Laserfiche WebLink
Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E07054A <br /> Property Location: 2067 Michael Avenue, Stockton, CA 95206 <br /> Page 5 of 11 <br /> NEIL O. ANDERSON & ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property , <br /> Name: �TUc�[ rptJ �b�5 �p,�L ,nc1 rj�� c� �o tJQ tk2����E�fllt� <br /> Address: <br /> �Tocic,-�C,�J � �u . 85213 <br /> Telephone: 2CXj _ c� <br /> Year purchased: aDo <br /> 2. Previous owner(s) and contact information (if known): 0-T K n0 W r, <br /> Name: <br /> Address: <br /> Telephone: <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: K) 6-V 6-16V(1 <br /> Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: <br /> 00cahA L4y) d. <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> r Ijyou have any questions about this questionnaire,please contact Abby Rocco at(209)367-3701 ext. 238. <br /> V "44 <br />