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FROM FAX N0. Mar 12 2004 09: 11AM PS <br /> •vu s �� in.jJ F:/lYb./ �loilll. Llii�r��Ri P. 00- <br /> ENVIRONMENTAL QUESTIONNAME I DISCLOSURE STATEMENT <br /> AND]PROPERTY OBSERVATION FORM <br /> PROPERTY 1 PItOJFC'i'ADD ISS.- / _ /G/�i( Sf= DATE, — <br /> PERSON IMRVIEW>ED A ME, 990JECT MANAGEL <br /> Ino- 2- <br /> OBSERYED <br /> 4IIEsTTON R S�c ��KI <br /> 13 the property or any adjoining property <br /> currently used for an industrirtt use? <br /> Ide*Wy wkkh: 1. YES Ii0 L YES NO YIrS <br /> JA. Did you observe cvidtnoe or do you <br /> have any prier kwwtc*that the property <br /> m adjoining pvapetty has beta and for 1& YBS NO YLS NO IA. YES <br /> indastrisl use in the VMV <br /> I wbkb: ' <br /> Is the ptvpeM or ed*ring p"eM - <br /> cw mtly used as a gawim stab m,maim <br /> repair facility,corrmwx ial printing facility, <br /> dry ckanem photo developing laboratory, <br /> Junkyard.landa or as a wasw team ED4 <br /> storage,disposal.prooeasing,a necychA& ? vFs xo ypS No A, YE3 <br /> tbeitq(ifzWlicaWc.i0tndry which)? <br /> Idea"wbkb: + 1&. Yeas 1rV YES NO 2A. YF.aS <br /> 2& Did you observe evidence or&YOU <br /> have any prior knawkdge that the property <br /> or P4oiain8 pmprrty wan nsext ars any of the <br /> above-mdwned in the pag2 <br /> Tdcaft WhIk r: <br /> Aur ibae cu n vtly any dxmmged or <br /> e$amrded amturnubve err iudvs nW tarncries, <br /> petticidea,points,or other chemicals in I <br /> individual cwntaincm ppcain titan five <br /> gallons in the aggregate,stored an or usM <br /> at the property or at the facility? � V" YES NO -% VES <br /> Identify which: <br /> I. Did you rebacrve evidence or do you X rpt rcu 3A. Y" No , ides tr <br /> have any prior kowlodge of alar of the <br /> Above mrnlionM ilems,which have been <br /> ggyjM&stored or used at the property or <br /> at the fwihty7 <br /> I&Mdfy Wlkith: _ <br /> I Did ytou ub mv-ve evidenix ter dti you <br /> have prior kroowledge that iU dirt bw been �\ <br /> brought owo the pupa y that wiprsted 4. VTS (1'tO l I. YES IWO Yt9 <br /> J}om a con1amiw1ed Site cc that is pf ars 1�/ <br /> unknown txigio? <br /> 111ridify Whirb.- - _.� <br />