Laserfiche WebLink
ENVIRONMENTAL SITE ASSESSMENT QUESTIONNAIRE Page 3 <br /> 23.Does the owner or occupant of the property have any knowledge of Yes No Unknown <br /> environmental liens or governmental notification relating to past or <br /> recurrent violations of environmental laws with respect to the property or <br /> any facility located on the property? ,.,q <br /> 24.Has the owner or occupant of the property been informed of the past or Yes (�Nd Unknown <br /> current existence of hazardous substances or petroleum products or <br /> environmental violations with respect to the property or any facility located <br /> on the property? <br /> 25.Does the owner or occupant of the property have any knowledge of any Yes Unknown <br /> environmental site assessment of the property or facility that indicated the <br /> presence of hazardous substances or petroleum products on,or <br /> contamination of,the property or recommended father assessment of the <br /> property? <br /> 26.Does the owner or occupant of the property know of any past, Yes /Nm Unknown <br /> threatened,or pending lawsuits or administrative proceedings concerning a �J <br /> release or threatened release of any hazardous substance or petroleum <br /> products involving the property by any owner or occupant of the property? <br /> 27.Is there an active or abandoned on-site septic system in place? es No Unknown <br /> ,Z cc. -e Sept' Sybae�S <br /> 28.Does the property discharge waste water on or adjacent to the property Yes Unknown <br /> other than storm water into a sanitary sewer system? <br /> 29.To the best of your knowledge,have any hazardous substances or Yes No Unknown <br /> petroleum producrs, unidentified waste materials,tires,automotive or <br /> industrial batteries or any other waste materials been dumped above grade, <br /> buried and/or burned on the property? <br /> 30.Is there a transformer,capacitor, or any hydraulic equipment for which No Unknown <br /> there are any records indicating the presence of PCBs9 <br /> flrI <br /> L40";g .L <br /> Prepares 4ame Company <br /> Title Date <br />