Appendix F. Phase I Environmental Questionnaire

Transcription

1 MRA COSTA HS GYM REPLACEMENT, PHASE ENRONMENTAL STE ASSESSMENT MANHATTAN BEACH UNFED SCHOOL DSTRCT Appendices Appendix F. Phase Environmental Questionnaire August 217 PlaceWorks

2 J PHASE ENRONMENTAL QUESTONNARE STE NAME DATETME PREPARED NTEREWER Mira Costa HS - Gym Replacement June 27, 217 Eric Longenecker NTEREWEE STE ADDRESS PROJECT NUMBER 141 Artesia Blvd Manhattan Beach, California 9266 MBUS-1. Note: nterviewee must be Owner or Occupant Please check or circle the appropriate response, and comment explain any "Yes" answers in the blank lines on the last page OBSERED OCCUPANTS DURNG OWNER (F APPLCABLE) STE ST QUESTON Yes No Unk Yes No Unk Yes No,,. 1a. s the property used for an industrial use? 1b. s any adjoining property used for an industrial use? v 2a. Did you observe evidence or do you have any prior knowledge that the property has been used for an industrial use in the past? 2b. Did you observe evidence or do you have any prior knowledge that any adjoining property has been used for an industrial use in the past? 3a. s the property used as a gasoline station, motor repair faci lity, commercial printing facil ity, dry cleaners, photo developing laboratory, junkyard or landfill, or as a waste treatment, storage, disposal, processing, or recycling facility? (f applicable, identify which.) 3b. s any adjoining property used as a gasoline station, motor repair faci lity, commercial printing fac il ity, dry cleaners, photo developing laboratory, junkyard or landfill, or as a waste treatment, storage, disposal, processing, or recycling faci lity? (f applicable, identify which.) ti! i 4a. Did you observe evidence or do you have any prior knowledge t hat the property has been used as a gasoline station, motor repa ir faci lity, commercial printing facility, dry cleaners, photo developing laboratory, junkyard or landfil l or as a waste treatment, storage, disposal processing, or recycl ing facil ity? (f applicab le, identify which.) 4b. Did you observe evidence or do you have any prior knowledge that any adjoining property has been used as a gaso li ne station, motor repair facility, commercial printing fac il ity, dry cleaners, photo developing laboratory, junkyard or landfill or as a waste treatment, storage, disposal processing, or recycling faci lity7 (f applicable, identify which.) Unk = "unknown" or "no response" Page 1

3 EWJRONMEN74l QUESTONNARE NTALS OBSERED OCCUPANTS DURNG OWNER (F APPLCABLE) STE ST QUESTON Yes No Unk Yes No Unk Yes No Sa. Sb. Are there currently any damaged or discarded automotive or in dustrial batteries, pesticides, paints, or other chemicals in individual containers of more than 5 gal (19 L) in volume or 5 gal (19 L) in the aggregate, stored on or used at the property or at the facility? Did you observe evidence or do you have any prior knowledge that there have previously been any damaged or discarded automotive or industrial batteries, or pesticides, paints, or other chemical in individual containers of more than 5 ga l (19 L) in vo lume or 5 gal (19 L) in the aggregate, stored on or used at the property or at the facility? 6a. Are there currently any industrial drums (typically 55 gal [28 L]) or sacks of chemicals located on the property or at the facility? 6b. Did you observe any evidence or do you have any prior knowledge that there have previously been any industrial drums (typically 55 gal [28 L]) or sacks of chemicals located on the property or at the facility? 7a. Did you observe evidence or do you have any prior knowledge that fill dirt has been brought onto the property that originated from a contaminated site? 7b. Did you observe evidence or do you have any prior knowledge that fill dirt has been brought onto the property that is of an unknown origin? 8a. Are there currently any pits, ponds or lagoons located on the property in connection with waste treatment or waste disposal?. 8b. Did you observe evidence or do you have any prior knowledge that there have previously been any pits, ponds or lagoons located on the property in connection with waste treatment or waste disposal? 9a. s there currently any stained soil on the property? 9b. Did you observe evidence or do you have any prior knowledge that ( there has previously been any stained soil on the property? 1a. Are there currently any registered or unregistered storage tanks (above or underground) located on the property? 1 Ob. Did you observe evidence or do you have any prior knowledge that there have previously been any registered or unregistered storage tanks ( (above or underground) located on the property? 11 a. Are there currently any vent pipes, f ill pipes, or access ways indicating a ( fill pipe protruding from the ground on the property or adjacent to any structure located on the property? 11 b. Did you observe evidence or do you have any prior knowledge that there have previously been any vent pipes, fill pipes, or access ways indicating a fill pipe protrud ing from the ground on the property or adjacent to any structure located on the property? 12a. Are there currently any flooring, drains, or walls located within the facil ity that are stained by substances other than water or are emitting foul odors? 12b. Did you observe evidence or do you have any prior knowledge that i; there have previously been any flooring, drains, or walls within the facility that were stained by substances other than water or were em itting foul odors? 13a. f the property is served by a private well or nonpublic water system, is there evidence or do you have prior knowledge that contaminants have been identified in the well or system that exceed guidelines applicable to the water system? 13b. f the property is served by a private well or nonpublic water system, is there evidence or do you have prior knowledge that the well has been designated as contaminated by any government environmentalhea lth agency7 ii Unk = "unknown" or "no response" Page 2

4 ENRONMENTAL QUESTONNARE 14. Does the owner or occupant of the property have any knowledge of environmental liens or governmental notification re lating to past or recurrent vio lations of environmental laws with respect to the property or any facility located on the property? 1 Sa. Has the owner or occupant of the property been informed of the past existence of hazardous substances or petroleum products with respect. to the property or any fac il ity located on the property? 1 Sb. Has the owner or occupant of the property been informed of the current existence of hazardous substances or petroleum products w ith respect to the property or any faci lity located on the property? 1 Sc. Has the owner or occupant of the property been informed of the past existence of environmental violations with respect to the property or any facility located on the property? 1 Sd. Has the owner or occupant of the property been informed of the current existence of environmental violations with respect to the property or any faci lity located on the property? 16. Does the owner or occupant of the property have any knowledge of any environmental site assessment of the property or facility that indicated the presence of hazardous substances or petroleum products on, or contamination of, the property or recommended further assessment of the property? 17. Does the owner or occupant of the property know of any past, threatened, or pend ing lawsuits or adm inistrative proceedings concerning a release or threatened release of any hazardous substance or petroleum products involving the property by any owner or occupant of the property? 18a. Does the property discharge wastewater on or adjacent to the property, other than stormwater into a storm water sewer system? 1 b. Does the property discharge wastewater on or adjacent to the pr@perty, other than stormwater, into a sanitary sewer system? 18c. Does the property discharge wastewater on or adjacent to the property, other than stormwater, into a subsurface disposal system, such as septic tanks, vertical seepage pits, or other systems designed to ho ld or convey sanitary wast e? NT!A LS, t 1# 19. Did you observe evidence or do you have any prior knowledge that any hazardous substances or petroleum products, unidentified waste materials, tires, automotive or industrial batteries, or any other waste materials have been dumped above grade, buried, andor burned on the property? 2. s there a transformer, capacitor, or any hydraulic equipment for which there are any records indicating the presence of PCBs? 21. Are there any structures on the property? f yes, contact OHP for potential asbestoslead investigation. Unk = "unknown" or "no response" Page 3

5 " Ef1JRONMENTAL QUESTONNA RE NTALS COMMENTS EXPLANATONS SECTON cltv77rt}t?m, #11 Mk slid'1l '! ;U121t1li"fo t) Ni 6x:P<SJe-r t?jc Unk = "unknown" or "no response" Page 4

6 Mira Costa Campus Map MBUSD District Office 325 S. Peck Athletic Field Small Gym Main Gym Wrestling Room Pool M <O '<t N Eco-Land M R co Cl) j (1) ff) 3: - co (1)... t J - Athletic Field O> (1) if) FS :: ff) Mustang Mall Mustang (Upstairs).c cs Rms2-27 "5 Cl) 12 (Downstairs) SR 11 Rms Upper Peck Parking Mall Cafeteria Patio Math Science Basement Ground Floor Top Floor Tennis Courts Student Services (Upstairs) 26-29, HH, FS LC#s 4-48 SP (Downstairs) A, B, C, AD Admin. Parkin Artesia Blvd. (\ffin Auditorium 3215 A 8 C M Q R s T u w z AD Administration Offices Attendance Office Guidance Offices Textbook Room Boiler Room Pool LockersRestrooms Storage Transformer Room Adult School Weight Room Maintenance Office Athletic Director FS FW HH LC SA SD cs SF SP SR ss Food Services Faculty Workroom Health Office Learning Center Student Activities ASB Distribution Campus Security Student Finance School Psychologists School Resource Officer Student StoreStudent Activities Office