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Record of Site Condition User Guide. June 2009.

1. Air and Land Policy Branch 10th Floor 9820 106 Street Edmonton Alberta TSK 2J6 June 2009 Page 4 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m Phone 780 427 2700 Fax 780 422 4192 Email land management gov ab ca June 2009 RSC User Guide Page 5 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide Guide to Users 1 Report and Form Information Title of report Enter the title of the corresponding Environmental Site Assessment ESA report being submitted with the RSC form The same title of the ESA report must be used to cross reference the RSC form The title should be concise and informative The following is a recommended title format year type of environmental work operator activity location For example 2008 Phase 2 ESA report for ABC Gas Plant at XYZ Town Report date Use the same date as that in the corresponding environmental report The date format must be dd mon yyyy e g 15 Feb 2008 Record of Site Condition RSC ID No Leave this blank The number is used for administrative purposes only 2 Site Identification and Physical Location Site name Use the legal name of the operation or site if this is a registered or licensed commercial or industrial operation If the site is along a transportation cor
2. June 2009 Page 13 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide 6 2 1 1 Identify the site specific situation s that required the use of a mandatory Alberta Tier 2 approach 6 2 1 2 Identify whether the Alberta Tier 2 approach resulted in a lower guideline than the generic Alberta Tier 1 guidelines If the mandatory Alberta Tier 2 approach identifies Alberta Tier 1 guidelines are sufficiently protective for all pathways or receptors of concern answer No and proceed to section 6 2 2 However if you answer No you still must consider whether the COPC meets the appropriate requirement for section 6 2 2 or 6 2 3 If the approach resulted in a Tier 2 guideline that is lower than the Alberta Tier 1 guideline for any one or more COPCs at the site answer Yes and proceed with the remainder of section 6 2 1 Select TBD to be determined if the analysis is still uncertain or if there is an existing concern that the site would normally result in a mandatory Tier 2 evaluation but the evaluation is not complete Proceed with the remainder of the section with the assumption that the mandatory Tier 2 evaluation will result in a guideline value lower than the Tier 1 guideline 6 2 1 3 Identify only the group of COPC where a lower Alberta Tier 2 value as compared with Tier 1 guideline value is determined for a site Consult Tables 1
3. Operating status For any operation that is identified in section 5 identify the current operating status of the site The Not applicable box is used only for the following exceptions e Where the land use for the site of interest is and has always been solely residential natural or agricultural e Where the operation at the site of interest is a commercial activity that does not store or use chemicals that have the potential to be released to the environment or e For transportation releases noted in section 5 5 2 where the release is from truck or rail accidents along transportation corridors Where more than one type of operation may have existed on a site include the status of only the most recent operation in section 4 Fill in all the applicable categories as described below Operating business or facility that is active under an operating license Suspended business or facility that is temporarily not operating but operation may resume any time For some types of commercial or industrial activities there are specific requirements that must be followed in order for the operation to be considered suspended This category is only used where the appropriate requirements have been followed Abandoned a site that is not operating and operation will not be resumed Decommissioning in progress a site that is in the process of decommissioning can include removal or dismantling of infrastructure environmental site assessments site
4. aiia es ta ei 6 2 Site Identification and Physical Location eesseeessseeseesrssseeseeserssesressresrsereseessereresresseserst 6 3 SRARCIOIARES 5 550i55sndsaavescdves tasvacacvasndendncenante a E R ERREA E ORS 7 Dele HOPE ALOR P E E E 7 3 2 Cons ltantosseseen ernieren E EE EAER EEE 7 33 Landown r S creeren aen a a a Naa E a E PAE 8 3A OCCUP MI 9 Jesoea E E E R 8 4 Op rating SUAUIS ss 21120595ne2a0saasauievastates ys iueedsaisen owesa shoved OERS EE EEEE AEE AE A ERRE 9 5 Typ of Activity and S10 sss esesrascestsinaasesaupan tansy ies a E E EES n E SE E EE E NEA 10 Dele Petroleum st rage tank site sass sssis cock ogeca dest eases race eantoed i S 10 5 2 Upstream oil and gas facility xccccscssccacaentacevnceneaeiarenaaenaaceee renee 11 5 3 Approved Facility under Environmental Protection and Enhancement Act EPEA 12 5 4 Facility under EPEA Code Of Practice scisscicsssssnecessastcecsstsesnesasd ascesasteoansaasvesesasnasens 12 53 Other PR IG scitte ence nag ds evita E EOS EEEa n a aE 12 6 Site Characterization E E E E E E N 13 6 1 What Environmental Site Assessments ESA have been conducted and completed tOdatE oense e a a A E A E aE E E 13 6 2 Contaminants of Potential Concern COPC ccccccccccccceesssssnsecececeeeeeeserseaeeeeeeeens 13 6 3 Status of the Investigation sssssesseeeessseesseesseeeserssessssersssressessresseesssetsssresseesseesset 16 6 4 Key Transport Factors for Exist
5. check the Not applicable box Company Enter the registered legal name of the consulting firm Mailing address Enter the company s mailing address for correspondence Contact person Provide contact information for the person representing the consulting firm 3 3 Landowner s Enter relevant information for legal owner s of the property as shown on the Alberta Land Title Land types refer to the following Private land Land legally owned by one or more individuals or a business entity Special areas Land administered by the Special Areas Board under the Special Areas Act Parks and protected area Land operated as Parks or Protected Areas by the Government of Alberta Public Land owned by the Crown in Alberta Disposition No Operations on public lands or within a special area or park and protected area require a disposition number For these facilities identify the disposition number Do not enter a disposition number for private land or for spills along transportation corridors where this number is not available Landowner s If the operator is also the landowner identify the landowner as Same as operator For all other situations select Other 3 4 Occupanti s An occupant can refer to the property owner s operator or other person s that rent or lease the property Enter information in this section that is current to the date recorded in section 8 of the form Are there occupants at the site Check
6. land use fine surface soil Green colour denotes values exceeding 2009 Alberta Tier 1 Guidelines for agricultural land use fine surface soil June 2009 Page 26 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta RSC User Guide A 2 Example Table for Soil Analytical Results of Hydrocarbons Hydrocarbons Sampling Location Depth and Date 8 E ni Z 8 c Pe gt FT f F 5 i i S F g S S 5 S Q Q Q g 3 d o o 0 o o 7 s Q 2 i c ta N o T S 1 al O 2 A O O i c O 7 QO mM 4 D A 5 z N 3 3 S 2e e 2 a 3 S 8 8 2 x it i it 3 a 7p rc no 7 rT L O O o o o G 2 o I I I t lt o a Q ira a m dd mon yyyy mg kg mg kg mg kg mg kg mg kg mg kg mg kg mg kg mg kg Yes No Alberta Tier 1 Guidelines Ind Fine Surface Soil 2009 _ 0 046 0 52 0 11 15 320 260 2 500 6 600 6 600 Alberta Tier 1 Guidelines Agri Fine Surface Soil 2009 0 046 0 52 0 11 15 210 150 1 300 5 600 5 600 Process Area SL02 41 2 0 2 5 30 Jul 2002 44 0 087 6 37 44 410 lt 12 lt 1 000 YES 2 8 3 5 30 Jul 2002 28 0 15 140 1 800 200 lt 1 000 NO SL02 56 0 3 0 6 31 Jul 2002 68 800 300 lt 1 000 NO 2 0 2 5 31 Jul 2002 20 210 320 280 lt 1 000 NO SL08 05 2 0 2 5 27 Aug 2008 34 lt 0 005 lt 0 020 200 110 lt 10 lt 10 YES 3 0 3 5 27 Aug 2008 lt 0 005 0 49 3 0 lt 12 lt 10 lt 10 lt 10 YES SL08 07 0
7. migrate along the groundwater The NR option may be selected if one of the following conditions applies to the site 1 Delineation has achieved closure for all COPCs above groundwater table 2 The groundwater investigation has demonstrated that the groundwater meets applicable groundwater remediation guidelines or background conditions for all COPCs 3 All COPCs have been directly assessed using Alberta Tier 1 Soil and Groundwater Remediation Guidelines AENV 2009a as amended or 4 For all Tier 2 options used in the assessment it has been assumed that the groundwater is moving in the shortest direction to any receptor of interest 6 5 4 Select the land use classification that best describes current land use for the on site area In most cases only a single land use classification should be chosen representing the most conservative land use used to assess the site However if there is a specific zoning change across the site of interest that requires the use of two different land uses for assessment of different portions of the site than both land use categories are selected If site specific conditions do not allow for one of the categories listed select Other and provide specifics in the space provided June 2009 Page 20 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide 6 5 5 Select the land use classification that best d
8. of Occupation or disposal to an approved facility If the site has a drilling waste disposal area and areas of potential concern other than the drilling waste disposal area fill in this section for the drilling waste disposal area and June 2009 Page 14 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide sections 6 2 1 and or 6 2 3 as appropriate for assessment of any other area s of potential concern 6 2 2 1 If the current or past phase 2 ESA identified that drilling waste disposal practices did not meet one of the compliance options answer Yes to the question and proceed with the remainder of section 6 2 2 This will typically be the case for phase 2 sampling and analytical results where concentrations exceed the guidelines specified in Compliance Option 3 If the assessment is not complete and it is still not certain whether the drilling waste disposal area met one of the compliance options answer Yes to the question and fill in the remainder of section 6 2 2 as if the compliance option was not met If you answer No to this question skip the rest of section 6 2 2 and proceed with section 6 2 3 6 2 2 2 Identify the remediation status of the drilling waste area 6 2 2 3 Identify the group of COPCs that does not meet the compliance options for drilling waste disposal areas Use Tables 1 and 2 in the Alberta Tier 1 Soil a
9. remediation or decontamination or final reclamation Closed Refers to commercial or industrial operations that have been fully decommissioned all regulatory obligations are fulfilled and the operation has ceased to exist and Reclaimed Refers only to operations on specified land that requires a reclamation certificate For sites that do not fit this category but are fully reclaimed use the Closed category to describe the site This category is checked only if a reclamation certificate has already been issued Include the applicable reclamation certificate number June 2009 Page 9 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide 5 Type of Activity and Site The type of activities highlights the common commercial or industrial activities for which a substance release may be possible Activities that require approval or registration by AENV refer to those as defined in Activities Designation Regulation Alberta Regulation 276 2003 in EPEA For activities that are listed under sections 5 1 or 5 2 see the requirements under the PTMAA or the ERCB respectively for more information Only common types of activities are identified in the RSC form Most operations can be described using one type of activity and a single authorization registration or approval Where more than one authorization number is available preference is given to the A
10. soil was removed as part of remediation do not include historical information from within the remediated area The following example tables provide the standardized table format for soil assessments The tables are provided as examples only The exact format will depend on site specific requirements However tables must be easy to read interpret and cross reference with the complete reports June 2009 Page 25 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta RSC User Guide A 1 Example Table for Soil Analytical Results of General Inorganic and Salinity Parameters Sampling Location Depth and Date General and Inorganic Parameters Salinity S a a o F z 5 i S 5 5 3 2 x G oO a wz O x 3 S z S l 5 3 2 E g 8 p gt 2 a e Eg g g ola a a 2 g a 5 oO 8 5 o o 5 P S a 8 5 g 5 3 E E E I a x o 3 ro E a 3 e 3 o o m dd mon yyyy mg kg meq 100g dS m mg L mg L mg L mg L mg L Alberta Tier 1 Guidelines Ind Fine Surface Soil 2009 ae 6 8 5 500 4 12 Alberta Tier 1 Guidelines Agri Fine Surface Soil 2009 6 8 5 500 2 4 Background SL08 04 0 00 0 15 28 Aug 2008 SL 12 68 20 7 4 19 0 7 0 44 0 6 18 64 6 8 16 110 0 15 0 30 26 Aug 2008 L 17 45 38 7 2 0 52 0 8 27
11. under the Oil and Gas Conservation Act are reported to the ERCB In these instances the Not applicable box should be checked 6 3 8 An incident No is often generated for emergency spills or similar events that have been reported to AENV If an incident No is available include the number in the form For chronic releases or if this report is generated as a result of an initial phase 2 site assessment where there is no record of a release at the site there is often no incident No assigned 6 3 9 Enter the approximate cumulative land area in metres squared that remains exceeding applicable soil or groundwater guidelines This question should be answered wherever possible For the purpose of answering this question AENV accepts approximate professional judgment based on limited field observations or assessment and effort should be made to approximate the area still under investigation Select TBD only if this is an initial phase 2 investigation where the arial estimate would have to be made on the basis of a single observation point 6 3 10 Sections 6 3 10 and 6 3 11 are specific to a groundwater investigation Non aqueous phase liquid NAPL is a separate liquid phase that may be in contact with the groundwater If the groundwater pathway has not been ruled out and no groundwater investigation is currently available check TBD If the groundwater investigation is inconclusive and the presence of a NAPL cannot be ruled out c
12. until it is completed and the accompanying reports are submitted with an updated RSC form 6 2 Contaminants of Potential Concern COPC Depending on the site condition and industrial or commercial activities different COPC may be present It is the responsibility of the operators and consultants to review relevant historical information and operational processes and to determine what COPCs need to be investigated for an environmental project 6 2 1 This section is reserved for sites that have a condition requiring a mandatory Alberta Tier 2 guideline approach See Alberta Tier 1 Soil and Groundwater Remediation Guidelines AENV 2009a as amended for more details Where a site meets one of the conditions mandatory Tier 2 cases outlined in Alberta Tier 1 complete section 6 2 1 of the RSC form Otherwise skip this section and proceed to section 6 2 2 Section 6 2 1 is used to address only COPCs at the site for which the site condition may result in a mandatory Tier 2 guideline that is lower than the Tier guideline For other COPCs at the site where the site specific condition will not result in a lower guideline use sections 6 2 2 or 6 2 3 to address the COPC For instance only the vapour inhalation pathway is impacted where there is contamination within 30 cm of the building foundation or an unusual building feature Therefore only volatile and toxic COPCs which are a concern for the indoor air need to be considered in section 6 2 1
13. 0 070 aie 0 70 7 4 0 32 5 0 0 0046 0 032 0 29 0 016 0 051 0 034 Alberta Tier 1 Guidelines Agri Fine Surface Soil 2009 0 070 6 2 6 2 0 60 6 2 7 4 0 32 5 0 0 0046 0 032 0 29 0 016 0 051 0 034 Background SL08 04 0 15 0 30 26 Aug 2008 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 Storage Area SL08 03 0 00 0 15 26 Aug 2008 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 NOTES Superscript 1 The dotted line denotes no value available LS Light blue colour denotes analytical detection limit is higher than the guideline value June 2009 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 lt 0 0050 0 0065 lt 0 0050 0 0067 0 013 lt 0 0050 Page 28 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide A 4 Example Table for Soil Analytical Results of Trace Elements Trace Element Sampling Location Depth and Date Sampling Location Soil Depth m dd mon yyyy Arsenic inorganic mg kg Barium non barite Chromium hexavalent Beryllium Boron hot water soluble Cadmium mg kg mg kg mg kg mg kg mg kg Chromium total mg kg mg kg mg kg mg kg Mercury inorganic mg
14. 009a as amended for the definition of the domestic use aquifer Check NR not required if one of the following conditions apply 1 All COPCs that may have entered the groundwater pathway have been completely delineated and there are no groundwater values above either the Tier 1 groundwater remediation guidelines for the protection of the Potable Groundwater pathway Appendix B Alberta Tier I Soil and Groundwater Remediation Guidelines AENV 2009a as amended or above the background concentration in the groundwater or 2 For any COPC where groundwater delineation has not been done or is not complete the COPC has a soil protection value for the Protection of the Domestic Use Aquifer Appendix A Alberta Tier 1 Soil and Groundwater Remediation Guidelines AENV 2009a as amended and this value has not been exceeded for any COPC 6 4 5 Identify if there is a hydraulic barrier between the bottom of contaminated zone and the upper boundary of the domestic use aquifer DUA See appendix E of the Alberta Tier 2 Soil and Groundwater Remediation Guidelines AENV 2009b as amended for more details 6 4 6 If you answered Yes to section 6 4 5 provide the measured largest hydraulic conductivity K a value in the format of value x107 m s for the 5 0 m vertical layer starting from the bottom of the contaminated zone 6 5 On site Characterization Provide information only for areas described by the legal description of the physic
15. 30 0 60 27 Aug 2008 44 lt 0 005 lt 0 020 lt 0 010 lt 0 040 lt 12 lt 10 lt 10 lt 10 YES SL08 08 NOTES June 2009 0 15 0 30 1 0 1 5 2 0 2 5 3 0 4 0 6 0 7 0 7 0 8 0 Superscript 1 27 Aug 2008 lt 0 020 lt 0 010 27 Aug 2008 27 Aug 2008 27 Aug 2008 27 Aug 2008 27 Aug 2008 lt 0 010 0 43 The dotted line denotes no value available Yellow colour denotes values exceeding 2009 Alberta Tier 1 Guidelines for industrial land use fine surface soil 1 300 240 89 55 40 Green colour denotes values exceeding 2009 Alberta Tier 1 Guidelines for agricultural land use fine surface soil Page 27 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta RSC User Guide A 3 Example Table for Soil Analytical Results of Polycyclic Aromatic Hydrocarbons PAHs Sampling Location Depth and Date Carcinogenic PAHs Sampling Location Soil Depth Benzo a anthracene Benzo b j fluoranthene Benzo k fluoranthene Benzo g h i perylene Benzo a pyrene Dibenzo a h anthracene m dd mon yyyy mg kg mg kg mg kg mg kg mg kg mg kg mg kg Indeno 1 2 3 cd pyrene mg kg Acenapthene mg kg Acenaphthylene mg kg Anthracene mg kg Other PAHs Fluoranthene mg kg Fluorene mg kg Naphthalene Phenanthrene mg kg mg kg mg kg Alberta Tier 1 Guidelines Ind Fine Surface Soil 2009
16. 73 8 4 8 160 0 60 1 0 28 Aug 2008 L 22 50 27 7 1 19 1 1 0 60 0 6 23 88 12 6 200 SL08 09 0 00 0 15 27 Aug 2008 L 16 46 38 6 9 18 3 0 36 0 5 15 61 9 3 8 70 0 30 0 60 27 Aug 2008 6 4 19 0 6 0 24 1 1 24 29 5 9 10 56 1 0 1 5 27 Aug 2008 CL 30 43 27 7 4 21 lt 0 2 0 27 0 6 16 39 5 7 lt 5 28 Ponds Area SLO8 01 0 00 0 15 26 Aug 2008 oo 6G ABO 2 7 0 4 41 570 110 7 1 800 0 30 0 60 26 Aug 2008 6 9 lt 100 0 66 2 5 90 75 13 6 240 SL08 02 0 00 0 15 26 Aug 2008 7 4 lt 100 0 95 0 5 24 150 22 16 420 3 5 4 0 26 Aug 2008 7 8 lt 100 0 82 0 5 22 110 32 lt 5 360 Process Area SL08 06 0 00 0 15 27 Aug 2008 7 8 1 7 0 15 0 30 27 Aug 2008 L 18 45 37 7 6 18 0 5 0 41 0 6 17 51 9 1 18 43 0 30 0 60 27 Aug 2008 7 6 0 67 0 60 1 0 27 Aug 2008 SCL 22 56 22 7 4 22 0 3 0 36 1 2 33 40 9 3 19 59 NOTES Superscript 1 The dotted line denotes no value available Superscript 2 The EC guideline for agricultural land use is 2 0 dS m for topsoil or 3 0 dS m for subsoil Superscript 3 Soil texture class abbreviations SL for sandy loam L for loam CL clay loam SCL sandy clay loam following The Canadian System of Soil Classification Soil Classification Working Group 1998 Yellow colour denotes values exceeding 2009 Alberta Tier 1 Guidelines for industrial
17. Alberta m RSC User Guide Use only one of the Plan Block Lot PBL or the Alberta Township System ATS column fields to describe the site Use the PBL to describe sites in urban municipalities rural subdivisions hamlets summer villages For rural or public land locations use the ATS If the site only covers one legal subdivision all fields to the LSD level must be entered If multiple legal subdivisions are required to completely describe the site completion of the LSD field is optional 3 Stakeholders 3 1 Operator The operator is the party legally authorized to run an industrial or commercial site and has administrative control of the property For some common operations the operator information in section 3 1 should correspond to e The municipality fuel station license holder and a Petroleum Tank Management Association of Alberta PTMAA registered storage tank operator e An Energy Conservation Board ERCB license permit or approval holder for an upstream oil and gas activity e An AENV approval holder for an approved facility e A registration holder under various AENV s Codes of Practice or e Any other license or registration holder of other activities not included in the above list Company the registered legal name of the operator Mailing address the company s mailing address for correspondence Contact person the person that represents the company for stakeholder communication The contact person identifie
18. B authorization No s Approval for operations in this category are issued by the ERCB The type of authorization may vary with facility type Provide the appropriate authorization No s issued by ERCB 5 2 2 ERCB authorization type Select the ERCB authorization type If the type does not fit into any of the categories provided select Other and provide details June 2009 Page 11 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide 5 2 3 Types of activity Identify the most relevant operation at the site Wellsite and associated facility Oil and natural gas extraction sites and associated facilities Satellite Oil and gas collection sites that connect to multiple wellsites and associated facilities Battery Facility used to process wellsite extracts and produce crude oil Pipeline pipelines used in the upstream activities to transport produced fluids not including pipelines that hold an approval or registration with AENV Compressor and pumping stations small compressor or pumping stations for upstream natural gas or oil wells and Other specify other upstream oil gas extraction facilities that are not identified above Do not include facilities that also hold an approval or registration with AENV 5 3 Approved Facility under Environmental Protection and Enhancement Act EPEA These are facilities that require an EPEA approval wi
19. a Tier 1 Soil and Groundwater Remediation Guidelines AENV 2009a as amended may be used as initial screening tools to determine which applicable exposure pathways may have been exceeded for a given COPC 6 6 Off site Characterization Provide characterization for off site areas outside the legal property boundary Where the site may be along a transportation corridor or a pipeline right of way consider the on site area to be the area described by the physical corridor or right of way For leases such as well leases consider the physical lease area to be on site Only areas that are outside the physical lease boundaries or outside the corridor are to be considered off site 6 6 1 If area s of potential concern are completely delineated and any COPC that remains above applicable criteria is completely contained on the physical property of interest on site then select No and proceed to section 7 In all other cases complete the rest of the form If contaminant delineation is incomplete and there is no evidence of any COPC outside of the physical property of interest check TBD and complete the rest of the form Where any off site information exists that is above the applicable criteria select Yes regardless of the stage of the investigation 6 6 2 Identify existing land use classification s off site where a COPC s has been identified that is above applicable criteria June 2009 Page 21 of 29 This copy is for a
20. a pre existing file with AENV If this represents the first correspondence with AENV and there is no existing file number this line is left blank PTMAA site No This is the number assigned by the PTMAA who manages the tank registration under the Alberta Fire Code www ptmaa ab ca Provide the site registration number in the space provided A PTMAA registration number is not required for the following e Above ground petroleum storage tanks that are less than 2 500 L in size June 2009 Page 10 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide e Temporary above ground petroleum storage tanks that are used for less than one year at a particular site e Storage tanks that are used exclusively for agricultural purposes e Storage tanks located exclusively on federal lands e g national parks national reserves etc or e Storage tanks that have been out of service since August 1 1993 5 1 2 Types of activity The following explanations are provided Retail gas station Common commercial fuel stations including commercial cardlocks Aviation fuelling station Fuel stations for aviation businesses such as airports Bulk fuel Large fuel storage centre for fuel transfer and Other Petroleum storage tank facilities not identified above should be recorded in this section Storage tanks used exclusively for agricultural purposes storage t
21. al address of the site If the site is along a transportation corridor or a utility right of way consider the on site area to be the area described by the physical corridor or right of way 6 5 1 The soil texture is based on the definitions used in the Alberta Tier 1 Soil and Groundwater Remediation Guidelines AENV 2009a as amended If the soil texture is ambiguous or more than one soil classification exists at a site use the most conservative estimate of soil texture If a mandatory Tier 2 adjustment was made due to a specific landscape feature that would invalidate the use of soil texture as a Tier screening level risk assessment select the Not applicable box and ensure that the appropriate feature was identified in section 6 2 1 1 6 5 2 Answer only for the potentiometric surface of the water table encountered nearest to the land surface If extensive groundwater investigations have been conducted that include groundwater monitoring of deeper aquifers only use data from water wells for the aquifer nearest the land surface If groundwater investigation has demonstrated that near surface June 2009 Page 19 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide groundwater may be perched or where surficial water wells are seasonally dry assume that this is still relevant to the upper boundary of the water table If contamination de
22. and 2 in the Alberta Tier 1 Soil and Groundwater Remediation Guidelines AENV 2009a as amended for COPC categories Categories may not always follow a strict definition for the specific contaminant of interest If a COPC is identified that is not listed in Tables 1 or 2 in the Tier 1 guideline select the Other box and list the specific chemical name of the COPC s in the space provided 6 2 1 4 Answer this question only for COPCs from section 6 2 1 3 6 2 1 5 Identify the remediation status for the exceedence over the site specific mandatory Tier 2 guidelines Only complete this section if Yes was identified in section 6 2 1 4 6 2 2 Complete this section only for on site and remote drilling waste disposal areas that were identified as part of a phase 2 ESA The phase 2 ESA may be done under Compliance Option 3 of Assessing Drilling Waste Disposal Areas Compliance Options for Reclamation Certification AENV 2009 as amended or as a site wide phase 2 ESA conducted independently of the Compliance Options The RSC is not required for phase 1 ESA reports completed under Compliance Options or 2 of Assessing Drilling Waste Disposal Areas Compliance Options for Reclamation Certification AENV 2009c as amended Remote drilling waste disposal areas may include remote sumps off site land treatment or biodegradation treatment areas This section is not required for landspray landspray while drilling pump off disposal on License
23. anks on federal lands temporary storage tanks used for less than one year at a particular site or above ground storage tanks less than 2 500 L in size should be noted in this category Specifics must be provided in the space provided 5 2 Upstream oil and gas facility This includes any facilities involved in handling hydrocarbon based chemicals resulting from or used during crude oil or natural gas exploration production or transmission Common facilities include prepared wellsites producing oil and gas wellsites drilled and abandoned wells disposal wells battery sites pipelines and associated facilities This category does not include facilities that may be administered by the ERCB but also have an approval or registration with AENV For the following scenarios skip section 5 2 and list only the appropriate AENV information in sections 5 3 or 5 4 e Enhanced recovery in situ oil sands or heavy oil processing plants that have an existing approval with AENV e Sour or sweet gas processing plants that have an approval or registration with AENV e Pipelines that may be used in the transmission of hydrocarbon based chemicals but which also have a registration or approval number with AENV or e Oilsands mines and related activities 5 2 1 AENV file No s This is used if the site has a pre existing file with AENV If this represents the first correspondence with AENV and there is no existing file number this line is left blank ERC
24. at different stages of remediation select the status that best describes the area that requires the most assessment and or remediation work Supply all applicable information under the categories Ongoing risk management plan on site Ongoing risk management plan off site Remediation Certificate issued for some areas and Remediation Certificate cancelled for some areas regardless of the stage of investigation These categories may be selected with any other category except No remediation required Where risk management is being used to address some or all of the remaining issues at the site identify if this involves off site areas on site areas or both Consider areas on site that are described by the legal description of the physical address of the site noted in section 2 1 Where the site may be along a transportation corridor or a pipeline right of way consider the on site area to be the area described by the physical corridor or right of way For leases such as well leases consider the physical lease area to be on site 6 4 Key Transport Factors for Existing COPCs 6 4 1 Identify the shortest distance from the edge of contaminated area to nearest water well The edge of the contaminated area can be defined as the closest distance that meets the requirement for delineation defined in section 2 3 2 of the Alberta Tier 1 Soil and Groundwater Remediation Guidelines AENV 2009a as amended 6 4 2 Identify th
25. berta Tier 1 guidelines that still exist for areas or COPC s not addressed in section 6 2 1 or 6 2 2 If you answer TBD in section 6 2 3 1 proceed to section 6 2 3 2 as if the investigation indicated that the COPC exceeded the applicable Alberta Tier 1 guideline June 2009 Page 15 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide 6 2 3 2 Complete this section for all COPCs that exceeded applicable Alberta Tier 1 guidelines If TBD was selected in 6 2 3 1 include all groups of contaminants where information is still uncertain Use Tables 1 and 2 in the Alberta Tier 1 Soil and Groundwater Remediation Guidelines AENV 2009a as amended as a guide to COPC categories If a COPC is identified that is not listed in Tables 1 or 2 in the Tier 1 guideline select the Other box and list the specific chemical name of the COPC s 6 3 Status of the Investigation 6 3 1 Identify the soil or groundwater guidelines used to assess the site Identify all applicable options used for different areas or COPCs If Site specific remediation objectives are chosen as an assessment option under the Alberta Tier 2 guidelines do not select Pathway exclusion or Guideline adjustment options A site specific risk assessment is not used in conjunction with either of the Tier 2 guideline adjustment or pathway exclusion options For more i
26. d will have sufficient authority to deal with issues relevant to the ESA Provide business contact information for this person including position phone and fax numbers and email address 3 2 Consultant The consultant information identifies the environmental consulting firm that conducted the environmental investigations at the site The consultant identified in this section is the lead consultant responsible for ensuring completeness and accuracy of the ESA reports Professional sign off is required for all ESA reports prepared and submitted to the Department after January 1 2008 and has been in place for some types of facilities before 2008 Where professional sign off is required for the ESA the consultant identified in this section must be a member of a regulated professional organization with a minimum of five years verifiable experience in remediation or reclamation relevant to the ESA The consultant fields identify the person who prepared or directly supervised the party s that prepared the information contained in the ESA report If more than one consultant exists June 2009 Page 7 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide enter the information for the lead professional member responsible for information being submitted When the operator identified in section 3 1 is the professional member accepting responsibility noted herein
27. d with an identifier that will allow for cross reference to the appropriate Environmental Site Assessment Report Use of an identifier that references the facility or spill location is recommended Location depth and date that the sample was taken must be reported in a manner that can be cross referenced to the appropriate site plans and borehole logs in the Environmental Site Assessment Report Report minimum detection limits where the COPC was not detected Values greater than the applicable Alberta Tier 1 criteria for current and end land use must be highlighted Where groundwater was analyzed as part of the environmental site assessment summary tables for the groundwater assessment must also be included Tables should reflect the status of the site at the time of filing the Record of Site Condition Use the following as guidance to complete the summary tables If this is the first Record of Site Condition being filed for the site you will need to include any historical information from previous reports that provide an overall summary of all site analytical information If this is the first environmental site assessment that was conducted at the site or where the Record of Site Condition is updating previously filed information include only the new information in the summary tables If this is being filed for a remediated site only include historical information that still reflects the current site condition For instance if contaminated
28. e shortest horizontal distance from the edge of contaminated zone to nearest edge of a surface water body If the distance to the surface water body varies seasonally identify the distance to the high water mark If it is available use of 1 in 100 year flood information is preferred The edge of the contaminated area is the closest distance that meets the requirement for delineation defined in section 2 3 2 of the Alberta Tier I Soil and Groundwater Remediation Guidelines AENV 2009a as amended 6 4 3 If contamination delineation achieved full closure above the shallowest level of the water table nearest the ground surface identify Yes and proceed to section 6 5 Delineation is assumed to have achieved closure above the groundwater table if there is sufficient separation between the base of the contaminated zone and the groundwater table to provide assurance that the COPC has not or will not cause a potential risk to the groundwater Where June 2009 Page 18 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide the answer is Yes it is up to the assessor to provide assurance that the groundwater will not be impacted by any COPC that is identified at the site 6 4 4 Answer the question for the groundwater aquifer that is nearest to the land surface only See section 2 5 2 of the Alberta Tier 1 Soil and Groundwater Remediation Guidelines AENV 2
29. escribes end land use for the on site area In most cases only a single land use classification should be chosen representing the most conservative land use used to assess the site However if there is a specific zoning change across the site that requires the use of two different land uses for assessment of different portions of the site than both land use categories are selected If site specific conditions do not allow for one of the categories listed select Other and provide a specifics in the space provided The end land use describes the land use of projects that are or could reasonably be expected to be known For instance for specified land identify the land use that will be required at reclamation at the end of the facility life Where there are approved re zoning projects for an area or where a proposed development for an area requires the land to be re zoned use this information for the end land use Where there is no specific information available the surrounding land use or pre disturbance land use should be used 6 5 6 For all COPCs identify all potential routes of exposure that may pose a risk to receptors This section should be filled out based on conservative assumptions regarding distribution of the COPC If delineation of the contaminated area is not complete or exposure routes have not been ruled out based on site information include the pathway as a potential route of exposure Appendices A and B in the Albert
30. form is a summary document designed to track major environmental characteristics for an assessed site The RSC form does not replace detailed reports Both must be submitted to AENV and are needed for different levels of site management Exemptions Releases of substances regulated by the Oil and Gas Conservation Act and the Dangerous Goods Transportation and Handling Act must be reported to the respective authority consistent with their requirements Additional guidance on release reporting can be found in A Guide to Release Reporting AENV 2005 and Information Letter 98 1 ERCB 1998 The RSC form is not required for the following reports or situations e Environmental Impact Assessments EIA reports under Part 2 of EPEA e Small volume releases to land that are normally reported to AENV and recorded in AENV s Incident Tracking System that do not require a written 7 day report e Proposals to conduct ESAs soil monitoring or remediation or risk management projects and e Releases on Federal Land Purpose of the User Guide This guide is developed to assist users in the preparation and submission of the RSC form to AENV The guide follows the RSC form Contact Information The RSC form is intended to be a living document Updates will be made to the form and the User Guide from time to time For further information or revision suggestions regarding the RSC form and this User Guide contact Alberta Environment Climate Change
31. heck TBD For the on site area consider any area that is described by the legal description of the physical address If the site is along a transportation corridor or a pipeline right of way consider the on site area to be the area described by the physical corridor or right of way For leases such as well leases consider the physical lease area to be on site 6 3 11 Consider only areas that were not covered in the answer to section 6 3 10 June 2009 Page 17 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide 6 3 12 Answer to best represent the remediation status of the entire area of concern If there are multiple contaminated areas at different stages of remediation identify only the status of the areas requiring ongoing remediation The No remediation required box is used only when all areas and COPCs have been assessed are below applicable criteria the site did not require any remediation to achieve the appropriate level of risk protection and risk management is not being used to address any remaining issues If remediation is required select only one of the choices that best describe the current site status from Site has exceedence but no remediation plan Remediation plan developed Active remediation Remediation completed and Post remediation assessment completed If portions of the site are
32. in the road allowance If delineation is incomplete and no information exists for the road allowance the most sensitive land use is based on properties immediately adjacent to any road allowance that borders the site of interest 6 6 6 Identify relevant exposure pathways off site 7 Risk Management Plan RMP AENV promotes timely remediation Sometimes risk management approaches have to be considered because of one or more site specific risk factors Before developing a RMP the stakeholders first need to explore possible alternatives for managing contaminated areas at a site Proper risk assessment needs to be conducted and shared with relevant parties before RMP is adopted 7 1 What is the Plan for Contaminated Areas Still Remaining on and off the Site If it is anticipated that the site will be completely remediated to meet applicable Tier 1 or Tier 2 options check box 1 Complete remediation and proceed to section 8 If it is anticipated that a risk management plan will be developed for a contaminated area or associated COPC check box 2 or 3 as applicable and proceed to section 7 2 If information is incomplete or the direction of project management is unknown check the most likely management route anticipated June 2009 Page 22 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide 7 2 Key progress of RMP 7 2 1 Answer all questi
33. ing COPCS ccsssiciccsssescsassavensesvsnecvasantegsenssvenvessenedies 18 6 5 On site Characterization ss ssssesessseeeesetessttssrtesrtssetessetrstttsstessresseeessensttesstesstenset 19 6 6 Off site Characterization ssseesesseeeeseeeessetssresseresessssetesstesstessessetsssensseesseesseesset 21 T Risk M n gement Plan RMP ste icdscesudedenetteancnad dauphiddudcesbeadeupedduentandidaretadubncasdedlenryddedaad 22 7 1 What is the Plan for Contaminated Areas Still Remaining on and off the Site 22 Diode Keyptogress Of RMP hepsine ina ai a aa a a 23 samme D 103 2 a2 005 nena re mom ne oe mee E E roe mere ieee oe 23 EAE TE S E A E E E E 24 Appendix Requirements for Analytical Summary Tables eeessoessoessocessecssocesocsscosessesssee 25 June 2009 Page 3 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide Introduction Purpose of Record of Site Condition form Alberta Environment AENV has released a revised Record of Site Condition RSC form as a regulatory reporting requirement for all phase 2 Environmental Site Assessment ESA remediation and risk management projects submitted to the department The RSC form is required for release reporting under Part 5 of the Environmental Protection and Enhancement Act EPEA Any site that requires an Environmental Site Assessment requires submission of a RSC The
34. isting file number this line is left blank June 2009 Page 12 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide Other site ID No s Use this line if the commercial or industrial site operation is required to be identified by an organization other than PTMAA ERCB or AENV Enter the relevant site identification No s used by other regulatory organizations to identify these facilities Where no identification is available the field is left blank Authorized by Provide the name of the organization that authorizes the activity 5 5 2 Type of activity Identify the relevant activity on the RSC form Dry cleaning operation commercial or industrial operation that handles and uses organic solvents for dry cleaning Highway maintenance yard highway maintenance yards or boneyards run by public or private owners Transportation Other transportation facilities If the site of interest is connected with a spill along a roadways or railways for which there is no fixed facility enter it under this category or Other Other types of facilities or activities that are not included above and should be specified 6 Site Characterization 6 1 What Environmental Site Assessments ESA have been conducted and completed to date Identify only completed ESAs Select appropriate follow up box es to show phase 2 ESA progress Do not identify work in progress
35. kg Molybdenum mg kg mg kg Selenium mg kg Thallium Vanadium mg kg mg kg mg kg Alberta Tier 1 Guidelines Ind Fine Surface Soil 2009 26 2 000 8 2 22 1 4 87 300 91 600 50 40 50 2 9 1 130 360 Alberta Tier 1 Guidelines Agri Fine Surface Soil 2009 17 750 5 1 4 0 4 64 20 63 70 6 6 4 50 1 1 130 200 Background SL02 10 SLO2 11 Process Area SL02 38 SL02 39 SL08 05 SL08 08 NOTES June 2009 0 00 0 15 0 15 0 30 0 30 0 60 0 60 1 0 0 30 0 60 1 0 1 5 1 5 2 0 0 6 1 0 1 5 1 8 0 30 0 60 1 0 1 5 2 0 2 5 1 0 1 5 30 Jul 2002 30 Jul 2002 30 Jul 2002 30 Jul 2002 30 Jul 2002 30 Jul 2002 30 Jul 2002 30 Jul 2002 30 Jul 2002 30 Jul 2002 30 Jul 2002 27 Aug 2008 27 Aug 2008 5 6 6 9 7 4 4 7 5 6 5 3 143 131 126 lt 0 02 135 141 199 Superscript 1 The dotted line denotes no value available D Yellow colour denotes values exceeding 2009 Alberta Tier 1 guidelines for industrial and agricultural land uses fine surface soil 9 8 19 3 24 4 21 5 0 0 23 3 20 1 20 2 45 1 50 2 49 3 lt 0 05 41 3 38 1 36 9 Page 29 of 29
36. lberta Environment authorization number on this form 5 1 Petroleum storage tank site This refers to commercial and industrial sites with storage tank systems that contain petroleum products Most sites that fit this category should have a registration number through the PTMAA under the Alberta Fire code Identify any site that fits this category by checking the Yes box Sites with storage tanks that have been out of service since August 1 1993 may not have a registration number but should still be noted by selecting Yes Do not include the following in this category e Tanks that are used at upstream oil and gas facilities Include these under the appropriate facility type under the Upstream Oil and Gas Facility category or e Tanks that are used for purposes other than storage of petroleum products Where the facility associated with these tanks does not fit any of the other categories in section 5 these should be noted under Other in section 5 5 2 Include the following under Other in section 5 1 2 e Above ground petroleum storage tanks that are less than 2 500 L in size e Temporary above ground petroleum storage tanks that are used for less than one year at a particular site e Storage tanks that are used exclusively for agricultural purposes or e Storage tanks located exclusively on federal lands e g national parks national reserves etc 5 1 1 AENV file No s This is used if the site has
37. lineation achieved full closure above the shallowest level of the water table nearest the ground surface identify NR If NR is identified enter the maximum depth of the soil investigation in meters below ground surface For all other circumstances enter the shallowest and deepest water table in meters below ground surface observed in all applicable wells If there is seasonal fluctuation in the depth to the water table use the shallowest and deepest measurements of all the individual measurements including the time dependant measurements Where water wells may be dry at certain seasons use the maximum screen depth as the maximum depth of the water table measured for that well The TBD box is only to be checked if groundwater information is not available for the site and the site does not meet a condition to use the NR box Where you check TBD or NR note the maximum depth of the investigation in the space provided For all other circumstances enter the groundwater observation information only and do not note the maximum depth of the investigation 6 5 3 Enter the direction of groundwater flow for the potentiometric surface of the water table encountered nearest to the land surface using one of N NE E SE S SW W or NW For seasonally variable flow directions select the flow direction that results in the highest estimate of risk for the receptor of concern that is most at jeopardy if the COPC were to
38. nd Groundwater Remediation Guidelines AENV 2009a as amended as a guide to COPC categories If a COPC is identified that is not listed in Tables 1 or 2 in the Tier 1 guideline select the Other box and list the specific chemical name of the COPC s 6 2 3 This section applies to all land areas and COPCs that were not directly addressed in either section 6 2 1 or 6 2 2 If one or more COPC s exceeded an applicable Alberta Tier 1 guideline in the current or any historical investigation answer Yes to the question and proceed with the remainder of section 6 2 3 If no COPC exceeded an applicable Alberta Tier 1 guideline in all investigations relevant to the site of interest answer No and proceed to section 6 3 If results of the Tier 2 re evaluation in section 6 2 1 was not complete and you answered TBD in this section complete section 6 2 3 and include those COPCs in section 6 2 3 If the natural concentration of a COPC in the absence of any input from anthropogenic sources or activities exceeds the Alberta Tier 1 guideline the natural background concentration for the specific COPC may be used as a Tier assessment endpoint If this applies to the COPC use the natural background value as the Tier value for the specific COPC fill out section 6 2 3 on this basis For more information see the Alberta Tier I Soil and Groundwater Remediation Guidelines AENV 2009a as amended 6 2 3 1 Identify any exceedence over Al
39. nformation see Part A section 5 of the Alberta Tier 2 Soil and Groundwater Remediation Guidelines AENV 2009b as amended 6 3 2 Select the land use classification used to assess the site In most cases only a single land use classification should be chosen representing the most conservative land use used to assess the site However if there is a specific zoning change that required two different land uses to be used in assessing different land areas then both land use categories should be selected If site specific conditions do not allow for assessment with one of the categories listed select Other and provide specifics in the space provided 6 3 3 If the results of the investigation are inconclusive or if it is still uncertain whether the site will meet an optional Tier 2 objective assume that the site does not meet the applicable guideline and check the last box One or more COPC still exceeds the applicable soil or groundwater guidelines 6 3 4 Identify the number of contaminated areas that still remain at the site at the completion of the current environmental investigation Where some information exists on an area of potential concern but the information is inconclusive at this stage of the investigation include this as a contaminated area Use TBD only when one or more areas of potential concern have been identified but have not been investigated 6 3 5 This question is specific to the scope of the cur
40. ntact the publisher for the original version rchival purposes only Please co This copy is for a RECORD OF SITE CONDITION USER GUIDE June 2009 Government of Alberta m This copy is for archival purposes only Please contact the publisher for the original version RSC User Guide ISBN 978 0 7785 8120 8 Printed Edition ISBN 978 0 7785 8121 5 On line Edition Web Site http environment gov ab ca info Record of Site Condition User Guide 2009 Any comments questions or suggestions regarding the content of this document may be directed to Alberta Environment 10 Floor Oxbridge Place 9820 106 Street Edmonton Alberta T5K 2J6 Fax 780 422 4192 Additional copies of this document may be obtained by contacting Information Centre Alberta Environment Main Floor Oxbridge Place 9820 106 Street Edmonton Alberta T5K 2J6 Phone 780 427 2700 Fax 780 422 4086 Email env infocent gov ab ca This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide Table of Contents Vivir UU GN ss cascaded cases ence tescadecice catecadevnss catcen dieses cadlaceennseceiiuacs ona wndeaes sadvcanshetscutecaseuseeendseneinics 4 MULE to USErS cejs sis sessectenssonscensydccesyosnccensseccioassvues tase 2a ccnndnek ccensiesicun poasteasesesnaneesaskacuassedecoonamancanans 6 l Reportand Form Information es states eater eee cast des a
41. of authorized representative Refers to the person or agent that has a legal authority to sign the form on behalf of the operator This may include persons with the organization by operation of law directors officers and appointed delegates of companies or governments or it may include by appointment agents and professional advisors authorized to act on behalf of the licensed operator Title of authorized representative Position or title of the above Signature The signature of the authorized representative Electronic signature is preferred Date Date in the format dd mon yyyy of when the RSC form is submitted to AENV June 2009 Page 23 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide References Activities Designation Regulation Chapter Regulation 276 2003 Available on line at http www gp alberta ca Alberta Environment AENV 2005 A Guide to Release Reporting Alberta Environment Publication No 1 792 Alberta Environment AENV 2006 Competencies for Remediation and Reclamation Advisory Committee Recommendations Report Alberta Environment February 2006 Publication No 978 0 7785 5470 7 Alberta Environment 2009a Alberta Tier 1 Soil and Groundwater Remediation Guidelines Alberta Environment 2009b Alberta Tier 2 Soil and Groundwater Remediation Guidelines Alberta Environment 2009c Assessing Drilling Waste Disp
42. only one answer box For sites that are not agricultural identify only person s that reside or work at the site on a regular basis Identify any permanent residential commercial or industrial buildings that are occupied on a weekly basis Consideration should also be given to structures that are used occasionally if occupancy occurs on a regular basis or over a short term but extended period of time For instance work camps summer camps or cabins and storage yards where a shop or other facility is used on a temporary basis are considered to be occupied for the purpose of the form June 2009 Page 8 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide For agricultural sites any owner or any lessee that may only occasionally access the site as part of agricultural operations is considered an occupant and must be identified If the occupant is leasing the land from the owner check the Other category Occupant s Identify the appropriate box If the landowner was identified to be the same as the operator in section 3 3 identify only the operator Where the site or a portion of the site is leased to a party that was not identified as either the operator in section 3 1 or the landowner in section 3 3 check the Other category What is the type of occupancy Identify relevant box es Provide specifics if the Other box is chosen 4
43. ons that apply to the status of the risk management plan at the time of the report If information is still uncertain assume that there is still work to be done to address the subject of the question and answer appropriately Some terms are briefly explained below Source Source is defined in the Alberta Tier 1 Soil and Groundwater Remediation Guidelines AENV 2009a as amended as anything that adds contaminant mass to the environment Contingency plan An alternative plan accepted by all stakeholders that includes triggers on when a risk management plan is not addressing risks associated with site and alternative plans for managing risks All RMP must have contingency plans in place to be considered complete Physical controls Normally engineered methods developed to physically stabilize COPCs contain contaminants within specified areas or boundaries and or physically restrict the route of exposure between a COPC and a specific receptor and Administrative controls Administrative methods used to separate possible receptors from the contaminated area through informing and restricting access or land use 8 Declaration Re confirm the site name consistent with previous sections The RSC form must be signed by an operator or representative that is authorized to sign with respect to the accuracy of the information provided on behalf of the person or company submitting the form Name of operator operator name as shown in operation license Name
44. osal Areas Compliance Options for Reclamation Certification Energy Resources Conservation Board 1998 Compliance and Enforcement Approach for Conservation and Reclamation of Oil and Gas Activities Conservation and Reclamation Information Letter 98 1 February 1998 Environmental Protection and Enhancement Act RSA 2000 c E 12 Available on line at http www gqp alberta ca National Research Council of Canada 2006 Alberta Fire Code NR24 10 2 2006E Available on line at http www lIrc education gov ab ca Oil and Gas Conservation Act RSA 2000 cO 6 Available on line at http www gp alberta ca Special Areas Act RSA 2000 cS 16 Available on line at http www gp alberta ca June 2009 Page 24 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide Appendix Requirements for Analytical Summary Tables The Record of Site Condition Form Section 6 3 requires submission of analytical summary tables for all COPCs that were subject of the investigation Summary tables should be in a consistent easy to understand format and must include the following information Tier Criteria for the site assessment Where multiple land uses are used or the end land use differs from the current land use the most conservative Tier 1 value must be included in the table Analytical results for all sampling locations Sampling locations must be name
45. rchival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide Where you identified TBD in section 6 6 1 consider only the land use for areas where information is known Where delineation has not yet proceeded beyond the property boundary consider the land use of areas that are immediately adjacent to the property in question 6 6 3 Identify end land use classification s off site where a COPC s has been identified that is above applicable criteria The end land use describes the land use of projects that are confirmed or anticipated For instance for specified land identify the land use that will be required at reclamation at the end of the facility life Where there are approved re zoning projects for an area or where a proposed development for an area requires the land to be re zoned use this information for the future land use Where there is no specific information available the surrounding land use or pre disturbance land use should be used 6 6 4 If the COPC s has migrated off the property of interest into an adjacent road allowance complete section 6 6 4 If not answer No and proceed to section 6 6 5 6 6 5 If the contaminant has migrated into a road allowance identify only the most sensitive land use that is adjacent to the road allowance Determine the most sensitive land use only from areas that are immediately adjacent to the area of potential concern with
46. rent assessment If areas or COPCs were identified in previous investigations and not assessed during the current investigation or if there are areas of potential concern that have not been assessed to date check No June 2009 Page 16 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of Alberta m RSC User Guide 6 3 6 List the date of discovery only for areas that have been identified in answering any of questions 6 2 1 4 6 2 2 1 or 6 2 3 Leave this question blank if nothing was identified in any of these sections List the dates in the format of dd mon yyyy when the contamination was discovered either with this ESA other ESAs or reporting events Add additional dates if needed If the first date of discovery was the date of the initial phase 2 investigation provide this date 6 3 7 Identify the reporting status of all areas identified in section 6 3 4 There are different reporting mechanisms to AENV on substance releases Accidental spills or other emergency releases exceeding specified volumes must be reported to AENV immediately while chronic releases or historical releases may go unnoticed until a phase 2 investigation is conducted Where this represents the first notice for any area identified in section 6 3 4 answer No Check Not applicable if the release is required to be reported to an agency other than AENV For instance releases that fall
47. ridor include the legal name of the operator responsible for the substance that was released during transport For other instances a site name will need to be chosen that reasonably describes the area of interest Address of site This is the address of the physical location of the site Enter only a single site address that best describes the location of interest Street addresses should be provided for urban sites and an Alberta Township System address ATS can be used for rural sites For site assessments involving more than one property e g where the assessment extends beyond a single property boundary enter the address for the property that was the original objective of the site assessment If the site address differs from the mailing address enter the site address For sites without an available address leave the main field blank and enter the municipality field only The municipality at county or city level must be provided for all sites Legal land description of site Enter all legal land descriptions that are the subject of the ESA The information required is identified as the short legal on an Alberta Land Title Where the investigation covers more than one legal land description all legal land descriptions that are relevant to the investigation should be entered in these fields June 2009 Page 6 of 29 This copy is for archival purposes only Please contact the publisher for the original version Government of
48. th AENV Fill out the sections that apply to the facility in question 5 3 1 AENV Approval No The operational approval No issued by AENV to the operator When more than one Approval No s are encountered enter the most recent one 5 3 2 Types of approved activity Only common types of activities that have the potential for substance releases are specified in the RSC form If an approved activity is not listed list the activity under the Other box and specify the type of activity taking place at the site See Activities Designation Regulation Alberta Regulation 276 2003 for those defined under EPEA 5 4 Facility under EPEA Code of Practice This refers to facilities operating under a Code of Practice in Alberta Only common facilities that have the potential for substance release are listed in the RSC form 5 4 1 AENV registration No Provide the most recent AENV registration No 5 4 2 Type of Code of Practice Identify the relevant type of Code of Practice from this form If the Other box is identified provide specifics For further information on Codes of Practice check Alberta Queen s Printer at http www gov ab ca qp 5 5 Other Activity This includes an industrial or commercial activity that is not identified in sections 5 1 5 4 of the RSC form 5 5 1 AENV file No s This is used if the site has a pre existing file with AENV If this represents the first correspondence with AENV and there is no ex

Record of Site Condition User Guide. June 2009.

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