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I <br /> j <br /> i <br /> Surface&Subsurface Contamination Report Questionnaire <br /> ✓rule Property Page 4 of 10 <br /> Our Project Number: E07218A <br /> December 20, 2007 <br /> I <br /> NEIL O. ANDERSON &ASSOCIATES,INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT j <br /> PART 2: OWNER INFORMATION <br /> (To 6e completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: <br /> Address: <br /> Telephone: ( ") <br /> Year purchased: ] <br /> 2. Previous owner(s) and contact information (if known): ii C <br /> oM a, oSSi �i�on y &-,I C14 u <br /> Name: <br /> Address: Yt7v�-e�.._ 1 J r✓�n ..✓f'7 <br /> Telephone: <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> Name: Pte. � cJ5 �+Tw" �S nv -- c....� - U '_. 4'1 <br /> Address: Lv r-t r f 1 b� .� G_.17/1 C.-e>'-I „ <br /> Telephone: <br /> Relationship to property: <br /> I <br /> 4. Please describe current use(s) of property: <br /> .7�-1 prop <br /> 5. Please describe ny other known p t us s)of property, and approximate dates of each use: <br /> 70 <br /> 902 Industrial Way•Lodi,CA 95240.209.367.3701 •Fax 209.369.422$ C2007 Neil 0.Anderson&Associates,Inc. <br />