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FROM FAX NO. Ma 12 2004 09:12AM P2 <br /> JDL 6AFGER �'l0 r'E1�14b, aai�.;• . ���.• ___ <br /> S. Are share ctareintly any Pits,Ponds,Of <br /> lagoons klcamd on the property in <br /> oonnnction with waste tfeff=ml Of waste <br /> S. YES (N)O YES NO YES NO� <br /> Identify whit►: <br /> Ste, Did you observe evidence or do you �Y1FS thYES NO SA. YES <br /> have any prior knowledge that ere blot � O ,� <br /> bean any of the above mtmdooed e i i Y <br /> Wcased cm the prnperty? <br /> Itlectity wbich: --..._ <br /> fi is there cum-Ztly any:reined soli on the <br /> 70poly? <br /> Ideotlty wbkb: 6. YliB �NO 4L Y» NO ft, YES <br /> Wit,. Did you observe cvidmm Or do you <br /> baro may prior tmowtedge that there bas `A. YES (!�10/ �. Y" NO <br /> been ouly,any st uDed soil Oa the <br /> ldit wbicb: <br /> 2, Aro there ctatcndy any regietetod Or <br /> taaegiswred stmW tmia(above Or <br /> urxergrouad)locwcd on dw prvpeW -1, YES YES NO z YES <br /> Identify wbich: <br /> � Did ym observe evidcocc os&you <br /> have my prior knawle*that tbm have 7A. YES (TaO J '1A. Yn NO 7A, YES <br /> born any of dm above mcn6oaed <br /> X located 00 the prvpwy? <br /> Nest ' wbicb: -- <br /> L Arc there ct mtft aW vent PPcs,fill <br /> pilpst,or amass.pays iodiomting a fill pipe <br /> ptvtrvdiog fist the Cro+md On the Property <br /> os ad]sivertt to may structure healed on the <br /> 8 YES YU NO <br /> ldmtidy wbkb: a <br /> RA_ T?id yams obm ve evidemee Or do you YlEEi tiO I& YkZi NO �, YES <br /> have any ptior imowledge that tbem have <br /> been any of the above mentioned p <br /> located on etre pn>*yw <br /> It axle cunmdy cvwcnm of leaks, <br /> grills nr ztaining by mthatanotl8 odea than <br /> ws[tet,or fbul odoa'tt,omclat,ed.pith any <br /> rfrro lter Ings nr 1TM' <br /> prow ds on the & YiL.S ND Ym NU 9. YIES V <br /> idan"wMifolt: <br /> 121d YM 6hA61rvt:ViddnM Or ttu yuu YESNO YES rtes YES <br /> hawany pd w knowledge that there beve <br /> east any ortbe above metttkmedrp twto_,y y <br /> ktcmed on the pnjV ty? <br /> j4wdry whieb: _--_ <br />