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Vien Property SSCR Page 8 of 9 <br /> Project Number: NA157033 <br /> August 25,2015 <br /> 1. Has the property been used for disposal of any liquid or solid ❑ Yes O No <br /> waste? <br /> 2. Have evaporation or storage ponds been located on the ❑ Yes E5 No <br /> nronerly? <br /> 3. Have waste water treatment facilities, such as acid neutralization ❑ Yes ® No <br /> vaults, been located on the property? <br /> 4. Are there raw chemical or waste chemical storage areas on the ❑ Yes [fit] No <br /> property? <br /> If any of questions 1-4 are answered "yes," please provide a description, including the <br /> location of all disposal sites, treatment facilities and storage areas, the type of chemicals or <br /> wastes handled at each site, the results of any soil or groundwater samples taken in the <br /> vicinity of each site, and the manner in which each site not presently in use was closed. <br /> V. AGRICULTURAL PROPERTIES <br /> Is the property currently used for agricultural purposes, other than ❑ Yes [ No <br /> grazing or pasture land? <br /> To the best of your knowledge, has the property been used in the past ❑ Yes No <br /> for agricultural purposes, other than grazing or pasture land? T <br /> If the answer to either question is "yes," please answer the following: <br /> 1. Have pesticides, herbicides or other agricultural chemicals been ❑ Yes ❑ No <br /> applied to the property? If so, please describe the locations <br /> where such pesticides, herbicides or chemicals were applied, and <br /> the type of pesticides, herbicides or chemicals applied in each <br /> area. (Please attach copies of pesticide use reports if available.) <br /> 2. Have pesticides, herbicides or other agricultural chemicals been ❑ Yes ❑ No <br /> mixed, formulated, rinsed, or disposed of on the property? If so, <br /> please describe the locations where such pesticides, herbicides <br /> or chemicals were mixed, formulated, rinsed, or disposed, and <br /> the type of pesticides, herbicides or chemicals mixed, formulated, <br /> rinsed or disposed of at each location. <br /> 3. Has any soil or groundwater analysis been performed to detect ❑ Yes ❑ No <br /> pesticides, herbicides or chemicals used at the site? If so, please <br /> provide a summary of the findings or attach the report(s). <br /> ENDORSEMENTS <br /> Part 2 <br /> As the present owner of the property or as an officer or general partner of the present owner of <br /> the property (or the duly authorized representative of such owner), I am familiar with all of the <br /> operations presently conducted on the property, and hereby certify that to the best of my <br /> knowledge, information, and belief the information disclosed above is true and correct. <br /> Responsive ■ Resourceful ■ Reliable <br />