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SITE DESCRIPTION <br /> 4 . The site subject to this order is located at <br /> [insert specific address or nearest intersection with compass <br /> direction and distance] in the County of <br /> 5. Attached as Appendix "A" is a map of the site and <br /> immediate surrounding area showing the location of facilities, <br /> buildings, residences, surface water, wells or other relevant <br /> structures on the site. [The map can be prepared from readily <br /> available sources such as county plat maps, planning maps and <br /> aerial photographs] . <br /> OWNERSHIP <br /> 6 . The site subject to this order is owned by [name of <br /> owner] . <br /> HEALTH AND ENVIRONMENT ASSESSMENT <br /> 7 . The site is situated in a primarily [insert <br /> "urban" , "suburban" , "commercial" , "light industrial" "heavy <br /> industrial" or "rural"] area with an approximate population of <br /> persons. <br /> 8 . There has been a release on the site of [list <br /> substances] , which are considered hazardous pursuant to HSC <br /> section 25316. <br /> 9 . The site poses a public health risk should human <br /> contact occur with the hazardous substances or surrounding <br /> contaminated area. [List each hazardous constituent discovered <br /> F21F.29 2 <br /> (1/93) <br />