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SECTION 2 SITE INFORMATION (continued) • <br /> Are any Federal, State or Local regulatory agencies currently involved with the site? ❑ Yes ❑ No <br /> If Yes, state the involvement, and give contact names and telephone numbers <br /> -------------- -------------------------------------------- ----------------------------- -------------------- <br /> Agency Involvement Contact Name Phone <br /> What is the future proposed use of the site? <br /> What oversight service is being requested of the Department? <br /> ❑ PEA ❑ RUFS ❑ Removal Action ❑ Remedial Action ❑ RAP ❑ Certification <br /> ❑ Other (describe the proposed project) <br /> Is there currently a potential of exposure of the community or workers to hazardous substances at the site? <br /> ❑ Yes ❑ No If Yes, explain <br /> SECTION 3 COMMUNITY PROFILE INFORMATION <br /> Describe the site property (include approximate size) <br /> Describe the surrounding land use (including proximity to residential housing, schools, churches, etc.) <br /> Describe the visibility of activities on the site to neighbors <br /> DTSC 1254(3/95) A-3 <br />