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State of California-Califonua Environment Protection Agency Department oFToxic Substances Control <br /> TIERED PERMITTING PHASE I ENVIRONMENTAL ASSESSMENT CIIECKLIST <br /> SECTION III: FACILITY WALK-THROUGH INSPECTION-SPECIFIC AREAS <br /> instructions_List each area ofthe facility where hazardous materials are present. The listing area is divided info functional divisions for com cmeme.ludividual units may be grouped on the chart,but <br /> must be individually inspected. Carefully examine each fthese areas during Out walk-Owugh inspection to determine the presence of releases or possible releases and record the results in We <br /> appropriate column,date and initial the entry. Complete a Release Information Data Sheet for each actual and possible release found. Using Your bestpopmenq decide ifany actual or suspected <br /> releases found require further investigation end record the results on the Release Information Data She and in the splamaime Column ou this chart.If non need additional space,photocopy this sheet. <br /> HAZARDOUS MATERIAL AREA INSPECTED ACTUAL OR SUSPECTED REQUIRES FURTHER <br /> (Yes or No) RELEASE INVESTIGATION <br /> Yes as No (Ycsor No <br /> LOADING/UNLOADING AREAS 0) N U U <br /> HAZARDOUS MATERIALS USE AREAS N 0 <br /> HAZARDOUS WASTE GENERATION AREAS P S 0 N 0 <br /> HAZARDOUS WASTE TREATMENT/STORAGEAREAS <br /> DTSC 1151 piacq) Please indicatetutat numberofpages 7£ <br />