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NOV-07-2006 TUE 09:38 AM BECK PROPERTIES INC FAX NO, 2099570363 P. 01 <br /> OL F R ENVIRONMENTAL MANAGEMENT&CONSULTING ENGINEERING <br /> Phase I Environmental Site Assessment Questionnaire <br /> (User Provided Information Questionnaire) <br /> Date: <br /> Site Name: V I c.7,o02/A� QE �o7 Mr'71175 our Name: <br /> Sire Location: 4U2,Q Sale ?-2 S7zcki- *Iar Title: <br /> Relationship to Site: ) owner Eloccupaiuurchascr❑Other <br /> Length of Time Associated with Site: Q. yFtLRS <br /> Please review and complete this questionnaire which will assist LFR in completing our site <br /> assessment. If sufficient space in not provided, please compere your response an a separate shcet <br /> of paper and attach it to this questionnaire. <br /> 1. Do you have a title document prepared for the Site? ❑ Yes ®No <br /> If ves, please provide a copy to LFR. <br /> 2 Are you aware of any environmental cleanup liens against the Site that are filed or recorded <br /> under federal, tribal, state or local law? <br /> ❑ Yes Do No ❑ Unknown ❑ N/A <br /> If Yes, please explain: <br /> 3. Are you aware of any activity or land use limitations, such as engineering controls (for <br /> contaminant control), land use restrictions or institutional controls, that are in place at the Site <br /> attic/or have been filed or recorded in a registry under federal, tribal, state or local law? <br /> ❑ Yes Q�No ❑ Unknown ❑ N/A <br /> If Yes, please explain: <br /> 9I6.7a6.032o m <br /> 9I6-78A.036fi f <br /> 4190 OouClas 8wkvu0.Softs 200 *a .Iftmm <br /> GfaaA!Bay.colrtnlnia 95766 1984 <br /> oOicCS Ntlfionwitic <br />