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*40 <br /> Surface/Subsurface Contamination Report Checklist <br /> L NOA Project Number: E04144A <br /> Page 4 <br /> L 13. a.Are there any open or damaged containers contacting unidentified substances observed on the subject <br /> property? <br /> LYes Q No EZI <br /> b.Within 250 feed <br /> Yes Q No None observed <br /> L14. Ideo[ify any surface waters within 1,000 feet.of the subject property <br /> Imgation canal along eastern pmpery boundary;small agricultural pond at nortb corner ofproperty <br /> 16. a. Identify the potable water supply source: <br /> RPublic Water System O Other <br /> Private Well m None <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> Yes m No Q Agricultural well observed to west,•rural residence to west may bate a domestic well <br /> 17. Identify the sewage disposal system: <br /> �. a Public Sewer System O Other <br /> OOn-site septic system 21 None <br /> 18. Are there any pits,ponds,or lagoons located on the property in connection with waste treatment or waste <br /> disposal? <br /> Yes Q No [Z] Agricultural pond may be used for irrigation water return <br /> L <br /> ` 19. a.Is there evidence that the subject property discharges waste water,other than storm water,directly into a <br /> ditch or stream on or adjacent to the property? <br /> Yes Q No EZI <br /> ` b.Any discharges observed within 200 feet? <br /> lig Yes Q No None observed <br />