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State of California-California Environmental Protection Agency Department of Toxic Substances Control TIERED PERMITTING PHASE I ENVIRONMENTAL ASSESSMENT CHECKLIST ....................... -..................... .......... ........... ................. ........... ........... ......... ............ SECTION IV:FACILITY WALK-THROUGH INSPECTION-OTHER AREAS of the checklist requires the owner and/or opemator of the facility to conduct a walk-through inspection of the those portions of the facil ity 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 abandonedstorage tanks,spill areas.surf ace impoundments.etc Sonic of the environmental warning signs include stains.discolored vegetation,and/or unnatural terrain, Duringthe inspection,were any of the following present: ................... ...................... ...................... YES NO I. Does the facility have vent pipes,fill pipes,and/or access routes that may indicate X the presence of an underground storage tank-? ...................................................... ............. .......... 2. Does the facility have stains and/or discolorations of the soil,flooring,drains and/or walls at the facility which may indicate a release to the environment that X has not oris not beingaddressed under the oversight of an appropriate.................................................. ....... ....... ............................................................. 3. Does the facility have areas of soil at the facility that appear disturbed and which X may indicate onsite 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, X such as unexplained mounds or depressions? .................................................................................unexplained - ............. ..........-..................................................................... ...................................................................................................................... ........... ........................ ............................................. S. Does the facility have unusual smells or odors emanating from the soil,floor, X drains,and/or walls at the facility? ................. ................... ............. .......... 6. Does the facility have dead,abnormal,or distressed-looking vegetation or X conspicuous absence of 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. a.Storm Drain d.Open Land b.Newer e.Areas of pooling,settling,or evaporation c.Drainage Ditch f.Other DTSC Ili 1(06/99) Please indicate total number of pages—of