FILE: J_ENVIRO        SITE ASSESSMENT (TM) Field Picklist         PAGE 1
(when you see the letters: "ckme" - that means: "check me for...".)
*>>>>> Top of Picklist <<<<<*          [_] ckme PCBs regs. T.S.C. ACT 15 
-----------------------------------           Transformers ___type ?__  
      PREVIOUS PICKLIST * I_RECORD     [_] yes (not leaking)             
                                       [_] yes (leaking)                 
       ENVIRONMENTAL                   [_] yes (leaking unknown)         
-----------------------------------           Capacitor ___type ?__     
      PRESENT USE (by inspection)      [_] yes (not leaking)             
        >>>>>> INSIDE OF <<<<<<        [_] yes (leaking)                 
      BUILDINGS and/or STRUCTURES      [_] yes (leaking unknown)         
                                              Hydraulic Equipment __?__ 
  POSSIBLE CHEMICAL STAINS             [_] yes (not leaking)             
-----------------------------------    [_] yes (leaking)                 
 [_] ckme Chemical Stains Observed     [_] yes (leaking unknown)         
 [_] wall(s)                                   Automobile Lift(s)       
 [_] floor                             [_] yes (not leaking)             
 [_] ceiling(s)                        [_] yes (leaking)                 
 [_] floor drain(s)                    [_] yes (leaking unknown)         
 [_] sink drain(s)                            Elevator(s) ___type ?__   
 [_] other                             [_] yes (not leaking)             
 [_] ckme Staining suggests...         [_] yes (leaking)                 
                                       [_] yes (leaking unknown)         
         CORROSION           
-----------------------------------            HEATING             
 [_] ckme  Corrosion Observed         -----------------------------------
 [_] wall(s)                                       Equipment            
 [_] floor                             [_] forced hot air furnace        
 [_] floor drain(s)                    [_] radiant floor heat            
 [_] plumbing drain pipe(s)            [_] radiators (hot water/steam)   
 [_] sink drain(s)                                   Fuels              
 [_] on concrete in the ____ area      [_] natural gas                   
 [_] on steel in the ____ area         [_] propane gas                   
 [_] other                             [_] coal                          
 [_] ckme Corrosion may suggest...     [_] oil                           
                                       [_] wood                          
   ODORS inside structure              [_] electric                      
-----------------------------------    [_] steam (from outside source)   
          Strength of Odor        
 [_] strong                              ABANDONED MFG. EQUIPMENT  
 [_] pungent                          -----------------------------------
 [_] noxious                                Attached - inside structure 
           Origin of Odor              [_] no environmental hazards      
 [_] sewers                            [_] is an environmental hazard     [_] walls                                  Free-standing inside struct.
 [_] floors                            [_] no environmental hazards      
 [_] other                             [_] is an environmental hazard    
    DRAINS and SUMPS inside                 UNKNOWN RESIDUE         
-----------------------------------   -----------------------------------
 [_] ckme Drains & sumps paragraph           Observed inside structure  
      Stains or Residue Observed       [_] around sewer drains           
 [_] chemical stains observed          [_] sump pit                      
 [_] chemical residue observed         [_] cistern                       
                                       [_] equipment                     
   PCB's inside structure              [_] floors                        
-----------------------------------    [_] splashed on walls             

FILE: J_ENVIRO        SITE ASSESSMENT (TM) Field Picklist         PAGE 2
    UNKNOWN POOL of LIQUID             [_] Hazardous wastes              
-----------------------------------
       Observed inside structure       DISPOSAL SAFE / UNSAFE      
 [_] on the floor in the __?__ area   -----------------------------------
 [_] under___?___ equipment                      Disposal (safe)        
                                       [_] hazardous substances          
                                       [_] petroleum products            
*** PRODUCTION ACTIVITIES ***          [_] hazardous chemicals           
-----------------------------------    [_] hazardous waste               
            TIME FRAME                           Disposal (unsafe)      
 [_] present use(s)                    [_] hazardous substances          
 [_] past use(s)                       [_] petroleum products            
                                       [_] hazardous chemicals           
   LOCATION of ACTIVITIES              [_] hazardous waste               
-----------------------------------
 [_] building structure (interior)     STORAGE SAFE / UNSAFE       
 [_] site grounds (exterior)          -----------------------------------
                                                 Storage (safe)         
 PRODUCTION SAFE / UNSAFE              [_] hazardous substances          
-----------------------------------    [_] petroleum products            
             Use (safe)                [_] hazardous chemicals           
 [_] hazardous substances              [_] hazardous waste               
 [_] petroleum products                          Storage (unsafe)       
 [_] hazardous chemicals               [_] hazardous substances          
 [_] hazardous wastes                  [_] petroleum products            
            Use (unsafe)               [_] hazardous chemicals           
 [_] hazardous substances              [_] hazardous waste               
 [_] petroleum products            
 [_] hazardous chemicals                 **** CONTAINERS ****      
 [_] hazardous wastes                 -----------------------------------
                                             Location of Containers     
 TREATMENT SAFE / UNSAFE               [_] building structure (interior) 
-----------------------------------    [_] site grounds (exterior)       
      Treatment materials (safe)            Present Number of Units     
 [_] hazardous substances              [_]  ___  containers observed?    
 [_] petroleum products                            Made Of ?            
 [_] hazardous chemicals               [_] steel                         
 [_] hazardous wastes                  [_] metal                         
      Treatment materials (unsafe)     [_] aluminum                      
 [_] hazardous substances              [_] plastic                       
 [_] petroleum products                [_] glass                         
 [_] hazardous chemicals               [_] wood                          
 [_] hazardous wastes                  [_] oak wood                      
                                       [_] tin                           
 GENERATED SAFE / UNSAFE               [_] copper                        
-----------------------------------    [_] stainless steel               
          Generated (safe)             [_] iron                          
 [_] hazardous substances              [_] galvanized steel              
 [_] petroleum products                [_] paper                         
 [_] hazardous chemicals               [_] cardboard                     
 [_] Hazardous wastes                  [_] animal products               
           Generated (unsafe)                        Type?              
 [_] hazardous substances              [_] drums                         
 [_] petroleum products                [_] barrels                       
 [_] hazardous chemicals               [_] cartons                       

FILE: J_ENVIRO        SITE ASSESSMENT (TM) Field Picklist         PAGE 3
 [_] sacks                                    [C]urrent - [P]ast        
 [_] bins                                     [S]ubject - [A]djoining.) 
 [_] canisters                                    TIME FRAME            
 [_] cans                                        Present Use            
 [_] jars                              [_] present use (inspection)      
 [_] bottles                           [_] present key site mgr./inspect.
 [_] jugs                                        Past Use               
 [_] bags                              [_] past use (owner)              
 [_] dispenser                         [_] past use (past owner)         
 [_] piping                            [_] past use (tenant)             
 [_] tanks                             [_] past use (past tenant)        
 [_] silos                             [_] past use (records)            
 [_] dumpsters                     
 [_] other                                SITE BEING INSPECTED     
          Quantity (size)             -----------------------------------
 [_] one gallon                        [_] subject site grounds          
 [_] five gallons                      [_] adjoining site                
 [_] fifty-five gallons                       WHICH ADJOINING SITE ?    
 [_] one liter                         [_] north                         
 [_] nineteen liters                   [_] east                          
 [_] two hundred-eight liters          [_] south                         
 [_] ____ square feet                  [_] west                          
 [_] ___ cubic feet                
 [_] ___ square yard                       ODORS  (outside)        
 [_] ___ cubic yard                   -----------------------------------
 [_] ___ square meter                           Strength of             
 [_] ___ cubic meter                   [_] strong                        
           Identification              [_] pungent                       
 [_] identified as ______?______       [_] noxious                       
 [_] unidentified hazardous substan              Origin of              
 [_] unidentified petroleum product    [_] sewers                        
 [_] unidentified unknown product      [_] soil                          
            Open/Unopen                [_] holes in the ground           
 [_] open                              [_] other source                  
 [_] unopened                      
              Leakage                   DRAINS and SUMPS (outside) 
 [_] yes                              -----------------------------------
 [_] no                                           Number of             
                                       [_] yes (one ground drain)        
     Special Purpose                   [_] yes (__ ground drains)        
-----------------------------------    [_] yes (one sump pit) storage of?
 [_] processing only                   [_] yes (__ sump pits) storage of?
 [_] storage only                      [_] yes (one sump pit) collecting?
 [_] processing and storage            [_] yes (__ sump pits) collecting?
 [_] other                                      Stains Observed         
                                       [_] yes                           
                                       [_] no                            
     ** EXTERIOR AREAS **    
-----------------------------------    PCB's exterior to structures
      <<< SPECIAL INSTRUCTIONS >>>    -----------------------------------
       (Go through the rest of         [_] ckme PCBs regs. T.S.C. ACT 15 
        this picklist once for                Transformers __type ?__   
        for each of the following      [_] yes (not leaking)             
        options.  Use a letter to      [_] yes (leaking)                 
        mark each check box.           [_] yes (leaking unknown)         

FILE: J_ENVIRO        SITE ASSESSMENT (TM) Field Picklist         PAGE 4

        Capacitor __type ?__          -----------------------------------
 [_] yes (not leaking)                          Known / Not a Problem   
 [_] yes (leaking)                     [_] stressed vegetation           
 [_] yes (leaking unknown)                  Not Known / Could be Problem
        Hydraulic Equipment __?__      [_] stressed vegetation           
 [_] yes (not leaking)             
 [_] yes (leaking)                           WASTE WATER           
 [_] yes (leaking unknown)            -----------------------------------
         Automobile Lift(s)                     Kind of Discharge       
 [_] yes (not leaking)                 [_] stormwater discharge          
 [_] yes (leaking)                     [_] wastewater discharge          
 [_] yes (leaking unknown)             [_] unknown liquid discharge      
         Elevator(s) __type ?__                 Discharged Into         
 [_] yes (not leaking)                 [_] into stormwater drain         
 [_] yes (leaking)                     [_] into ditch                    
 [_] yes (leaking unknown)             [_] into stream                   
                                       [_] into parking lot              
   ABANDONED MFG. EQUIPMENT            [_] into a ___________?___________
-----------------------------------
      Attached to Ground-outside                WELLS              
 [_] free of environmental hazards    -----------------------------------
 [_] it's an environmental hazard                Type                   
      Unattached to Ground-outside     [_] dry well                      
 [_] free of environmental hazards     [_] irrigation well               
 [_] it's an environmental hazard      [_] injection well                
                                       [_] abandoned well                
 DISTILLATION RESIDUE outside                    Status                 
-----------------------------------    [_] covered with a _______?______.
        Observed in/on/around          [_] working properly              
 [_] parking lot drains                [_] broken                        
 [_] around sewer drains               [_] abandoned                     
 [_] sump pit                      
 [_] cistern (concrete)                     SEPTIC SYSTEM          
 [_] cesspool                         -----------------------------------
                                                     Type               
     UNKNOWN RESIDUE                   [_] on-site septic system         
-----------------------------------    [_] cesspool                      
        Observed in/on/around                    Status                 
 [_] around sewer drain                [_] in good working order         
 [_] sump pit                          [_] nonfunctional                 
 [_] cistern                       
 [_] cesspool                               POOL of LIQUID         
 [_] ground                           -----------------------------------
 [_] splashed on walls                             Observed             
                                       [_] standing water                
   STAINED SOIL AND PAVEMENT           [_] pool unknown substance        
-----------------------------------    [_] pit                           
     Stain Known / Not a Problem       [_] pond                          
 [_] soil                              [_] lagoon                        
 [_] paving                                         Problems            
      Not Known / Could be Problem     [_] no problem observed           
 [_] soil                              [_] odors                         
 [_] paving                            [_] discolored                    
                                       [_] oily surface sheen            
    STRESSED VEGETATION                [_] stagnated                     

FILE: J_ENVIRO        SITE ASSESSMENT (TM) Field Picklist         PAGE 5

 [_] other                             [_] present use info. by tenant   
                                       [_] past use info. present owner  
SOLID WASTES(Suspect Terrain)          [_] past info. previous inspection
-----------------------------------           Property Being Inspected  
         Not A Natural Terrain         [_] subject property              
 [_] mounds                            [_] adjoining property (see below)
 [_] depression                               Which Adjoining Property ?
 [_] fill dirt                         [_] north                         
 [_] graded areas                      [_] east                          
 [_] irregular grade elevations        [_] south                         
           Fill Dirt                   [_] west                          
           Origin of                         Tank Betrayal Items Found  
 [_] good fill (by testing)                   Pipes/Access Ways/etc.    
 [_] bad fill (by testing)                 ckme & skip-to> SITE LOCATION
 [_] unknown source                    [_] ckme vent pipes> SITE LOCATION
      WASTES AND DEBRIS FOUND          [_] ckme fill pipes> SITE LOCATION
 [_] ckme Introduction To Wastes       [_] ckme access ways>SITE LOCATION
      All ckme Items Will Be Listed    [_] ckme cover plate>SITE LOCATION
 [_] discarded batteries                        Tank(s) Found           
 [_] junk motor vehicles                   do each item below don't skip
 [_] junk marine equipment                 Number of Tanks Each Location
 [_] piles of debris                   [_] (___)# tank(s) found          
 [_] scattered garbage & trash                    Made Of               
 [_] raw material waste                [_] steel                         
 [_] construction debris               [_] aluminum                      
 [_] medical waste                     [_] iron                          
 [_] asbestos                          [_] fiberglass                    
 [_] lead paint                        [_] copper                        
 [_] manufacturing by products         [_] galvanized steel              
 [_] empty drums                       [_] stainless steel               
                                       [_] unknown tank(s)               

 WASTES CATEGORICALLY LISTED                         Size               
-----------------------------------    [_] size unknown                  
 [_] ckme INTRODUCTION TO WASTES       [_] (______)? gallons each tank   
     Waste Found on the Site           [_] (______)? liters each tank    
 [_] biological wastes                 [_] (______)? barrels each tank   
 [_] chemical wastes                   [_] various sizes                 
 [_] combustible wastes                        Tank(s) Elevations       
 [_] commercial wastes                 [_] aboveground storage tank(s)   
 [_] discharge wastes                  [_] underground storage tank(s)   
 [_] domestic wastes                              Used For              
 [_] heavy metals wastes               [_] petroleum products            
 [_] industrial wastes                 [_] hazardous substances          
 [_] pesticide wastes                  [_] chemicals                     
 [_] (PCB) wastes                      [_] unknown use(s) substances     
 [_] sludge wastes                     [_] unknown use(s) petro. products
 [_] solid wastes                      [_] gasoline                      
 [_] solvent wastes                    [_] oil                           
 [_] toxic wastes                      [_] kerosene                      
                                       [_] diesel fuel                   
 **** STORAGE TANKS ****               [_] unknown chemical              
-----------------------------------    [_] water                         
           Time Frame                  [_] chemicals (____________)?     
 [_] present use info. inspection                 Status                
 [_] present use info. by owner        [_] tank(s) currently in place    

 FILE: J_ENVIRO        SITE ASSESSMENT (TM) Field Picklist         PAGE 6

 [_] tank(s) NO (removed)          
 [_] tank(s) YES contents NO       
 [_] tank(s) exist / filled w/sand 
                                   
     ** SITE LOCATION of TANK(S) *
            Time Frame            
 [_] presently located             
 [_] were located                  
        Direction From Landmark   
 [_] east side                     
 [_] north side                    
 [_] west side                     
 [_] south side                    
     Direction Reference/Landmark 
 [_] front of                      
 [_] rear of                       
 [_] side of                       
          Landmark Status         
 [_] existing                      
 [_] removed                       
           Landmark               
 [_] service station.              
 [_] ___ ? ___  store.             
 [_] ___ ? ___ factory bldg.       
 [_] ___ ? __ retail outlet.       

        STORAGE TANK DATA       
-----------------------------------
 [_] NO registration found         
 [_] YES registration found        
 [_] /not in compliance            
 [_] /are in compliance            
 [_] and no inventory records      
 [_] and has inventory records     
         Tank(s) Not Leaking      
 [_] No leak no monitor wells      
 [_] No leak /has monitor well     
         Tank(s) Leaking          
 [_] Yes leak/has monitor wells    
 [_] Yes leak no monitor wells     
         Tank(s) Leaks Unknown    
 [_] Unknown leaks/monitoring wells
 [_] Unk leaks/ no monitoring wells
         Overfill Protection      
 [_] No overfill protection        
 [_] Yes overfill protection       

 NEXT PICKLIST IS * M_APPNDX 
-----------------------------------
     *>>>>> End of Picklist <<<<<*