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3 <br /> i <br /> ..........d <br /> February 6,2020 <br /> FRCI M: W.&Mrs.Charles Petz <br /> j 72 i Delanyy Avenue <br /> Orlando,J 3280i <br /> PROJECT: 28960 South Bird Road T CA. l: <br /> APN 255-020-64,PAS 6�i2 �(MS)SUM 11165 <br /> SUJJECT: Surface and Subsurface Contamination Report Required by the San Joaquin County <br /> Environmental Health Department. <br /> Please answer the following questions to the best of your knowledge. Please e-mail this document back to Chesney <br /> Con$ulting upon completion.Thank you. <br /> i <br /> 1. How long have you owned the property and is your property known by your name or any other name?Who <br /> were the prior owners and their length of ownership,if known? What activities have taken place that you <br /> know of and what is the proposed development of the property? <br /> I <br /> Length of Ownership and other names: <br /> Previous Ownership to you,and length of your ownership,if known: <br /> I <br /> Activities/Proposed Development,.if known: <br /> 2. Is there,or has there ever been to your knowledge,an e of above ground or undeerground sto a tanks on <br /> the subject property,or any type of buried comaancts?y Are there any septic tanks on e rty <br /> 3. Do you belo to an Irr�gated Lands Regulatory Coalition? Are there any wells(domestic and/or irrigation),or <br /> I irrigation/gas Tines on the property that you are aware of? <br /> Coalition: S <br /> Wells/Irrigation/Gas Lines: <br /> 4. Has any environmental assessment such as a.Phase I Environmental Site Assessment been conducted for your <br /> property drat may have been required by a lender? <br /> Sign$d: Date: LAZO <br /> Thar You for your time. If there should be any questions,please give me a call. <br /> Sinc�reiy, <br /> CHE SNEY CONSULTING <br /> Don yya PF <br /> Il;e�g <br /> Civil Engineer-##C75479 <br /> s <br /> P.O-Box 3794 0 'Mock;CA ,9�3 8a z <br /> � og.gox.1G2 0 ddchesn .net <br />