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I-It <br /> 4 <br /> • 1February 19,2010 <br /> I <br /> 1FROM: Mr.Geo'ge Naha, <br /> 11751 Jack Tone Road <br /> Lodi,CA 95240 <br /> iPROJECT: APNs 063-210-15 and 063-210-16, 11951 and 11975 North Jack`Pone Road- San Joaquin County <br /> y ! <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 Chesney Consulting upon completion. Thank you. <br /> ,1. How long have you owned the property and is your ranch known by your name of 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? <br /> Length of Ownership and Ranch Name(s): — <br /> ry— f �� 1[ <br /> Previous Ownership to you,and length of ownership,if known: 6 -::C Yc' <br /> Activities/Proposed Development:�� {h {' t l _ i �.f7 is t t� tSna T� <br /> 2. is there,or has there ever been to your knowledge,any <br /> , pe 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 /> iti4 K--k',j <br /> 3. Please provide a list of the pesticides that have been applied to the subject property acreage in the past three <br /> years(Use separate List if convenient). Are pesticideslherbicides mixed on the property efore spraying? <br /> pears <br /> where? How are pesticides/herbicides applied to the sub'ect property(groundd, 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: JQ <br /> Mixing Area Location(s)and Application.Method: 0 N <br /> Wells: U L Backflow Prevention Devices: ,Q <br /> 4. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied, if any? <br /> i5. 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: - N�O <br /> Hazardous Materials Release: N, <br /> 6. Are there any easements through the property,or any underground pipelines? <br /> !Signed Date: �°Z 2 1 t j <br /> Thank you for your time. If there should be any questions,please give me a call. <br /> Sincerelyy,, <br /> CHESNEY CONSULTING <br /> Don Chesneyy, R.E.A. <br /> iRegistered Environme I Assessor#4675 <br /> Agricultural Pest Cont of Advisor.#6237 <br /> P. 4. Box 3794 • Turlrack, Cil 95381 • Office (tog) 668-1403 • Fax (tog) 668-2598 <br />