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<br />" ' <br />. <br /> <br />(. <br /> <br />ENV1RONMENTAL QUALITY (EQB) REQumEMENTS (you should be aware of EQB <br />requ.irements for you.r proposed projectJ <br /> <br />- <br /> <br />. ...~ <br /> <br />A.. Does this project involve the construction of a new facility on a single site capable <br />of storing over 1,000,000 gallons of a hazardous material? Yes No ~ <br /> <br />B. Do you anticipate that an'Environmental Assessment Worksheet (EAW) will be <br />prepared on any aspect of this project? Yes NO---L_ <br /> <br />If yes, approximate date of completion <br /> <br />:r. LIST ADDITIONAL SHEETS, PLANS OR OTHER DESCRIPTIVE MATERIALS A'ITACHED: <br /> <br />BACKGROUND INFORMATION ON SITE, SYSTEM. PI AN <br /> <br />The items above need not be filled out if the required information is provided on attached <br />sheets, but the certification below must be included ifplans are submitted. <br /> <br /> <br />4 <br />