Concern Checklist For New Construction And Renovations Page 2

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POST CONSTRUCTION USE OF FACILITY
23.
Will there be bulk storage (more than 55 gallons or 100 pounds) of
Yes
No
NA
hazardous substances (e.g. chlorine, ammonia, sulfuric acid,
petroleum products, oil, etc)
24.
Will there be a rinsing area for pesticide application equipment?
Yes
No
NA
25.
Will there be any sources of air emissions (e.g. paint booth,
Yes
No
NA
printing press, combustion source, etc.)?
26.
Will there be any use or storage of radioactive materials?
Yes
No
NA
27.
Will there by any ionizing radiation devices (e.g. x-ray units,
Yes
No
NA
accelerators, cyclotron, etc.)?
28.
Will the project result in a new or remodeled food service
Yes
No
NA
operation?
29.
Will fume hoods be moved, added or removed as a result of the
Yes
No
NA
project?
30.
Will biological safety cabinets or laminar flow hoods be moved,
Yes
No
NA
added or removed as a result of the project?
31.
Will there be any new laboratories with Biosafety Level 2, 3, or 4
Yes
No
NA
rating?
32.
Will the project include the addition of a sprinkler system or fire
Yes
No
NA
alarm system?
OTHER ISSUES AND COMMENTS:
___________________________________________________
_________________
Print name of person completing form
Date
Title of the person completing the form
Department
Please return completed forms to: Environmental Health & Safety Office
Form EHS0703

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