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State of California -California Environmental ProtAgency . Department of Toxic Substances Control <br />TIERED PERNIITTING PHASE I ENVIRONMENTAL ASSESSMENT CHECKLIST <br />DTSC 1151(06/99) Please indicate total number of pages 8 of <br />AREAS OF ATA SHEET <br />Wastewater Treatment rea <br />1. <br />Facility name: Delta Plati g, Inc. <br />2. <br />This sheet is being completed for a: <br />Known release Suspected release_ <br />3. <br />How was this release or suspected release discovered? <br />During the walk-through inspection? _ Y._ Previously known release? <br />What checklist question(s) are related to this release (section/question) <br />4. <br />When did the release occur? Unknown <br />5. <br />What was released and how much? Unknown <br />6. <br />What caused the release? Unknown <br />7. <br />Indicate the approximate area of the release (e.g. 3 feet in diameter, 5 feet X 4 feet.) <br />8. <br />Was the release remediated? If YES, explain how. (Note: A datasheet need not be completed for <br />releases remediated or being remediated under the oversight of an appropriate agency.) <br />No <br />9. <br />Were samples collected? If yes, what were the results? <br />No <br />10. <br />List any environmental reports or studies performed on the area of concern and attach copies or summaries of the reports not <br />submitted to the Department. <br />Name of preparer: Timothy R. Lundell, PE Chemical Data Management Systems <br />Title of the Preparer. Consultant <br />Date: 5-18-04 <br />DTSC 1151(06/99) Please indicate total number of pages 8 of <br />