DEP BWSC RAO TECHNICAL SCREENING AUDIT FORM

††2†2†††2†††2†††2†2†2††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††2†††††† DEP BWSC RAO TECHNICAL SCREENING AUDIT FORM Disclaimer: This checklist is for use by DEP in reviewing Response Action Outcome (RAO) Statements, and may not be relied upon for any other purpose. This checklist is not a comprehensive list of RAO requirements, which are fully set forth in MGL c. 21E and 310 CMR 40.0000. Completion of this checklist by DEP does not constitute a final agency decision, and does not create any legal rights or relieve any party of obligations that exist pursuant to applicable laws. Lead RTN: OHM description: (Source, Type of OHM, Media Date RAO Rcvd _____/_____/_____ SUBMITTAL TYPE (Circle one) Affected) RAO RAO-P LSP Eval. Opin. Waiver Compl. St. RAO w/ AUL Other: Site Use: Related RTNs: Town: Site Name: Address: PRP/OP: LSP Consultant: LSP No.: TECHNICAL SCREENING CHECKLIST Page # Condition I. SITE CONCERNS (Based upon conditions at time of RAO submittal) A. Time Critical Conditions Yes No ? 1. Applicable GW-2 standard exceeded@ residence/school with no soil gas/indoor air sampling 2. More than 0.5" NAPL observed in any monitoring well 3. One or more data points exceeds UCL 4. EPC in S-1 soil exceeds Method 1 standard and school ...