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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E07025A <br /> Property Location: 21301 N. Rond Rd <br /> Page 4 of 11 <br /> ENDORSEMENTS: <br /> Part 1 <br /> As the User of the Phase I Environmental Site Assessment being prepared for the property (or the duly <br /> authorized representative of such User), I have specific knowledge of the questions posed in Part 1 of <br /> this Questionnaire regarding the property, and hereby certify that to the best of my knowledge, <br /> information, and belief the information disclosed above is true and correct. <br /> (Aisgr'or nt's ignature Date <br /> User or Clients Name (please print) <br /> Q nc"/- <br /> Title, Company <br /> .r <br /> If you have any questions about this questionnaire,please contact Tina Cheney at(209)367-3701 ext. 233. <br />