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❑ ❑ 3.4 Description of all past off-site potential and/or known above and below ground sources of contamination identified <br />in the area of the project site that has or may impact the project site. (Examples: Close proximity to a former <br />landfill/former gasoline station, in area of known DBCP/Nitrate groundwater impact, etc.) <br />0 9—Iz-" tom. SPS <br />❑ ❑ 3.5 Description of all current off-site potential and/or known above and below ground sources of contamination <br />identified in the area of the project site. <br />� �� i`&-- Q-- �S I S ;--YtS <br />4.0 EVALUATION OF PAST AND CURRENT SOURCES OF CONTAMINATIO IDENTIFIED <br />AT OR NEAR THE SITE AND RECOMMENDATIONS FOR FURTHER ACTION <br />❑ ❑ 4.1 Evaluation of each potential and/or known source of contamination identified (in the above section) for any real <br />and/or potential threat to human health and the environment. This evaluation should take into consideration the <br />proposed future uses of the project parcel. <br />V--� Q., OS-%.—`^ <br />r-4�v `--P � S> <br />5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br />❑ ❑ 5.1 Discussion of the above evaluation to either rule out each source as a real or potential threat or to recommend <br />further action to mitigate or abate any real or potential threats identified. Recommendations may include <br />additional site assessment (i.e. collection of soil/water samples) and/or mitigative measures (i.e., clean up of <br />surface wastes). All recommendations for future work must include a time frame for implementation. <br />_ l.jq-6v��1CS <br />E. ►.mac- v o o. at T e � . <br />0 ❑ 5.2 The report was inclusive (i.e. all information referenced was included in this report — report should not reference <br />other reports). <br />M ❑ 5.3 The report was signed, dated and stamped by a qualified environmental professional. <br />F� ❑ 5.4 The report was prepared within six months of the date of the submittal of the land use application. <br />❑ ❑ 5.5 The attachments/appendices contain sufficient documentation to support claims made in report. <br />� � D �D iL O GS PO S &A -0,C <br />Reviewed By: Aaron Gooderham 4Reviewed Date: <br />EHD 26-02-001 Page 2 of 2 Surface & Sub Checklist <br />7/14/2003 <br />