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%.. .s <br /> ENVIItONMENPAL SITE INSPECTION QUESTIONNAIRE <br /> Page 4 of 9 <br /> 3. Has an ACM survey ever been performed at the site? <br /> Yes No _ If les, please attach a copy. <br /> Dip no- kwMj <br /> C. Polychlorinated Biphenyls (PCS) <br /> L Are any electrical transformers, capacitors, or other equipment located on- ite <br /> wluch may contain PCBs? <br /> Yes_ No If yes;,please describe (ie. condition, leakage, labels, <br /> DD nn�_ VVj <br /> 2. Based on site observations, can it be determined if the equipment is utility• or <br /> private owned? <br /> Yes _ No_ If yes, please indicate. <br /> DO YID' Ic/106t/ _..� <br /> D. Underground Storage Tanks (UST) <br /> 1_ Are there any USTs currently on the site? Yes _ No _ (�:� 1101 $!, f!W <br /> 2. Were there any USTs closed or removed from the site? Yes _ No _ �-,-, ;70t"kut-i) <br /> 3. If yes to Items 1 or 2 above, please describe tfpe of system, construction !ie. <br /> siagle-walled steel tank etc.), location, product stored and age of tank or w;en <br /> removed. <br /> 4. Have the existing UST systems ever been repaired? <br /> Yes_ No If yes, please describe. <br /> ` Do hot kmml <br /> t00(n C'Ct6L6L0TS IFI TT:CT t1JZ,LT,t0 <br />