Appendix D Project & Facility Review Checklist
Project Number (1391 Form Number)/FY:
Project Title:
Project Location:
Certification Team Leader/Phone Number:
PROJECT SITE:
Site Improvement
_ Demolition:
_ concrete
_ masonry
_ wood
_ steel
_ Asbestos
_ Lead based paint
_ pavement
_ underground fuel tanks
_ other
_ Landscaping
_ irrigation system
_ Bubblier
_ Spray
_ Drip
Parking/Access Roads
_ type of pavement
_ no. of parking spaces
Utilities
_ water
_ sewer
_ storm drain
_ gas
_ steam/chilled water
_ electrical service
_ underground
_ overhead
_ service transformer
_ exterior lighting (area, security, roadway & parking)
_ cathodic protection
_ exterior information systems connection (DCO location, manhole, conduit, etc.)
_ other
BUILDING FACILITY:
Foundations
_ spread footing
_ drilled pier
D-1
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