Application Checklist Commercial Real Estate Loan Page 11
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25Environmental Questionnaire and Disclosure Statement
2. Does the drinking water in the facility contain lead at levels exceeding safe drinking water
standards (i.e. above 50 parts per billion)?
3. Does the building contain asbestos? (If yes, describe the type and location of asbestos.)
4. IF asbestos is present, is it friable?
5. Does the building contain urea‐formaldehyde?
6. Does the building have radon levels in the basement or slab on grade at levels greater than 4
pCi/I?
Does the building contain PCB electric transformers, capacitors or florescent light ballasts?
6. Permits and Records Review
1. Is the site subject to state law requiring the completion of a Phase 1 Environmental Site
Assessment?
2. Is the site on or within one mile or an EPA or State priority cleanup site or on or near a site
suspected of contamination? (If yes, please identify.)
3. Are there any violations of environmental permits or regulations at the site (i.e. CERCLA,
NDPES, CWA, CAA, OSHA, RCRA)? (If yes, please identify.)
4. Are there records indicating past or present manufacture, storage, disposal, processing or
handling of hazardous materials or petroleum products at the site? (If yes, please identify).
L:\Admin\Commercial Application Package\Environmental Questionnaire and Disclosure Statement.docx
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