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State of California-California .ronmental Protection Agency Depart . of Toxic Substances Control <br /> \/ v./ <br /> TIERED PERMITTING PHASE I ENVIRONMENTAL ASSESSMENT CHECKLIST <br /> SECTION IV: FACILITY OPERATIONS <br /> Instructions: Complete this section regarding facility operations. This section requires the facility <br /> owner/operator to assess the facility's operational procedures and practices. <br /> YES NO <br /> 1. Does the facility have storage areas containing process chemicals, hazardous <br /> materials, used or spent materials, hazardous waste, and/or petroleum products? YES <br /> If YES, answer the questions below. <br /> a. Are periodic inspections conducted? If YES, indicate when the YES <br /> inspection program was initiated and its frequency (yearly, monthly, <br /> weekly, or daily): 1979 / MONTHLY <br /> b. Does the facility conduct periodic inventories? If YES, indicate the YES <br /> frequency of the inventories: MONTHLY <br /> 2. Has the facility ever received a notice of violation or compliance order from any <br /> local, state, and/or federal regulatory agency for operational and/or environmental <br /> problems at the facility? If YES, list the date and agency issuing the notice or <br /> order, and include a copy of the notice or order from agencies other than the <br /> Department YES <br /> 3. Do the health records of the facility workers show any unusual incidences in any NO <br /> type of health complaint or sickness? <br /> 4. Are any hazardous waste units at the facility currently undergoing closure? NO <br /> 5. Are there any current or former units at the facility subject to a cleanup and/or <br /> compliance order from a federal, state, or local regulatory agency? If YES, list <br /> the agency issuing the order, the date of the order, and include a copy of the order NO <br /> from agencies other than the Department. <br /> 6. Do you know if the pipes, fittings, and/or drains underneath the flooring, <br /> connected to process and/or storage equipment, are damaged, corroded, or NO <br /> cracked? <br /> 7. If you answered YES to any of the above questions, those areas should receive special attention during <br /> the Facility Walk-Through-Inspection (Section V). During the Facility Walk-Through-Inspection, you <br /> are to determine if those areas contain possible contamination which require further investigation. <br /> Attach the results of your findings with a description of the problem, the Section and Question number <br /> being addressed, and submit it with this checklist to the Department (i,e., Section IV, Question 1). <br /> Please indicate total number of pages: Page 6 of <br /> DTSC 1151 (6/94) WORKSHOP DRAFT 11 <br />