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r � <br /> Rev 2/23/2001 <br /> Pace 3 of 6 <br /> t ; 10a Are there currently any registered or unregistered Yes CNo Unk <br /> storage tanks (above or underground) located on the <br /> property? <br /> 4 <br /> I Ob Did you observe evidence or do you have any prior YesCn <br /> Unk <br /> knowledge that there has been previously, any registered or <br /> h unregistered storage tanks (above or underground) located <br /> on the property' <br /> Ila Are there currently any vent pipes, fill pipes, or access Yes Na 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 Ib Did you observe evidence or do you have any prior Yes Unk <br /> knowledge that there has been previously, any vent pipes, <br /> fill pipes, or access ways indicating a fill pipe protruding <br /> 4 from the ground on the property or adjacent to any structure <br /> located on the property? <br /> 12a Are there currently any flooring, drains, or walls Yes Unk <br /> " 8 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 o Unk <br /> knowledge that there has been previously, any flooring, <br /> drains, or wails located with the facility that are stained by <br /> ti substances other that water or are emitting foul odors? <br /> x <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 /> knowledge that contaminants have been identified in the <br /> well or system that exceed guidelines applicable to the <br /> a <br /> water system <br /> 13b If the property is served by a private well, or non- Yes Unk <br /> public water system, is there evidence or do you have prior <br /> ] knowledge that the well has been designated as <br /> l contaminated by any government environmental/health <br /> agency? <br /> 14 Does the owner or occupant of the property have any Yes No nk <br /> knowledge of environmental liens or governmental <br /> notification relating to past or recurrent violations of <br /> € environmental laws with respect to the property or any <br /> facility located on the property? <br /> I Sa Has the owner or occupant of the property been Yes Unk <br /> 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 />