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UV/U6/U6 15: 46 FAX 209 942 0214 Slegfrled Eng j007 <br /> Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E06102A <br /> Property Location: Thornton Road, Thornton, CA 95242 <br /> Page 5 <br /> — NEIL O. ANDERSON Et ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> _ 1. GENERAL INFORMATION <br /> 1. Current owner of propee"/ <br /> Name: Ma l c o �{ ��✓ /y <br /> Address: Z _� )gt �. v P�1 i Pc� Loch'/� <br /> Telephone: 12o9) 212- G <br /> Year purchased: 2 00, <br /> 2. Previous owner(s) and contact information (if known): <br /> Name: <br /> Address: <br /> Telephone: <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: <br /> le,12 u(JI-ecl. <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> /`you have any questions about this questionnaire•please contact Abby Rocco of(209)367-370/ext. 2384 <br /> — <br />