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February 2018OLEM 9355.1119PreCERCLA Screening Checklist/DecisionForm This form is used in conjunction with a site map and any additional information required by the EPA Region to document completion
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How to fill out pre-cercla screening checklistdecision form

01
To fill out the pre-CERCLA screening checklist decision form, follow these steps:
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Begin by reviewing the purpose and instructions provided with the form.
03
Start with the first section of the form, which typically requires information about the site being evaluated.
04
Provide accurate and detailed information about the site's location, size, type of operations conducted, and any known contaminants.
05
Move on to the next section of the form, which may ask for information about potentially responsible parties (PRPs) or previous environmental investigations.
06
Fill in all the required fields related to PRPs, including their names, contact information, and any historical information about their involvement with the site.
07
Proceed to the subsequent sections of the form, which might cover topics like site characteristics, groundwater monitoring, and human exposure pathways.
08
Ensure that all the necessary details or checkboxes are addressed in each section, providing adequate information and data as required.
09
Review the completed form thoroughly to verify the accuracy and completeness of the provided information.
10
Make necessary corrections if any errors or omissions are identified.
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Once you are satisfied with the form's content, sign and date it according to the instructions.
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Keep a copy of the filled-out form for your records and submit it to the relevant authority as specified.

Who needs pre-cercla screening checklistdecision form?

01
The pre-CERCLA screening checklist decision form is typically needed by parties involved in evaluating potentially contaminated sites.
02
This may include environmental consultants, regulatory agencies, property owners, potential buyers, or anyone with a vested interest in assessing the need for further investigation or potential response actions.
03
It is also required for certain circumstances specified by the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) or other relevant regulations.
04
Ultimately, it is important to consult the applicable regulations and guidance documents to determine who specifically needs to fill out and submit this form for a particular site or situation.
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The pre-cercla screening checklistdecision form is a document used to assess if a site may be contaminated with hazardous substances before determining if it needs to be addressed under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA).
Property owners or potentially responsible parties (PRPs) are required to file the pre-cercla screening checklistdecision form.
The form must be completed with information about the site, including historical land use, potential contaminant sources, and nearby environmental receptors.
The purpose of the form is to identify sites that may pose a risk to human health or the environment due to contamination, and determine if further action is needed under CERCLA.
The form requires information on site history, current land use, potential contaminant sources, and nearby environmental receptors.
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