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09 06/06 15: 45 PAX 209 942 021.4 Siegfried Eng l¢j006 <br /> Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E061 02A <br /> Property Location: Thornton Road, Thornton, CA 95242 <br /> Page 4 <br /> ENDORSEMENTS: <br /> Part 1 <br /> As the User of the Phase 1 Environmental Site Assessment being prepared for the property (or the duly <br /> authorized representative of such User), I have specific knowledge of the questions posed in Part 1 of <br /> this Questionnaire regarding the property, and hereby certify that to the best of my knowledge, <br /> information, and belief the information disclosed above is true and correct. <br /> User or Client's Signature Date <br /> arcrre <br /> User or Client's Name (please print) <br /> Title, Company <br /> If you have any questions about this questionnaire.please contact Abby Rocco at(209)367-3701 er1. 238 <br />