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JR DD 2 io <br /> Co rnsulti ►lcy• [ nC. <br /> Fnvnonmentai • =r,gineenng vao'o}y <br /> Surface/Subsurface Contamination Report Questionnaire <br /> JR Squared Project Number — 2008021 <br /> Property Location — 14539 E. Louise Avenue <br /> ENDORSEMENTS <br /> Part Two <br /> As the present owner of the property or as a representative of the present owner of the property, I am <br /> familiar with all of the operations presently,conducted on the property,and hereby certify that to the best of <br /> my knowledge, information,and belief the information disclosed above is true and correct. <br /> t grant JR Squared Consulting Inc,permission to enter the subject property,including all structures <br /> on the property,as necessary to complete the Surface/Subsurfaee Contamination Report <br /> I understand that I will be given appropriate notice before the date of the site inspection at the phone <br /> number provided nelow. <br /> Owner_por�Key Site nager's Signature <br /> "_` <br /> OwneerKe^ Se M?nager's Name(please print) <br /> �V j�(� <br /> Title,Company <br /> Contact Phone <br /> IR SQUARED CONSULTING,INC. ENVIRONMENTAL o ENGINEERING a GEOLOGY <br /> 6532 MCNEIL COURT,VALLEY SPRINGS,CA,95252 PHONE(209)7723841 FAX(209)7404303 <br /> 1110 <br />