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NOAENVIRONMENTAL JOBNUMBEKLE03-161 <br />PROPER'T'Y LOCAnON: 9249 South Henry Road, Farmington, CA 95230 <br />12, Are there any electrical transfortmers or capacitors on the property <br />which are known to contain PCBs (Polychlorinated biphenyls), or <br />which may have been manufactures before 1980 and whose PCB <br />content is unknown? <br />13 WSW is provided to the property by. <br />Id A well ❑ NiA <br />Q PubUo water sy5t n <br />14 Waste water disposal is provided to the property by: <br />Q Public sewer system Z'On-site septic system <br />Q Pond(&) ❑ Other <br />QN,'A <br />15. Are there any wastewaters generated ardor disposed of or the <br />property, other than stormwater runoff and domestic sewage? Please <br />describe. (Please attach copies ofany wastewarer discharge perniiis or licenses <br />Pertaining to operatiom on the property) <br />16. Are there any other types of liquid wastes and solid wastes generated <br />at the property? Please describe how they are handled and disposed <br />Of (Please attach copies nfany%aslerlisposalpernuut.vorlicensesper!aimngto <br />operations on the property, ) <br />17 Are the any activities on the property which generate air pollutants, <br />including fuel bunting equipment? Please describe. (Please anach copies <br />of any air pernrtta or liaearrr prrtalronq m operatrona nn the property. ) <br />Q Yes W(Pio <br />O Yea No <br />Q Yes .3No <br />U Yes 4 --No <br />Ifyou hmre any questions about this questionnaire, please conract 8rlc Rowiev at (:09)367-9701 6 12 <br />