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9%0AVOLUNTARY State of California-California Environmental Protection Agency —1,11>1 AGREEMENTS Water Boards Request for Agency Oversight of a Brownfield Site Supplemental Attachment: Prospective Purchaser Agreement Please complete this form ONLY if you are an eligible entity applying for a Prospective Purchaser Agreement with DTSC 1. Is the current owner aware of your plans to seek a Prospective Purchaser Agreement with DTSC? Yes ❑ No ❑ a) If"yes," when do you expect to take title to the Site? b) If"no," what is your proposed interest in the Site and what vehicle will be used to consummate the transaction? 2. Please describe, if known, the timing of the proposed property transaction in sufficient detail to give DTSC a sense of your needs and timetable. 3. Attach a copy of the Site map, legal boundary description, and Title Report. 4. Describe the "substantial benefit" to the State of California that will result if your proposal is implemented. For example, describe the changes expected in the local and state tax base or other benefits to the community and surrounding neighborhood which could occur as a result of the Site redevelopment. 5. Describe the financing to be used to complete remediation prior to the development of the Site. 6. Briefly describe, in general terms, the removal or remedial activities to be performed in the future. 7. Attach a list of names and addresses of potentially responsible parties, and describe all efforts to identify the potentially responsible parties. Note: If remediation is occurring during and after construction, such as for groundwater treatment or soil vapor extraction, a separate Operation and Maintenance Agreement must be executed to ensure that remedial activities occur until remedial goals are met. DTSC Form 1460-Revision June 2018 PP Agreement Supplement Page 1