Get Receptor Evaluation Form Ver 1.7 Ins.doc - State Nj

The Receptor Evaluation Form is an essential document for accurately assessing the existence of human and ecological receptors in relation to site remediation. This guide provides a clear, step-by-step overview to help users of all backgrounds complete the form effectively online.

Follow the steps to complete the Receptor Evaluation Form online.

1. Click the ‘Get Form’ button to obtain the Receptor Evaluation Form and open it in the online editor.
2. Begin with Section A. General Site Information. Fill in all required information accurately. Attach any necessary supplementary documents that may not fit within the provided space.
3. Indicate whether this submission is an 'Initial Receptor Evaluation Submission' for a confirmed discharge or an 'Updated Receptor Evaluation Submission' for subsequent evaluations.
4. Proceed to Section B. Receptor Evaluation-Land Use. Gather information regarding the site use and surrounding properties within 200 feet. Attach a list of any sensitive uses if applicable.
5. In Section C. Description of Contamination, check the appropriate boxes regarding the contamination level and submit a brief summary detailing the nature of the contamination at the site.
6. Move to Section D. Receptor Evaluation-Ground Water. Address the required evaluations and provide supporting data on any ground water samples exceeding the established standards.
7. Continue to Section E. Receptor Evaluation-Vapor Intrusion, and determine if a vapor intrusion evaluation is needed based on detected contamination.
8. In Section F. Receptor Evaluation-Ecological Receptors, indicate whether an ecological evaluation has been conducted and provide details on any affected ecological receptors.
9. Complete Section G. Person Responsible for Conducting the Remediation Information and Certification by providing the details of the individual responsible for the remediation and their signature.
10. Finally, fill in Section H. Licensed Site Remediation Professional Information, including their details and certification.
11. Once all sections are accurately completed, review the form for any necessary revisions. Save your changes before downloading or printing the document for submission.

Complete your Receptor Evaluation Form online today to ensure compliance with New Jersey environmental regulations.