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Get the free Pre-CERCLIS Screening Assessment Checklist/Decision Form - s3 documentcloud

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This document assists site investigators in determining if further investigation is needed under CERCLA for sites suspected of hazardous contamination.
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How to fill out Pre-CERCLIS Screening Assessment Checklist/Decision Form

01
Obtain a copy of the Pre-CERCLIS Screening Assessment Checklist/Decision Form.
02
Review the form's instructions carefully to understand its purpose.
03
Identify the site and project for which the assessment is being completed.
04
Fill in basic information such as site name, location, and date.
05
Complete the checklist sections, answering each question with 'Yes,' 'No,' or 'Not Applicable' as appropriate.
06
Provide any necessary explanations or comments in the designated sections.
07
Assess potential hazardous substances by referring to relevant databases or previous assessments.
08
Review your responses for completeness and accuracy before submission.
09
Submit the completed form to the appropriate regulatory authority as required.

Who needs Pre-CERCLIS Screening Assessment Checklist/Decision Form?

01
Organizations or individuals involved in environmental assessments.
02
Regulatory agencies evaluating potential hazardous waste sites.
03
Entities preparing for the CERCLA process including site managers and consultants.
04
Stakeholders involved in site cleanup or remediation initiatives.
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The Pre-CERCLIS Screening Assessment Checklist/Decision Form is a document used to assess potential hazardous waste sites before they are formally listed in the Comprehensive Environmental Response, Compensation, and Liability Information System (CERCLIS).
The form must be filed by parties responsible for potential hazardous waste sites, including property owners, operators, or other responsible entities who may be involved in site assessment or remediation.
To fill out the form, individuals must complete sections detailing site information, description of operations, past uses of the site, potential contaminants, and other relevant environmental data based on available records and site assessments.
The purpose of the form is to gather necessary data to determine whether a site requires further investigation or action under the CERCLA framework, helping to prioritize resources for cleanup efforts.
Information reported must include the site location, previous land uses, information about hazardous substances, nearby populations, and other pertinent environmental details that could influence site assessment decisions.
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