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C) <br /> 6. Are there currently, or to the best of your knowledge have there been previously, any industrial <br /> drums (typically 55 gallons (208 liters)) or sacks of chemicals located on the property or at the <br /> facility? <br /> F! (Circle One) Yes 6 <br /> Unknown <br /> Fill7. Has fll dirt been brought onto the property that originated from a contaminated site or that is of an <br /> unknown origin? <br /> Fill Dirt - Dirt, soil, sand, or other earth, that is obtained off-site, that is used to fill holes or depressions, <br /> a create mounds, or otherwise artificially change the grade or elevation of real property. Fill dirt may be <br /> added in construction of a facility. It does not include material that is used in limited quantities for <br /> normal landscaping activities. <br /> (Circle One) Yes 0 Unknown <br /> S. Are there currently, or to the best of your knowledge have there been previously, any pits, ponds, or <br /> lagoons located on the property in connection with waste treatment or waste disposal? <br /> Pits, Ponds, or Lagoons - Man-made or natural depressions in a ground surface that are likely to hold <br /> liquids or sludge containing hazardous substances or petroleum products. Evidence of such liquids or <br /> i sludge includes, but is not limited to, discolored water, distressed vegetation, or the presence of an <br /> obvious wastewater discharge. <br /> F; (Circle One) Yes No Unknown <br /> 9. Is there currently, or to the best of your knowledge has there been previously, any stained soil on the <br /> property? <br /> Soils that are stained show a marked discoloration as compared to other soils in the immediate vicinity. <br /> (Circle One) Yes C'01) <br /> o Unknown <br /> 10. Are there currently, or to the best of your knowledge have there been previously, any registered or <br /> unregistered storage tanks (above or underground) located on the property? <br /> ' (Circle One) YesNo Unknown <br /> G <br /> 11. Are there currently, or to the best of your knowledge have there been previously, any vent pipes, fill <br /> pipes, or access ways indicating a fill pipe protruding from the ground on the property or adjacent to <br /> any structure located on the property? <br /> Vent or fill pipes often signal the current or previous existence of underground storage tanks. In addition, <br /> any asphalt or concrete patching that would indicate the possibility of previous underground storage tank <br /> removal should be identified. <br /> F, (Circle One) Yes No Unknown <br /> F, <br /> 3 <br />