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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E05165A <br /> Property Location: 18700 River Rd., Ripon, CA 95366 <br /> Page 5 <br /> NEIL 0. ANDERSON Et 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 11-_ (� <br /> Name: -S(-0W4 aVe <br /> Address: 1�-700 C. ���vri ��P°`', C� q534b <br /> Telephone: �-Z�t, qlq <br /> Year purchased: ---) i �M m-J ; (J 7 <br /> _ � C�C nJ�i; ��p <br /> 2. Previous owner(s) and contact information (if known): <br /> Name: V rtia A.�C'eV&S <br /> Address: <br /> Telephone: <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> a Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please <br /> ��describe current use(s) of property: <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> .� If you have any questions about this questionnaire,please contact James Robinson at(209)367-3701 ext. 222. <br />