Fillable Dd Form 2995 - Environmental Site Closure Survey (Page 2 of 6) in pdf

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2. SURVEY ITEM CHECKLIST

(The checklist items for each level of the survey are indicated with an I for initial, P for preliminary, and F for final. Personnel conducting the survey should

select the appropriate letter for the level of survey they are completing. Surveyors should be as descriptive as possible to ensure that the information is

complete.)

a. UNIT OPERATIONS

(Select one.)

(1) List the name of the assigned unit or organization of the environmental

officer.

(2) Has the unit or organization prepared environmental records and

documentation, to include the environmental baseline survey,

environmental conditions reports, turn-in documentation, and spill

reports for archiving by the theater level command?

(3) Has the unit or organization worked with contracting officers to close out

any environmental-related contracts or have plans in place to close out

contracts?

(4) Has the unit or organization provided training materials and manuals for

any environmental-related equipment that will be left for the receiving

organization or host nation?

(5) Does the unit know the environmental points of contact at the theater

support group or major subordinate command level?

b. MEDICAL WASTE

(1) Does the unit or activity operate a medical treatment facility that

generates or requires storage of medical waste? (If no, a medical

waste survey is not required.)

(2) Do medical personnel know the procedures for turn-in of medical waste

and major subordinate command or theater support group turn-in points

of contact ?

(3) Has medical waste been red-bagged and prepared for turn-in?

(4) Has all medical waste been removed from the site?

(5) What are the grid coordinates for the field aid stations or combat

support hospital?

(6) Provide and attach post-clearance digital photographs of the site.

c. HAZARDOUS WASTE

(1) Does the unit or activity conduct any activity that generates or requires

storage of hazardous waste? (If no, a hazardous waste survey is not

required.)

(2) Does the unit or activity have any hazardous waste tanks or drums?

Are they in secondary containment?

(3) Does the unit or activity have a working spill response plan?

(4) Are United Nations approved containers being used for hazardous

waste storage?

(5) Are enough United Nations approved containers on hand to meet

actual and anticipated need? If no, has the unit ordered sufficient

containers?

(6) Are containers being properly labeled and prepared for turn-in?

(7) Are placards on hand for marking vehicles during transportation of

waste?

(8) Has used (contaminated) spill response equipment been collected and

containerized?

(9) Does the unit know where bulk turn-in points are for used antifreeze

and petroleum, oils, and lubricants?

(10) Has a turn-in date and time been established? If yes, note the date

Date: ___________________

Time: ________________

and time.

(11) Have all spills in the hazardous waste storage area been cleaned up?

(12) Are the hazardous waste accumulation point locations clean and clear

of all materials?

(13) Is the hazardous waste storage area location clean and clear of all

materials?

(14) What are the grid coordinates for the hazardous waste accumulation

points ?

DD FORM 2995, AUG 2015

Page 2 of 6 Pages

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Dd Form 2995 - Environmental Site Closure Survey Page 2

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