Dd Form 2993 - Environmental Baseline Survey (Ebs) Checklist Page 14

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(Is human waste disposed of in an environmentally sound manner and in a manner that protects human health? Are laundry
services provided or planned? Are adequate food storage facilities provided? Is liquid kitchen waste disposed of in an
environmentally sound manner that protects human health?)
(5) FIELD SANITATION
ASSESSMENT
(Are personal protective countermeasures appropriate to the threats? Describe. Have action thresholds been established to
guide initiation of pest control measures? Is there a control program for disease vectors? Are integrated pest management
procedures being used? Does the integrated pest management include reduction to food sources and breeding habitats? Are
pest management operations being conducted? If yes, describe. Include who [contractor, medical personnel] and what [vector,
pest]. Are mechanical or chemical controls being used? If so, list. Are they properly handled and stored? How are pests [such
(6) COUNTERMEASURES
as carcasses] being disposed?)
AND PEST MANAGEMENT
CONTROL
(Attach copies of DD Form 1532-1 (or equivalent). What chemical is being used, how much is in inventory, and how much is
being applied at what intervals? Are records being kept? When is application conducted? Are safety data sheets and
appropriate personal protective equipment available to personnel applying chemicals?)
(7) PESTICIDE USE
l. RADIOLOGICAL HAZARDS
(Radiological sources will only be identified for the environmental baseline survey if the source is a waste material or there is a significant impact to the
environment. If radiological sources are suspected, contact chemical, biological, radiological, and nuclear resources for assistance.)
m. NOISE
(1) NOISE SOURCES PRESENT (Are noise sources present? If so, describe sources. Take photographs.)
PRESENT
ABSENT
(2) INDIVIDUAL NOISE SOURCES
(c)
(a)
(b)
Noise Level
Location Description
Source
(Ambient noise level obtained from a
(Where is it?)
(Generator, industrial operations, air field, and so forth.)
noise meter measured in decibels.)
(Add notes related to the specific noise source.)
NOTES
NOTES
NOTES
DD FORM 2993, AUG 2015
Page 14 of 20 Pages
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Parent category: Business