Laserfiche WebLink
Surface &Subsurface Contamination Report Questionnaire <br /> Lange Property Page 4 of 10 <br /> Our Project Number: LES08004 <br /> January 4, 2008 <br /> NEIL O. ANDERSON &ASSOCIATES, INC. <br /> s <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> E PART 2: OWNER INFORMATION <br /> E (To be completed by Owner or Owner's representative) <br /> II I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> n, <br /> Name: :`lk' <br /> Address: <br /> Telephone: �--q <br /> Year purchased: l <br /> 2. Previous owner(s) and contact information (if known): <br /> Name: <br /> Address: <br /> Telephone: <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: <br />` 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> ^� i <br /> 902 Industrial Way•Dodi,CA 95240•209.367.3701 •Fax 209.369.4228 82008 Neil 0.Anderson cg Associates,Inc. <br />