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Rev 2/13/2001 <br /> P,,- 4 of G <br /> 15b Has the owner or occupant of the property been Yes No Unk <br /> informed of the current existence of hazardous substances <br /> of petroleum products with respect to the property or any <br /> facility located on the property <br /> 15c Has the owner or occupant of the property been Yes X1'0 Unk <br /> w informed of the past existence of environmental violations <br /> with respect to the property or any facility located on the <br /> property," <br /> l 5d Has the owner or occupant of the property been Yes GNo Unk <br /> informed of the current existence of environmental <br /> violations with respect to the property or any facility <br /> located on the propertyl <br /> 16 Does the owner or occupant of the property have any Yes Na Unk <br /> knowledge of any Environmental Site Assessment of the <br /> property of facility that indicated the presence of hazardous <br /> substances or petroleum products on, or contamination of, <br /> the property or recommended further assessment of the <br /> property? <br /> 17 Does the owner or occupant of the property know of Yes Unk <br /> any past, threatened, or pending lawsuits or administrative <br /> proceedings concerning a release or threatened release of <br /> any hazardous substance or petroleum products involving <br /> 4 @ the property by any owner or occupant of the property <br /> 18a Does the property discharge wastewater, on or Yes No Unk <br /> adjacent to the property, other than storm water, into a <br /> storm water sewer system? <br /> 18b Does the property discharge wastewater, on or Yes s No Unk <br /> adjacent to the property, other than storm water, into a <br /> sanitary sewer system? <br /> 19 Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that any hazardous substances or petroleum <br /> products, unidentified waste materials, tires, automotive or <br /> industrial batteries, or any other waste materials have been <br /> dumped above grade, buried and/or burned on the <br /> property? <br /> 20 Is there a transformer, capacitor,or any hydraulic Yes No Unk <br /> equipment for which there are any records indicating the <br /> t presence of PCBs7 <br /> t <br /> F <br /> } 1 <br /> `, Initials <br />