and condi tions of concer n on all ad- acent , a+ut t i ng proper ti es$ from the +oundari es of the su+- ect proper t % and from pu+lic street s$ alle%s$ side*al .s$ et c' An Ia+ut ti ng proper t %I means those sit es that shar e a common proper t % +oundar % *ith the su+- ect sit e$ *hile Jad- acent proper t %K means those sit es separ at ed from the su+- ect sit e +% an ease me nt such as a utilit%$ street $ high*a%$ railroad$ etc' Thi s chec)l i s t as s ume s the subj ec t "ro"ert has !our ./0 si %e s . Desi gnat e the %irect i onal rel at i ons hi " o! each a%j ac e nt & abut t i ng "ro"ert . =hen mor e than one ad- acent , a+ut t i ng proper t % is along a gi!en side of the su+- ect proper t %$ collecti!el % addr es s all condi tions o+ser!ed on an% of the multipl e proper ti es as if on one ad- acent , a+ut t i ng proper t %' 8hec. the appropri at e +o4es and fill in the +lan.s to define the o+ser!ed relationshi p and char act eri sti cs of the ad- acent proper ti es' 1. The ad- acent proper t %" s# to the "direction# is2 " # uphill from " # do*nhill from " # le!el *ith$ the su+- ect sit e' 8urrent use"s#00000000000000000000000000000000000000000000 " # occupi ed " # unoccupi ed 8hec. all observed concerns 2 " # chemi cal spills,rel eas es " # chemi cal odors " # under gr ound storage tan.s " # a+o!egr ound stor age tan.s " # st ai ned soil " # impoundme nt @ s, hol di ng ponds " # drums, cont ai ner s " # dumpi ng " # remedi at i on, cl ean- up acti!it % " # landfill,+uri al acti!it % " # moni t ori ng *ells " # indust ri al, manuf act uri ng acti!it % " # *ast e*at er dischar ge " # air emi ssi ons 8omment s 2 0000000000000000000000000000000000000000000000000000000000000 2. The ad- acent proper t %" s# to the "direction# is2 " # uphill from " # do*nhill from " # le!el *ith$ the su+- ect sit e' 8urrent use"s#00000000000000000000000000000000000000000000 " # occupi ed " # unoccupi ed " # chemi cal spills,rel eas es " # chemi cal odors " # under gr ound storage tan.s " # a+o!egr ound stor age tan.s " # st ai ned soil " # impoundme nt @ s, hol di ng ponds " # drums, cont ai ner s " # dumpi ng " # remedi at i on, cl ean- up acti!it % " # landfill,+uri al acti!it % " # moni t ori ng *ells " # indust ri al, manuf act uri ng acti!it % " # *ast e*at er dischar ge " # air emi ssi ons PHASE I - FIELD SCREEN QUESTIONNAIRE Page 10 8omment s 2 0000000000000000000000000000000000000000000000000000000000000 PHASE I - FIELD SCREEN QUESTIONNAIRE Page 11 3. The ad- acent proper t %" s# to the "direction# is2 " # uphill from$ " # do*nhill from$ " # le!el *ith$ the su+- ect sit e' 8urrent use"s#00000000000000000000000000000000000000000000 " # occupi ed " # unoccupi ed 8hec. all observed concerns 2 " # chemi cal spills,rel eas es " # chemi cal odors " # under gr ound storage tan.s " # a+o!egr ound stor age tan.s " # st ai ned soil " # impoundme nt @ s, hol di ng ponds " # drums, cont ai ner s " # dumpi ng " # remedi at i on, cl ean- up acti!it % " # landfill,+uri al acti!it % " # moni t ori ng *ells " # indust ri al, manuf act uri ng acti!it % " # *ast e*at er dischar ge " # air emi ssi ons 8omment s 2 0000000000000000000000000000000000000000000000000000000000000 /. The ad- acent proper t %" s# to the "direction# is2 " # uphill from " # do*nhill from " # le!el *ith$ the su+- ect sit e' 8urrent use"s#00000000000000000000000000000000000000000000 " # occupi ed " # unoccupi ed 8hec. all observed concerns 2 " # chemi cal spills,rel eas es " # chemi cal odors " # under gr ound storage tan.s " # a+o!egr ound stor age tan.s " # st ai ned soil " # impoundme nt @ s, hol di ng ponds " # drums, cont ai ner s " # dumpi ng " # remedi at i on, cl ean- up acti!it % " # landfill,+uri al acti!it % " # moni t ori ng *ells " # indust ri al, manuf act uri ng acti!it % " # *ast e*at er dischar ge " # air emi ssi ons 8omment s 2 0000000000000000000000000000000000000000000000000000000000000 PHASE I - FIELD SCREEN QUESTIONNAIRE Page 12 P4'PE4T5 '6E46IE* -ND 7I(T'4IC-L 8-C9:4';ND ?ased on the inquiries$ inter!ie*s and inspections identif% current and historical acti!ities on the su+-ect propert% +ac. to 1EB0 "if a!aila+le#$ complete the follo*ing chec.lists' Place a chec. mar. in all the appropriate +o4es and print or t%pe comments in the +lan.s' Investigation (ources Chec)list The follo*ing resources must +e in!estigated to inquire a+out the current and historical uses of the su+-ect propert% +ac. to 1EB0$ *hen a!aila+le' ndicate *hether the follo*ing information sources *ere a!aila+le and re!ie*ed in this Phase in!estigation2 1' (e!ie* of Aerial Photographs " # 6es " # 1o 2' (e!ie* of <ire nsurance,San+orns Maps " # 6es " # 1o A' :n Site nspection "Section # " # 6es " # 1o B' nter!ie* *ith propert% o*ner " # 6es " # 1o 5' nter!ie* *ith propert%,facilit% manager " # 6es " # 1o C' (egulator% (e!ie* "Section # " # 6es " # 1o 7' nter!ie* *ith local <ire Marshal " # 6es " # 1o D' nter!ie* *ith 5ocal En!ironmental Agenc% " # 6es " # 1o 7istorical ;se Chec)list: &escri+e the historical use of the propert% +ac. to 1EB0' 87((E1T:0000000000000000000000000000000000000000000000000000000000000000000000000000<<<<< <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< )ST:(8A5:000000000000000000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 PHASE I - FIELD SCREEN QUESTIONNAIRE Page 13