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Surface/Subsurface Contamination Report Checklist <br /> NOA Project Number. E05022A <br /> Page 4 <br /> L13. a.Are there any open or damaged containers containing unidentified substances observed on the subject <br /> property? <br /> Yes Q No El <br /> b.Within 250 feet? <br /> Yes Q No ® None observed <br /> L <br /> 14. Identify any surface waters within 1,000 feet.of the subject property <br /> L Irrigation canal crosses su ject property <br /> r 16. a. Identify the potable water supply source: <br /> R <br /> Public Water System M Other <br /> Private Well ®None <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> Yes[Z] No Q Surrounding residences presumably bane private wells <br /> 17. Identify the sewage disposal system: <br /> Public Sewer System Other <br /> On-site septic system ® None <br /> 18. Are there any pits,ponds,or lagoons located on the property in connection with waste treatment or waste <br /> disposal? <br /> Yes Q No <br /> 19. a.Is there evidence that the subject property discharges waste water,other than storm water,directly into a <br /> ditch or stream on or adjacent to the property? <br /> Yes No Q Mr. Richard Green indicated that excess water is discharged into irrigation canal <br /> b.Any discharges observed within 200 feet? <br /> ` Yes No m None observed <br /> ar .4A <br />