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ENVIRONMENTAL SITE INSPECTION QUESTIONNAIRE <br /> Page 2 of 9 <br /> B. Former Site Uses <br /> 1. Describe the former site uses including dates where known. <br /> o ofve-z VsaG k#jmi)J , 274- _1'7 <br /> IOL c,,y -� 04.7- pN 1 <br /> 3 YeAi 4. A &rA <br /> M. ADJACENT SITE USES <br /> 1. Describe adjacent site uses and make note of any particular area of concern. <br /> i <br /> IV. SITE INSPECTION INFORMATION <br /> A. Crop and Pesticides/Herbicides Used <br /> 1. Identify crops grown and pesticides or herbicides used on-site for the last five <br /> years. If available, attach a copy of the County Pesticide Use Permit for the previous 5 years. <br /> CROPS PESTICIDE/HERBICIDE CATEGORY RATE OF APPLICATION <br /> ccf Av No►�� KNE <br /> S rouod=%phnse l\question <br />