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n <br /> r <br /> u Rev 2/23/2001 <br /> r Page 3 of G <br /> I Oa Are there currently any registered or unregistered Yes No Unk. <br /> storage tanks (above or underground) located on the <br /> property? <br /> r <br /> r I Ob Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there has been previously, any registered or <br /> unregistered storage tanks(above or underground) located <br /> on the property,' <br /> Ila Are there currently any vent pipes, fill pipes, or access Yes No Unk <br /> ways indicating a fill pipe protruding from the ground on <br /> the property or adjacent to any structure located on the <br /> property? <br /> I 1 b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there has beer,previously, any vent pipes, ` <br /> fill pipes, or access ways indicating a fill pipe protruding <br /> from the ground on the property or adjacent to any structure <br /> located on the property? <br /> f 12a Are there currently any flooring, drains, or walls Yes No Unk <br /> located within the facility that are stained by substances <br /> other that water or are emitting foul odors? <br /> 12b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there has been previously, any flooring, <br /> drains, or walls located with the facility that are stained by <br /> substances other that water or are emitting foul odors? <br /> 13a If the property is served by a private well, or non- Yes No Unk <br /> public water system, is there evidence or do you have prior <br /> 4f knowledge that contaminants have been identified in the <br /> well or system that exceed guidelines applicable to the <br /> water system? <br /> 13b If the property is served by a private well, or non- Yes No Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that the well has been designated as <br /> contaminated by any government environinental/health <br /> agency9 <br /> i 14 Does the owner or occupant of the property have any Yes No Unk <br /> knowledge of environmental!rens or governmental <br /> notification relating;to past or iecurrent violations of <br /> environmental laws with respect to the property or any <br /> facility located on the property? <br /> c 15a Has the owner or occupant of the property been Yes No Unk <br /> "Ttf informed of the past existence of hazardous substances or <br /> petroleum products with respect to the property or any <br /> . facility located on the property? <br /> '� Initials <br />