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® }. 3.3 Description of all current on-site potential and/or known above and below ground sources of contamination identified at the project site (see examples above). • The California Water Boards Groundwater Ambient Monitoring and Assessment Program indicate that this parcel is a "hot spot"for DBCP contamination. The domestic drinking water well shall be tested for DBCP before final recordation of parcel map. ® ❑ 3.4 Description of all past off-site potential and/or known above and below ground sources of contamination identified in the area of the project site that has or may impact the project site. (Examples: Close proximity to a former landfill/former gasoline station, in area of known DBCP/Nitrate groundwater impact, etc.) ® ❑ 3.5 Description of all current off-site potential and/or known above and below ground sources of contamination identified in the area of the project site. 4.0 EVALUATION OF PAST AND CURRENT SOURCES OF CONTAMINATIO IDENTIFIED AT OR NEAR THE SITE AND RECOMMENDATIONS FOR FURTHER ACTION ® ❑ 4.1 Evaluation of each potential and/or known source of contamination identified (in the above section) for any real and/or potential threat to human health and the environment. This evaluation should take into consideration the proposed future uses of the project parcel. 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION ® 5.1 Discussion of the above evaluation to either rule out each source as a real or potential threat or to recommend further action to mitigate or abate any real or potential threats identified. Recommendations may include additional site assessment(i.e. collection of soil/water samples) and/or mitigative measures (i.e., clean up of surface wastes). All recommendations for future work must include a time frame for implementation. • Water samples required for DBCP ® ❑ 5.2 The report was inclusive (i.e. all information referenced was included in this report—report should not reference other reports). ® ❑ 5.3 The report was signed, dated and stamped by a qualified environmental professional. ® ❑ 5.4 The report was prepared within six months of the date of the submittal of the land use application. ® ❑ 5.5 The attachments/appendices contain sufficient documentation to support claims made in report. Reviewed By: Aaron Gooderham, EHS Reviewed Date: EHD 26-02-001 Page 2 of 2 Surface&Sub Checklist 7/14/2003