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R <br /> R <br /> MENEM <br /> I <br /> C• HAZARD EVALUATION <br /> I <br /> f5 I Have all contaminants beesz identified that may be <br /> Y present on site? <br /> j <br /> Yes XX Nr. Unknown <br /> List all chemicals below that have been identified cr are suspected <br /> i' on site and their maximum concentrations <br /> Information on hazardous in soil/water. <br /> For chemicals xtat shown properties are listed in the appendix. <br /> t in the appendix, enter the hazardous <br /> _ <br /> propertyinformation in the spaces provided. <br /> Y <br /> Chemical Name <br /> Maximum Concentration ; <br /> In Soil h7 Water <br /> - Gasoline Constituents <br /> 1,060 ppm NSA <br /> Waste ail. Constituents <br /> (ppm) parts per million N/A N/A <br /> (Ppb) - pasts per billion <br /> -~ NA =Not Applicable <br /> r Free <br /> product duct present? <br /> Yes No Unknown <br /> f TYPE. of Product present: X3{ . <br /> _Leaded XX Unleaded Diesel <br /> ! P= results pending <br /> "wl <br /> )q1 <br /> i <br /> �..3�L.fF <br /> r � <br /> y <br /> f , <br /> s. — <br /> { <br /> — <br /> r <br />