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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E07025A <br /> Property Location: 21301 N. Rond Rd <br /> Page 9 of 11 <br /> III. STORAGE TANKS AND OTHER CHEMICAL STORAGE <br /> Are there currently, or to the best of your knowledge have there been Yes A�N0 <br /> previously, any registered or unregistered gasoline, diesel, fuel oil or other <br /> chemical storage tanks (above or underground) located on the property? <br /> Are there any pesticides, paints, or other chemicals stored or used on the Yes ❑ No <br /> property in drums, sacks, or other containers greater than 5 gallons each or <br /> 50 gallons in the aggregate? <br /> If the answer to either question is "yes," please answer the questions below: <br /> 1. For each tank, please list substance stored and tank capacity: <br /> 2. Have the tanks been inspected or tested for leakage? When was the most recent test? What <br /> were the results? (Please attach copies of results if available.) <br /> —M <br /> 3. For other storage containers, please describe the substances, quantities stored, and types of <br /> containers. <br /> 4. Have there been any spills, leaks, or other releases of chemicals on the ❑ Yes .2TNo <br /> property? If so, please describe the chemicals and quantities released, <br /> any cleanup measures taken, and the results of any soil or groundwater <br /> samples performed to detect the presence of chemicals spilled, <br /> leaked, or released on the property. <br /> 5. Please attach copies of any permits or licenses pertaining to the use, storage, handling, or <br /> disposal of chemicals on the property. <br /> 9 n 6&J- <br /> ljyou <br /> have any questions about this questionnaire,please contact Tina Cheney at(209)367-3701 ext. 233. <br />