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| 1. |
Major Interstate Highway (how many within 1/2 mile) |
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(3 pts per) |
| 2. |
Railway Line (how many within 1/2 mile) |
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(3 pts per) |
| 3. |
Potentially hazardous neighbor: |
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a. Research lab (within 1/4 mile) |
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(3 pts per) |
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b. Chemical Facility (within 1/4 mile) |
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(3 pts per) |
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c. Landfill (within 1/4 mile) |
YesNo |
(2 pts) |
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d. Nuclear plant (within 1 mile) |
YesNo |
(4 pts) |
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e. Military base (within 1/2 mile) |
YesNo |
(2 pts) |
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f. Defense plant (within 1 mile) |
YesNo |
(2 pts) |
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g. Munitions plant (within 1 mile) |
YesNo |
(4 pts) |
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h. Foreign embassy (how many adjacent) |
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(1 pt per) |
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i. Airport (within 1/4 mile) |
YesNo |
(2 pts) |
| 4. |
Military base (adjacent to) |
YesNo |
(3 pts) |
| 5. |
Munitions/Explosive Plant or Nuclear Power Plant (how many adjacent) |
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(5 pts per) |
| 6. |
Airport (adjacent to) |
YesNo |
(1 pt) |
| 7. |
Earthquake zone |
YesNo |
(20 pts) |
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Is your building "quake proof"? |
YesNo |
(-5 pts) |
| 8. |
Tornado zone |
YesNo |
(10 pts) |
| 9. |
Hurricane zone |
YesNo |
(10 pts) |
| 10. |
Volcano zone |
YesNo |
(2 pts) |
| 11. |
Flood plain |
YesNo |
(8 pts) |
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Is your building situated above a 100 year flood line? |
YesNo |
(-5 pts) |
| 12. |
River/Coastline/Dam (how many within a 1/4 mile) |
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(8 pts per) |
| 13. |
Large metropolitan area |
YesNo |
(15 pts) |
| 14. |
Suburban industrial park |
YesNo |
(8 pts) |
| 15. |
Rural area |
YesNo |
(4 pts) |
| 16. |
Is your building steam heated? |
YesNo |
(2 pts) |
| 17. |
How many other companies are using computers in your
building? |
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(1 pt per) |
| 18. |
Is your site above the 20th floor? |
YesNo |
(4 pts) |
| 19. |
Is there ASBESTOS/PCBs in your building? |
YesNo |
(3 pts) |
| 20. |
Is your building over 25 years old? |
YesNo |
(2 pts) |
| 21. |
Does your building have a wood frame? |
YesNo |
(3 pts) |