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rl 02/09/200S 12:11 2094740488 WENDLAND TRUCKING PAGE 05 <br /> 1 } Surface and Subsurface CantMMination Report QueSti4nnafre <br /> NOA Project Number: C05163A <br /> Property Location: 2430 S. Drais Ave,, Stockton, CA 95215 <br /> Page 5 <br /> F <br /> NOL 0.ANDERSON&ASSOCIATES, INc. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2. OWNER INFOFtmATIoN <br /> My bd*completed by Owner or Owner's representative} <br /> • !LE �.1�1FD�AYIot� <br /> • Current owner of property <br /> Name: jiT') 7'} <br /> =-{ Address: p ' G JS D <br /> Telephone: JDr,! ( ) <br /> Year purchased: h <br /> k <br /> R <br /> PrOftus c+wner(s) and contact fnformatton (if known): <br /> Name: ,1v/. 64&- 1ee ,� <br /> �.� Address: <br /> +� Telephone: 19- <br /> Year pumha sed: <br /> 3. Other person v4th historical knowledge of property: <br /> I Name: <br /> +' Address: <br /> Telephone: <br /> Relationship to prop".. <br /> Fs <br /> 4. Please descrfbe Current uses)of property: <br /> l <br /> 5. Please describe any other known past use s) of <br /> ( property, and aPRrvxirrlate dates of each use: <br /> YY havc any pavaons abmrf L115 qr.PlMv v0nhzoJJL ;es Robfffron m(tog)37-3101 4x1.22.7. <br /> K <br />