Contaminant Pathway Evaluation Sheet

Site Information

Site Name: Site Location: Date: Evaluator(s):

Contaminant Information

Contaminant(s) of Concern: Source(s) of Contamination: Type(s) of Contamination:

Environmental Media & Pathways

Environmental Medium	Pathway Description	Is Pathway Complete? (Yes/No)	Comments
Soil
Groundwater
Surface Water
Air (Vapor)
Other

Receptors

Receptor	Potential for Exposure? (Yes/No)	Comments
Residents
Workers
Visitors
Ecological
Other

Summary & Conclusions

Summary of Findings: Recommendations: