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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E05167A <br /> Property Location: 2289 S. Hollenbeck Road, Stockton, CA <br /> r, Page 5 <br /> NEIL O. ANDERSON 8: ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> _ PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> 1. GENERAL INFORMATION <br /> .. 1. Current owner of property <br /> Name: 7rJV- / F el.,r'-djrP, C. , �C�<f Ems/ V 6F ✓n/�� <br /> Address: '2-11" J: 6�u-�Cn/G6-40c fc, 1 <br /> Telephone: 209 Sf7'y19'2 <br /> Year purchased: Mc� <br /> 2. Previous owner(s) and contact information (if known): <br /> '- Name: J`rr,q SM/T7f <br /> Address: <br /> Telephone: Cm/f.,fV-0 1a✓ <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> Name: uorV`,s <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: <br /> 7-J�j hfo,4j,�T /S s14V%�C FA—t�-f REe,orw .4-u0 IJ �rtoFs <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> ri Z,v �c /<nro"3.J <br /> "' Ifyou have any questions about this questionnaire,please contact James Robinson at(109)367-3701 ext. 111. <br />