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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E06044A <br /> Property Location: 31103 Grooms Road, Oakdale, CA 95361 <br /> Page 4 <br /> ENDORSEMENTS: <br /> Part 1 <br /> As the User of the Phase I Environmental Site Assessment being prepared for the property (or the duly <br /> authorized representative of such User), I have specific knowledge of the questions posed in Part 1 of <br /> this Questionnaire regarding the property, and hereby certify that to the best of my knowledge, <br /> information, and belief the information disclosed above is true and orrect. <br /> se Ir or Client's Signature Date <br /> — UQ.f IIlL �(Zll)Lt �Z <br /> User or Client's Name (please print) <br /> — <br /> Title, Company <br /> ` Ifyou have any questions about this questionnaire,please contact Tina Cheney at(209)367-3701 ext. 233. <br />