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Municipal Entity Underwriting Application - page 9 / 34

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Municipal Entity Underwriting Application

* A = Abandoned, C = Closed, E = Entity Operated, S = Subcontracted Out

1.

In what type of area is/are the landfill(s) located?

2.

Please describe adjacent properties.

3.

Do employees monitor attendance when the site is open?

 Yes

 No

4.

Is each site fenced with a locked gate when closed?

 Yes

 No

5.

How close is the nearest surface water?

6.

Drinking water?

7.

Describe any test(s), system(s), or equipment used to monitor this site(s).  

8.

What type and form of waste goes into each site?  

Location

Type

TYPE = Household, Commercial, Industrial, Organic

Form

FORM = Solid, Liquid, Sludge

9.

Is any hazardous waste handled at any site?

If yes, please describe material and handling at any site.  

 Yes

 No

10.

Is your entity staff aware of any prior activities, which involved hazardous wastes?

If yes, please describe.  

 Yes

 No

11.

If there are any abandoned or closed sites, please describe closure plans.  

12.

Are there Methane Gas Escape Vents?

 Yes

 No

13.

Is the landfill covered each night per EPA standards?

 Yes

 No

PARKS & RECREATION SUPPLEMENTAL Information

9 of 3410/23/2007

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