Del Amo Superfund Site Environmental Review Team (Del Amo ERT)
A cooperative project involving USEPA, California DTSC, the City of Los Angeles, and the Del Amo Respondents

Project Information Form
Please fill out this form completely and fax to 1 (866) 565-4950.

Location of Project:
Street Address:
 Assessor's Parcel Number (APN):

Contact Info:
Your Name:
Company:
Mailing Address:

Project Role:

□ Owner   
□ Architect   
□ Contractor
□ Other:
Phones:  
Office/Ext:
Cell:
Fax:
Other/Type:
Email:
 

Project Details:

1)

Does the project involve soil borings, trenching, site grading, cutting through an existing floor slab or other soil excavation?   □ Yes   □ No
If No, stop here and submit this form by fax. If Yes, complete questions 2-5 and submit.

2)

What is the approximate volume of soil to be moved?  _________ cubic yards.

3)

What is the approximate maximum depth of the planned soil excavation below the existing grade?  _____ feet below ground surface.

4)

Is the soil to be exported from the project site?   □ Yes   □ No
If yes, what is the approximate volume of soil to be exported?  _________  cubic yards.

5)

Check all of the following excavation or other types of activities that are part of the project:
□ Site grading to construct a building pad or other reconfiguration of site topography.
□ Soil geotechnical borings or other drilling
□ Excavation for building foundations
□ Trenching for underground utilities
□ Cutting through an existing floor slab in an existing structure on the parcel
□ Demolition of existing structure(s)

6)

Will the project result in use of the property for any of the following?
□ Residential use
□ Hospital for humans
□ School for persons under 21 years of age
□ Daycare center for children
□ NONE OF THE ABOVE