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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E06150A <br /> Property Location: 27272 E. Lone Tree Road, Escalon, CA <br /> Page 5 <br /> NEIL 0. ANDERSON i3 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: ;?—o6-1E I S A Iv�'- <br /> Address: ).7A7,Z laNc-Tzrr— F'ScAzow <br /> Telephone: 9 3 9 -6 7 7 Sr <br /> Year purchased: /99-5- <br /> 2. <br /> 99S- <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: ?iq5 Tk,e E <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> Ifyou have any questions about this questionnaire,please contact Tina Cheney at(209)367-3701 ext. 233. <br />