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.. �lZElY�ZP/ly <br /> ® May 12,2004 <br /> FOR: Mrs. Janet Smythe <br /> 14701 Copperopolis Road <br /> Stockton, CA 95215-9714 <br /> f PROJECT: Proposed Two Parcel Split at 14701 Copperopolis Road <br /> SUBJECT: Surface and Subsurface Contamination Report for the San Joaquin County <br /> Environmental Health Department. <br /> Please mail or fax this document back to Chesney Consulting upon completion. <br /> 1. .Is there, or has there ever been to your knowledge, any type of aboveround or underground <br /> storage tanks ori.the-subject property, or any type of burred containers. <br /> 2. Please provide a list of the pesticides, if any,that have been applied to the subject property acreage <br /> in the�ast three years. Are pesticides/herbicides mixed on the property before spra}nng? If so, <br /> where. Are pesticides applied to property surrounding the subject property? Are there any wells <br /> (domestic or irrigation) on the property? <br /> Pesticides: <br /> Wells: <br /> 3. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied, <br /> if any? <br /> 4. Are any hazardous materials stored on the property? If so, where? Are you aware of any hazardous <br /> material release on, or around your property) <br /> Hazardous Materials: <br /> Hazardous Materials Release: s <br /> I� <br /> 5. How long have you owned the propertyy and who were the prior owners, if known? Do you know <br /> the current zoning of the property?=What activities have taken place on the property since you have <br /> owned it? <br /> Ownership: c Q <br /> Activities: <br /> F <br /> Signed: Date:�0 ` Q1+ <br /> Thank you for ur time. If there shout be any questions,please give me a call. <br /> Sincer ly, <br /> Don Chesny,R.E.A. <br /> I <br /> P. O. Box3794 ♦ Tur6n(,C.rl'. 95381 ♦ Office (209) 668-1403 ♦ FaX(209)6682598 <br />