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Phase I / TSA Environmental Site Assessment (ESA) Questionnaire Date: <br /> Project Address: <br /> Interviewee: <br /> Page 4 of 8 <br /> TRANSACTION SCREEN QUESTIONNAIRE (attach additional pages, if needed) <br /> (1 a.) Is the property currently used, or used in the past, for research, military and/or industrial use? <br /> ❑Yes ❑ NoUnknown -If yes, describe: <br /> (1b.) Are any of the adjoining properties currently used, or have been used in the past, for research, <br /> military and/or industrial use? ❑Yes ❑ No D<Unknown -If yes, describe: <br /> (2a.) Is the property currently used, or used in the past, as a gasoline station, motor repair facility, <br /> commercial printing facility, dry cleaners, photo developing lab, junkyard or landfill or as a waste <br /> treatment, storage, disposal, processing or recycling facility? El Yes ❑No 9KUnknown <br /> If yes, describe (and identify which): <br /> (2a.)Are any of the adjoining properties currently used, or have been used in the past, as a gasoline <br /> station, motor repair facility, commercial printing facility, dry cleaners, photo developing lab,junkyard <br /> or landfill or as a waste treatment, storage, disposal, processing or recycling facility? <br /> ❑Yes ❑No Runknown -If yes, describe (and identify which): <br /> (3.) Are there currently, or have there been in the past, any damaged or discarded automotive or <br /> industrial batteries, pesticides, paints or other chemicals in individual containers larger than 5-gallon <br /> stored or used at the property or facility? ❑Yes ❑No ''Unknown -If yes, describe: <br /> (4.)Are there currently,or have there been in the past,any industrial drums,typically 55-gallon,or sacks <br /> of chemicals located on the property or facility? ❑Yes ❑ No [KUnknown -If yes, describe: <br /> Advanced GcoEn ironmentnl,Inc. <br />