Information
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Tenant
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Unit
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Operation
- Warehousing
- Logistics
- Automotive
- Manufacturing
- Office
- Retail
- Printing
- Communications
- Other
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Building Address
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Client
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Conducted on
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Consultant
Tenant Questionnaire
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Storage Tanks
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Mould
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Asbestos
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Chemicals
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Air Emissions
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Hazardous Waste
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Refrigerants
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Oil Reservoirs
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Tenant Inspection Required
Asbestos
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Is there asbestos on site?
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Friable material
Materials
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Materials
- Aircell Insulation
- Boiler Insulation
- Gaskets
- Generator exhaust stack insulation
- HVAC insulation
- Pipe fitting insulation (Parging cement)
- Pipe insulation (Mag-block)
- Paper lined pipe insulation
- Spray on fireproofing insulation
- Tank insulation
- Texture coating
- Vermiculite insulation
- Other
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Other
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Present on site
- Confirmed
- Assumed
- Suspected
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Notes
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Non-friable materials
Materials
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Materials
- Caulking
- Ceiling tiles
- Cement board
- Cement piping
- Drywall joint compound
- Firestop
- Mastic
- Plaster
- Spray on texture coating
- Tar paper
- VFS
- VFT
- Roofing materials
- inaccessible materials
- Other
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Other
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Present on site
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Notes
PCB
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Is there PCB in the tenant space?
Equipment
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Material
- Capacitors
- Light Ballasts
- Transformers
- Others
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Ownership
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Notes
ODS
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Is there ODS in tenant space?
Equipment
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Equipment
- A/C
- Chillers
- HVAC
- Refrigeration
- Air Dryers
- Fountains
- Fire Extinguishing Equipment
- Other
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Ownership
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Refrigerant Type
- HFC-134a
- HFC-404a
- HFC-407c
- HFC-410a
- HCFC-22
- HCFC-123
- CFC-11
- CFC-12
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Notes
Mould
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Is there mould or water damage on site?
Visible suspected mould
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Material
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Material
- Ceiling tiles
- Drywall
- Insulation
- Window sills
- Other
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Notes
Water staining or Damage
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Material
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Material
- Ceiling tiles
- Drywall
- Insulation
- Window sills
- Other
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Notes
Storage Tanks
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Are there storage tanks in the tenant space?
Tank
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Tank Type
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Ownership
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Location Onsite
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Volume (L)
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Material
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Construction
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Other
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Contents
- Diesel
- Gasoline
- Chemicals
- Water
- Chemicals
- Propane
- Empty
- Glycol
- Oil
- Automotive products
- Other
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Other
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Year Manufactured
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Usage
- Fire life safety
- Chemical storage
- Equipment refuelling
- Out of service
- Emergency backup
- Retail fuel safety
- Spill containment
- Waste storage
- Other
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Other
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Notes
Air Emissions
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Are there air emissions coming from the tenant space?
Equipment
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Equipment
- Cooling towers
- diesel fuel fired emergency generators
- Diesel fuel fired fire pump
- Natural gas fired HVAC
- Natural gas fired hot water boiler
- Natural gas fired hot water tanks
- Natural gas fired humidifier
- Other
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Other
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Ownership
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Size (BTU or kW)
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Location
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Notes
Chemicals
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Are there any chemicals in the tenant space?
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Small Quantities ( > 20L )
- Janitorial Supples
- Acids
- Adhesives
- Aerosol products
- Alcohols
- Automotive Products
- Compressed gasses
- Diesel fuels
- Gasoline
- Glycols
- Oils/Lubricants
- Paints
- Printer ink/dye
- Soaps/Degreasers
- Solvents (Thinners, Varsols)
- Water treatment chemicals
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Notes
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Large Quantities ( > 40 L )
- Janitorial Supples
- Acids
- Adhesives
- Aerosol products
- Alcohols
- Automotive Products
- Compressed gasses
- Diesel fuels
- Gasoline
- Glycols
- Oils/Lubricants
- Paints
- Printer ink/dye
- Soaps/Degreasers
- Solvents (Thinners, Varsols)
- Water treatment chemicals
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Notes
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Spill control measures
- Curbing/Dike/Concrete block
- Leak detection syste
- Pan/Tray
- Room enclosure
- Spill pallets
- Tub
- Other
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Spill response measures
- Absorbent materials
- Spill control procedure
- Spill kit
- Other
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Chemical storage room
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Chemical storage cabinet
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Notes
Waste management
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Are there hazardous wastes generated in the tenant space?
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Hazardous wastes on site
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List hazardous wastes and locations
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Non-hazardous wastes on site
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Types
- Beverage containers
- Cardboard
- Cooking oils/grease
- Electronics
- Fine paper
- Glass
- Inks cartridges
- Metal
- Mixed refuse
- Organic food scraps
- Plastic
- Used electronics
- Wood/lumber
- Other
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Other
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Notes
Oil Reservoirs
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Does the tenant have oil reservoirs?
Reservoir
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Type of reservoir
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Location of reservoir
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Spill response
- Absorbent materials
- Spill control procedure
- Spill kit
- Other
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Spill containment
- Curbing/Dike/Concrete block
- Leak detection syste
- Pan/Tray
- Room enclosure
- Spill pallets
- Tub
- Other
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Floor drains?
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Leaking?
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Visible staining?
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Notes
