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— Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E07013A <br /> Property Location: 2927 Et 2978 Vista Ave, Stockton, CA 92506 <br /> Page 5 of 11 <br /> NEIL 0. 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 /> I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> .S'� �F T�' J /�fio., f� /Ylv�s/zr d'.��✓ �fT/�//D� <br /> Name: <br /> Address: <br /> Telephone: )aq, 9 T7- 76 2J— <br /> Year purchased: �2Gaf- <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: �� ^""411 <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: <br /> _ 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> Ijyou have arty questions about this questionnaire,please contact Abby Rocco at(209)367-3701 ext. 238. <br />