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Tiered Permitting Phase 1 Environmental Assessment Checklist SIGNATURE AND CERTIFICATION FOR PERMIT-BY-RULE AND CONDITIONAL AUTHROIZATION Instructions: Carefully read the certification below. If you feel uncomfortable signing this certification, review the instructions and the information developed in the preparation of the checklist and correct any deficiencies you have found. Be sure that you check the boxes below to record your decision regarding further investigation. If you are claiming exemption from completing a Phase I Environmental Assessment, complete that section below. Either the owner, operator or independent professional engineer, geologist or a Registered Environmental Assessor who is registered in the state of California, shall certify to the following statement by signing on the appropriate lines below: Yes, further investigation is needed to determine the existence, nature and/or extent of contamination at the faclity. No, further investigation is not necessary to determine the existence, nature and/ or extent of contamination at the facility. I am exempt from completing the checklist and/or from resulting follow-up work. (State reason for exemption below and supply documentary evidence. Explanation: "Under penalty of purjury, I certify that I have personally examined and am familiar with the information submitted in this document and all attachments, and based on my inquiry of those individuals immediately responsible for obtaining it, the information is true, accurate, and complete to the best of my knowledge. Thus informed, I certify to my best judgement that hte conculusion recorded above regarding further investigation or exemption from completion of the Phase I environmental Assessment is correct". Owner's Signature: Name,Title & Company Name Date or Certified & Registered Environmental Assessorf- , � L4--" Cir �Z"Le 5 CC--(-) ( Signat Name, Title & Registration Number I Heinz Seed Operations - Stockton, CA Page 7 of 7