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Surface Subsurface Report Questionnaire Page 4 of 10 <br /> Rubino/Schmidt Property (Grider Way) <br /> Project Number: E07215A <br /> NEIL O. ANDERSON & ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: rrAnK avbino Revocable Trll& - <br /> Schmidt' Family Revocable Trvfi <br /> Address: 3(PO$ W o o a v Uck ci rCle,, Sl•OGl<'7o, 4q c7 6a 0 <br /> Telephone: 0209 q 7 3 - 7lsi(�y <br /> Year purchased: t <br /> 2. Previous owner(s) and contact information (if known): <br /> Name: <br /> Address: <br /> Telephone: <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> Name: Jinn Frei-MSJ 1'�Ssocia�vd Eh5it7eerioq Ckoup, Inc . <br /> Address: V2049 Techho1099 Pri✓2' Modevlo� Gq 953 S IV <br /> Telephone: (,?o9) 5-q5-11z1 -3 <br /> Relationship to property: [,and plaNher. prOCBSSJk7y PAA-Cel NAV HPP• <br /> 4. Please describe current use(s) of property: L)fty— <br /> lN1�vs�,1w� <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> r. 902 Industrial Way•Lodi,CA 95240•209.367.3701 •Fax 209.369.4228 02007 Neil O.Anderson&Associates.Inc. <br />