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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: P05314 <br /> ►� Property Location: 2820 E. Florida / 2245 Myran, Stockton, CA 95205 <br /> Page 5 <br /> NEIL 0. ANDERSON £t 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: Fni tL .AA 611 .c, L.,. -t41 <br /> Address: 12.241 L,,, e t S'Ec - A' <br /> ` Telephone: 2-oq -157-3831 <br /> Year purchased: Zoo S <br /> r <br /> 2. Previous owner(s)and contact information (if known): <br /> Name: 44 4,6-, - K-" 3;.y1 n . — 'Deem ,-J ��v+rl.ns 1 rY.,.-. <br /> Address: 1%,o G',lcl rizr A , s� a c4 95Z. <br /> ` Telephone: <br /> Year purchased: Prox_ Icl,tL"s <br /> v <br /> 3. Other person with historical knowledge of property: <br /> .y Name: <br /> u c <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: <br /> S;. .Ile. f-n� 11) S-Jc) cC_ A,11 JA-cn-ri-r t�xceL <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> Ijyou have any questions about this questionnaire,please contact Abby Rocco at(209)367-3701 est.238. <br /> ,OA <br /> 9 'd 9292-1-96-602 sjolleay oiyg eon- H 460 : 1:0 50 61 DOG <br />