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Part 2 - DESCRIPTION OF THE SITE continued <br /> Drinking Water. <br /> Does any of the contamination at the Site pose a threat or potential threat to an existing drinking water <br /> source (ground water or surface water)? <br /> ❑ Yes ® No I I Unknown <br /> If you answered "YES" above, what type of drinking water system is threatened by the contamination? <br /> Please check all that apply. <br /> ❑ Single Family <br /> n Public Drinking Water Supply <br /> If you checked "Public Drinking Water Supply" above, is the contamination located within or upstream of <br /> a 10-year wellhead protection area? <br /> I Yes ❑ No ❑ Unknown <br /> To help answer the above question or if you answered "Yes" to that question, then go to <br /> https://fortress.wa.gov/doh/eh/dw/swap/maps/ or call (800) 521-0323. <br /> Indoor Air. <br /> Are contaminant odors present in any buildings, manholes, or other confined spaces? <br /> ❑ Yes T1 No ® Unknown <br /> If you answered "YES" above, please specify: <br /> Attach additional pages if necessary. <br /> H. Maps of the Site. <br /> Please attach to this application map(s) that identify, to the extent known, the following: See attached <br /> Phase II ESA report. Additional information will be included in the draft RIFS Report. <br /> ❑ The location of the site. <br /> ❑ The properties, and any public right-of ways, affected by the site. <br /> ❑ The source(s) of the release(s) at the site. <br /> ❑ The nature and extent of contamination at the site. <br /> ❑ Any human or ecological receptors impacted by the site (e.g., drinking water wells). <br /> ❑ The physical characteristics of the site (e.g., property lines, building and road outlines, surface <br /> water bodies, water supply wells, ground water flow direction, and utility right-of-ways). <br /> ❑ The properties adjacent to the site and the uses of those properties (e.g., gas station, dry <br /> cleaner, residential). <br /> ECY 020-74(revised May 2013) 9 <br />