Get Ca Dtsc Hazardous Waste Facility Permit Health Risk Assessment Questionnaire 2019-2025

This guide provides a clear and comprehensive overview for users on how to complete the CA DTSC Hazardous Waste Facility Permit Health Risk Assessment Questionnaire online. Understanding each component of the questionnaire is essential for compliance with California hazardous waste regulations.

Follow the steps to effectively complete your questionnaire.

1. Press the ‘Get Form’ button to access the questionnaire and open it for completion.
2. In Part 1, begin with the Inventory of Potential Facility Releases, Emissions, and Discharges. Fill out the Facility Name and Date at the top of the form. For each item listed under this section, provide a description, statute citation, and indicate the related Part B requirement where applicable.
3. For each item in Part 1, specify the Location in Application. This should include the page number from the application where the information can be found or note 'attached' if separate information is provided, or 'not applicable' if the item does not apply.
4. If you identify any Chemicals of Potential Concern in items 9 through 21 and 23, complete Part 2 – Health Risk Assumptions Checklist. Here, provide the necessary descriptions and citations for each chemical identified.
5. In Part 2, include any additional details or page numbers where further information can be found. Ensure to categorize the chemicals by environmental medium, such as air, surface water, soil, and groundwater.
6. If required, proceed to Part 3 – Conceptual Site Model. Create a written description and visual representation that outlines the relationship between receptor populations and chemicals of potential concern.
7. Review all sections fully to confirm that all fields are accurately completed. Look for any indications of missing information or additional documentation that may need to be attached.
8. Once the questionnaire is complete, save any changes made. You may also download, print, or share the form as necessary to meet submission requirements.

Complete the CA DTSC Hazardous Waste Facility Permit Health Risk Assessment Questionnaire online today.