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["INITIAL FACILITY REVIEW"]
[]
["PM:",null,null,null,null,"Date:"]
[]
[" FACILITY INFORMATION"]
["Facility ID Number:\n(9 digit)"]
["Facility Name: "]
["Facility Address:\n(include County)"]
["Parcel ID:\n(from Property Appraiser)"]
["Discharge Score:"]
["Discharge Date(s):\n(only those that are open)"]
["Discharge/Program(s):\n(choose all that are open)"]
[]
[]
[]
[]
["Deductible(s) Paid (Y/N):"]
["Funding Cap (Y/N):"]
["Cost Share Agreement (Y/N): "]
[]
["PROPERTY OWNER/RESPONSIBLE PARTY"]
["Current Real Property Owner:\n(Check Property Appraiser)"]
["Owner Contact Information:\n(Incl. Address, Phone & Email)"]
["Responsible Party:\n(if not the Owner)"]
["RP Contact Information:\n(Incl. Address, Phone & Email)"]
[]
["GENERAL INFORMATION"]
["Facility Status:"]
["Type of Business:"]
[null,"Specify if \"Other\" chosen:"]
["Type of Product Discharged:\n(from DRF)"]
[null,"Specify if \"Other\" chosen:"]
["If any, what are the Eligibility exclusions?"]
["If any, describe any co-mingled discharges?\n(i.e. EDI & Non-program, EDI & PLRIP)"]
["Are there any recent Compliance Violations?"]
["Are there Potable Wells nearby?"]
[null,"Specify if \"Other\" chosen:"]
[]
["SITE DOCUMENTATION"]
["Is there a fully executed SAA in Oculus?\nIt should be located under “Administrative” as a stand-alone document."]
[null,null,null,null,null,"Date:"]
["Has the site been fully delineated per Chapter 62-780?"]
["Was a Site Assessment (SA) Approval order issued?"]
[null,null,null,null,null,"Date:"]
["Was supplemental Site Assessment (SSA) approved?"]
[null,null,null,null,null,"Date:"]
["Was an Initial Noticing for Offsite Contamination (if appropriate) completed?"]
[null,null,null,null,null,"Date:"]
["Was a Remedial Action Plan (RAP) Approval order issued?"]
[null,null,null,null,null,"Date:"]
["Was a RAP Modification Approval order issued?"]
[null,null,null,null,null,"Date:"]
["Was a Source Removal approved?"]
[null,null,null,null,null,"Date:"]
["Was a Remedial System utilized?"]
[null,null,null,null,"System Startup Date:"]
[null,null,null,null,"System Shutdown Date:"]
[null,null,null,null,"System Re-start Date:"]
[null,null,null,null,"Utility Account Cancel Date:"]
["When was the most recent \"Technical\" report?\n(Enter date)"]
["When was the most recent comprehensive Soil Analysis?\n(Enter date)"]
[null,null,null,"If contamination found, at what depth(s)?"]
["When was the most recent Groundwater Analysis?\n(Enter date)"]
[null,null,null,"Average Depth to Water:"]
["Is the site eligible for a Closure (i.e. RMO-1, RMO-2, RMO-3, LSSI, NREQ)?"]
[]
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[]
[null,null,null,null,null,null,null,"NA"]

{"sheet":"Sheet1","index":1,"n_rows":9,"n_cols":3,"rows_kept":9,"cut":false,"hidden":true,"merged":[]}
["ID","Description","CSF"]
["BUNDL","Advanced Cleanup PBC Bundle","No"]
["COND","Conditional Closure Agreement Executed","No"]
["CSF","Contractor Selection Formula","Yes"]
["QUOT2","Equote for > $325K","No"]
["REPLA","Replacement","No"]
["SCOPE","Direct Assign for Continuing Scope","No"]
["SECUR","Homeland or Transportation Security","No"]
["SHARE","Direct Assign For Cost Share Of 25% Or More","No"]