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State o(Giifomia-California Environmental Protection Amy %-00 Department of Toxic Substances Control TIERED PERMITTING PHASE I ENVIRONMENTAL ASSESSMENT CHECKLIST SECTION IV: FACILITY WALK-THROUGH INSPECTION-OTHER AREAS Instructions: This section ofthe checklist requires the owner and/or operator of the facility to conduct a walk-through Inspection ofthose portions of the facility not addressed in Section III in order to identify possible environmental problems,environmental warning signs or potential exposure to people,animals,or plants. Some of the problems that may be discovered during this inspection include abandoned storage tanks,spill areas,surface impoundments,etc Some of the environmental warning signs include stains,discolored vegetation,and/or unnatural terrain. During the Inspection,were any of the following present: YES NO 1. Does the facility have bent pipes,fill pipes,and/or access routes that may indicate the presence of an X underground storage tank? 2. Does the facility have stains and/or discoloration of the soil,flooring,drains and/or walls at the X facility which may indicate a release to the environment that has not or is not being addressed under the oversight of an appropriate agency? 3. Does the facility have areas of soil at the facility that appear disturbed and which may indicate onsite X disposal or land treatment of hazardous materials or remediation of releases without oversight by an appropriate agency? 4. Does the facility have areas at the facility where the terrain appears unnatural, such as unexplained X mounds or depressions? 5. Does the facility have unusual smells or odors emanating from the soil,floor, drain,and/or walls at X the facility? 6. Does the facility have dead,abnormal,or distressed-looking vegetation or conspicuous absence of X vegetation at the facility that is not directly explainable by a deliberate action and/or lack of water at the site? 7. Where does rain and/or washwater drain to at the facility?(circle all that apply) Note: slightly contaminated storm or washwater can seriously contaminate evaporation or settling areas(with no drainage)over a period of time. orm D d. Open Land Sewer e. Areas of pooling, settling,or evaporation c. Drainage Ditch f Other NOTES: 2. Stain,but no visible leaks 7a.Rainwater to sewer on sump,then to sewer or treatment 7b.Process wash water to waste treatment,then to sewer. DTSC 1151(9/95) Please indicate total number of pages 5 of 6