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f <br /> August 13,2009 <br /> FROM: Mr. Paul Larson <br /> 3711 Trenery Drive <br /> Pleasanton,CA 94588 l <br /> t <br /> PROJECT: APN 213-190-02, 19298 Alder Avenue- San Joaquin County I <br /> SUBJECT: Surface and Subsurface Contamination Report Required by the San Joaquin County <br /> Environmental Health Department. j <br /> Please use the back of this document,or separate paper if necessary. Please mail,e-mail or fax this document back <br /> to Chesney Consulting upon completion,Thank you. <br /> I. How long have you owned the property and is your ranch known by your name or any other name?Who <br /> were the prior owners and their length of ownership,if known? What activities have taken place and what <br /> is the proposed development of the property? <br /> Length of Ownership and Ranch Name(s):-- (2 ci✓L /( "t P,-42 <br /> Previous Ownership to you,and length of ownership,if known:_— e,o i %t.,, _— <br /> Activitics/Proposed Development(if any):__— —N flIf ---�- <br /> 2. Is there,or has there ever been to your knowledge,any type of above ground or underground storage tanks <br /> on the subject property,or any type ofburiedcontainers? <br /> A <br /> 3. Please provide a list of the pesticides that have been applied to the subject property acreage in the past two <br /> years(Use separate List if convenient). Are pesticides/herbicides mixed on the property before spraying? <br /> If so,where? How are pesticides/herbicides applied to the subject property(ground,aerial)? Are there any <br /> wells(domestic and/or irrigation)on the property and do they have backflow prevention devices if used for <br /> filling of spray rigs <br /> Pesticides/Herbicides Applied:_---' c:,C'41f 1z. d c,K CQGt�ip t I <br /> Mixing Area Location(s)and Application Method: <br /> Wells:-- __ �✓� f--- __— ---_Backflow Prevention Devices: 1f <br /> 4. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied,if any? <br /> r <br /> 5. Are any hazardous materials stored,or previously stored on the property? If so,where? Are you aware of any <br /> hazardous material release on,or around your property? <br /> Hazardous Materials: <br /> Hazardous Materials Release:-- � �— --�--_ -- — - — —_ <br /> 6. Are there any easements through the property,or any underground pipelines? Ok <br /> Signed___— ---_--- _-- Date: }5 ( t?I <br /> Thank you for your time. If there should be any questions,please give me a call. <br /> Sincerely, <br /> CHEWEY CON LILTING <br /> zpv�- <br /> Don Chesney, .A. <br /> Registered Environmental ssessor#4675 <br /> Agricultural Pest Control dvisor 46237 <br />