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Licensed for the sole use of the purchaser.See lieense agreement penalties for distribution, <br /> PAGE 12 COMPRESSED GAS ASSOCIATION INC. CGA G-1.8-2017 <br /> Appendix A—Phase I checklist—facility and lime impoundment characteristics <br /> (Informative) <br /> Facility description <br /> Facility name <br /> Address <br /> Facility contact Title <br /> Telephone Fax <br /> Email <br /> Years of acetylene production through <br /> Annual acetylene production rate (obtain records if possible) <br /> Amount of lime removed from impoundment <br /> Amount of lime sold/disposed of using alternate methods(describe) <br /> Facility size (acres/square meters) Number of buildings <br /> Year plant constructed Original operations <br /> Historical owners/operators and operations (site chronology): <br /> Lime impoundment description <br /> Length (feetlmeters) Width (feet/meters) Depth of lime (feet/meters) <br /> Volume of lime (cubic yards) <br /> Depth of standing water(feet/meters) pH of lime pH of water <br /> Testing method <br /> Type of containment unit(For example: excavated impoundment, earthen berm, lined, unlined): <br /> Height of containment structure (feetlmeters) Width of containment wall (feet/meters) <br /> Debris in impoundment? (describe) <br /> Other discharges to impoundments (For example: storm water, blowdown, natural springs): <br /> Access constraints (For example: buildings, vegetation) <br /> Impoundment status: o Active o Inactive <br /> This document licensed for the sole use of the purchaser. It may not be shared with any other person or used after the expiration date <br /> without the express written permission of the CGA.Any unauthorized use, reproduction, distribution, or modification of tNs printed page will <br /> result in a S5,000 liquidated damages fee plus loss of access to CGA publications for one year for your company. <br />