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E <br /> Phase I Site Reconnaissance Checklist <br /> NOA Project Number: E05163A <br /> Page 3 <br /> 9. Is there observed evidence that fill dirt has been brought onto the site which originated <br /> from a contaminated site or an unknown location? <br /> Yes ❑ No <br /> 10. a. Is there observed evidence of pesticides, automotive or industrial batteries, or other <br /> chemicals being stored or used at the property? <br /> Yes® No F1 <br /> is <br /> b. Within 250 feet? <br /> Yes None observed ❑ <br /> j 11. a. Are there any industrial drums or sacks of chemicals observed on the subject <br /> property? <br /> Yes❑ No❑✓ <br />' b. Within 250 feet? <br />` Yes ❑ None observed ❑✓ <br /> C I" <br /> i ' <br /> 12. a. Are there any open or damaged containers containing unidentified substances on the <br /> subject property? <br /> Yes❑ No ✓❑ <br /> 1 ` <br /> is <br /> b. Within 250 feet? <br /> Yes ❑ None observed ❑✓ <br /> 13. Identify any surface waters observed within 1,000 feet of the subject property. <br /> Drainage ditch surrounding west and south sides of property <br /> I' <br /> 14. a. Identify the potable water supply source: <br /> E] Public Water System ❑ None <br /> Q Private Well ❑ Not observed <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> Yes❑✓ No ❑ <br /> 15. Identify the sewage disposal system: <br /> ❑ Public Sewer System Q None <br /> l ❑ Private Septic System ❑ Not observed <br /> Y <br /> 16. Are there any pits, ponds, or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> Yes ❑ No ❑✓ <br /> �y <br /> II <br /> t <br />