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® WATER 8 WASTEWATER FRESNO.CLOVIS.VISALIA.BAKERSFIELD.MODESTO.LOS BANOS <br /> PROVOST& LAND DIPAL EVELOPMESNRUCTURE <br /> P R ITC HA R D AGRICULTURAL SERVICES DAIRY SERVICES 4701 Sisk Road,Suite 102 <br /> LAND SURVEYING 8 GIS Modesto,CA 95356-9320 <br /> m Empbyee Owl Company PLANNING 8 ENVIRONMENTAL (209)809-2300 • FAX(209)809-2290 <br /> DISTRICT MANAGEMENT W .ppeng.00m <br /> January 16,2013 WW <br /> FROM: Mr. Tony Faria <br /> 20432 Seidner Road <br /> Escalon,CA 95320 <br /> PROJECT: APN 205-150-11,and 13 Mariposa and Van Allen Roads-San Joaquin County <br /> SUBJECT: Surface and Subsurface Contamination Report Required by the San Joaquin County <br /> Environmental Health Department. <br /> Please use the back of this document,or separate paper if necessary. Please mail, e-mail or fax this document back <br /> to Provost& Pritchard upon completion. Thank you. <br /> I. How long have you owned the property and is your ranch known by your name or any other name? Who <br /> were the prior owners and their length of ownership, if known? What activities have taken place and what <br /> is the proposed development of the property? J1 r <br /> Length of Ownership and Ranch Name(s): RIA FQ L_FAM 1LV71zvS; <br /> Previous Ownership to you, and length of ownership, if known: pevDL hipm F-5 <br /> Activities/Proposed Development:_ PA(JLC/ 4 TA g=imi 1,44 <br /> 2. Is there,or has there ever been to your knowledge,any type of above ground or underground storage tanks <br /> on the subject property,or any type of buried containers. Are there any septic tanks on the property? <br /> AF�OVE C{RotAND /t(O G(n/A�Q[�20uND <br /> 3. Please provide a list of the pesticides that have been applied to the subject property acreage in the past three <br /> yyears(Use separate List if convenient). Are pesticides/herbicides mixed on the property acreage <br /> spraying? <br /> If so,where? How are pesticides/herbicides applied to the subject property(ground, aerial)? Are there any <br /> wells(domestic and/or Irrigation)on the property and do they have backflow prevention devices if used for <br /> filling of spray rigs? <br /> Pesticides/Herbicides Applied: CAKB^y% b 01C60eii% 2p4-D P_ 4RAQuAi- <br /> Mixing Area Location(s)and Application Method: NO/YI/gNdltEN QE• 4golIND/AIR <br /> Wells: 4 - Z 1 RR- 2 D001• Backflow Prevention Devices: eE - A� <br /> 4. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied, if any? <br /> _A N 3 Z I D E Dar74 <br /> 5. Are any hazardous materials stored,or previously stored on the property? If so,where? Are you aware of any <br /> hazardous material release on,or around your property? <br /> Hazardous Materials: NO <br /> Hazardous Materials Release: NONE <br /> 6. Are there any easements through the property,or any underground pipelines? RR- Pt PEuNE5 <br /> Signed Date: I —/ 6 11 <br /> Thank you for your time. If there should be any questions,please give me a call. <br /> Sincerely, <br /> NPRO,kOST& RD CONSULTING GROUP - <br /> Re--istered Civil Engineer#75479 <br /> Agricultural Pest Control Advisor 4074363 <br /> Certified Crop Advisor 4341829 <br />