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J2 z <br /> R col,5ultipcy. Inc. <br /> Envronmental • Englneenng • Geology <br /> Surface/Subsurface Contamination Report Questionnaire <br /> IR Squared Project Number -2008021 <br /> Property Location- 14539 E. Louise Avenue <br /> Environmental (questionnaire and Disclosure Statement <br /> PART ONE —u'SER'S RESPONSIBILITIES <br /> To be completed by Client �y <br /> I. Has a chain-of-title o.preliminary tale report been prepared for the property? yes 4V 110 <br /> (Please provide copies of any available reports.) �7 <br /> 2. Have any previous environmental reports been prepared for J yes V no <br /> this property(i.e. Phase 1's).(Please provide copies of any available reports.) <br /> 3. Are you aware of any environmental liens or land use limitations recorded yes no <br /> against the property? If so please explain - <br /> 4. Do you have any specialized knowledge or experience relating to yes no <br /> environmental conditions on the properly which may be helpful to us? <br /> If so please explain - <br /> 5, What is the proposed future use of the property? -af A• J , <br /> Please provide a site map if available. <br /> ENDORSEMENTS <br /> As the User of the Surface/Subsurface Contamination Report being prepared for the property (or the duly authorized <br /> representative the User), I have answered the questions posed in Part 1 of the Questionnaire regarding the property, <br /> and hereby certify that to the best of my knowledge, information, and belief the information disclosed is true and <br /> correct. <br /> U'seror Client's Signatur User or Client's Nam (please print) Date <br /> Ir <br /> Title,Company <br /> IR SQUARED CONSULTING,INC. ENVIRONMENTAL,ENGINEERING,GEOLOGY <br /> 6532 MCNEIL COURT,VALLEY SPRINGS,CA,95252 PHONE(209)772 3041 FAX(209) 740 4303 <br /> r <br />