into the environment? NOTE: This does NOT mean fume hoods; examples include air scrubbers, cyclones, carbon or HEPA filters at building exhaust fans, sedimentation tanks, pH neutralization systems for wastewater, etc. Yes No If YES, please list/describe: 4.0 OTHER REGULATED WASTE (i.e., REGULATED BIOLOGICAL WASTE, referred to as “Medical in California) Waste” 4-1. Will (or do) you generate medical waste? Yes No If NO, skip to Section 5.0. 4-2. Check the types of waste that will be generated, all of which fall under the California Medical Waste Act: Contaminated sharps (i.e., if Pathology waste known or contaminated with Risk Animal carcasses suspected to be contaminated ≥ Group 2 materials) with Risk Group 2 pathogens) ≥ Trace Chemotherapeutic Waste Human or non-human Red bag biohazardous waste and/or Pharmaceutical waste primate blood, tissues, etc. (i.e., with Risk Group 2 ≥ NOT otherwise regulated as materials) for autoclaving (e.g., clinical specimens) RCRA chemical waste 4-3. What vendor will be used for off-site autoclaving and/or incineration? 4-5. Do you have a Medical Waste Permit for this site? Yes No, not required. No, but an application will be submitted. 5.0 UNDERGROUND STORAGE TANKS (USTS) & ABOVEGROUND STORAGE TANKS (ASTS) 5-1. Are underground storage tanks (USTs), aboveground storage tanks (ASTs), or associated pipelines used for the storage of petroleum products, chemicals, or liquid wastes present on site (lease renewals) or required for planned operations (new tenants)? Yes No NOTE: If you will have your own diesel emergency power generator, then you will have at least one AST! [NOTE: If a backup generator services multiple tenants, then the landlord usually handles the permits.] If NO, skip to section 6.0. If YES, please describe capacity, contents, age, type of the USTs or ASTs, as well any associated leak detection/spill prevention measures. Please attach additional pages if necessary. UST or Capacity Year Associated Leak Detection / Type (Steel, Fiberglass, etc.) AST (gallons) Contents Installed Spill Prevention Measures*
into the environment? NOTE: This does NOT mean fume hoods; examples include air scrubbers, cyclones, carbon or HEPA filters at building exhaust fans, sedimentation tanks, pH neutralization systems for wastewater, etc. Yes No If YES, please list/describe: 4.0 OTHER REGULATED WASTE (i.e., REGULATED BIOLOGICAL WASTE, referred to as “Medical Waste” in California) 4-1. Will (or do) you generate medical waste? Yes No If NO, skip to Section 5.0. 4-2. Check the types of waste that will be generated, all of which fall under the California Medical Waste Act: Contaminated sharps (i.e., if contaminated with ≥ Risk Group 2 materials) Animal carcasses Pathology waste known or suspected to be contaminated with ≥ Risk Group 2 pathogens) Red bag biohazardous waste (i.e., with ≥ Risk Group 2 materials) for autoclaving Human or non-human primate blood, tissues, etc. (e.g., clinical specimens) Trace Chemotherapeutic Waste and/or Pharmaceutical waste NOT otherwise regulated as RCRA chemical waste 4-3. What vendor will be used for off-site autoclaving and/or incineration? 4-5. Do you have a Medical Waste Permit for this site? Yes No, not required. No, but an application will be submitted. 5.0 UNDERGROUND STORAGE TANKS (USTS) & ABOVEGROUND STORAGE TANKS (ASTS) 5-1. Are underground storage tanks (USTs), aboveground storage tanks (ASTs), or associated pipelines used for the storage of petroleum products, chemicals, or liquid wastes present on site (lease renewals) or required for planned operations (new tenants)? Yes No NOTE: If you will have your own diesel emergency power generator, then you will have at least one AST! [NOTE: If a backup generator services multiple tenants, then the landlord usually handles the permits.] If NO, skip to section 6.0. If YES, please describe capacity, contents, age, type of the USTs or ASTs, as well any associated leak detection/spill prevention measures. Please attach additional pages if necessary. UST or AST Capacity (gallons) Contents Year Installed Type (Steel, Fiberglass, etc.) Associated Leak Detection / Spill Prevention Measures*
Environmental%20Questionnaire.docx