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s <br /> Rev 2/23/2001 <br /> k Page 2 of 6 <br /> r <br /> 4b Did you observe evidence or do you have any prior Yes No Unk <br /> a • knowledge that any adjoin ingproperty has been used as a <br /> gasoline station, motor repair facility, dry cleaners, photo <br /> developing laboratory,junkyard or landfill,or as a waste <br /> treatment, storage, disposal, processing, or recycling <br /> facility(if applicable, identify which)9 <br /> 5a Are there currently an damaged or discarded e <br /> � y y g � No Unk <br /> automotive or industrial batteries,pesticides, paints, or 16-ev QWWOfb 4e'rf <br /> other chemicals in individual containers of>5 gal (19L) in <br /> volume or 50 gal (I 90L) in the aggregate, stored on or used <br /> at the property or at this facihty9 <br /> 5b Did you observe evidence or do you have any prior Yes ® Unk <br /> knowledge that there have been previously any damaged or <br /> discarded automotive or industrial batteries, pesticides, <br /> paints, or other chemicals in individual containers of>5 gal <br /> (19L) in volume or 50 gal (190L) in the aggregate, stored <br /> ' on or used at the property or at this facility? <br /> 6a Are there currently any industrial drums(typically 55 � No Unk <br /> gal (208L))or sacks of chemicals located on the property or S,x t-r'- <br /> at the factlity9 <br /> 6b Did you observe evidence or do you have any prior Yes No Unk <br /> t knowledge that there have been previously any industrial <br /> drums (typically 55 gal (208L)) or sacks of chemicals <br /> a located on the property or at the facility9 <br /> 4 <br /> 7a Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that fill dirt has been brought onto the property <br /> that originated from a contaminated Site9 <br /> 7b Did you observe evidence or do you have any prior Yes Unk <br /> knowledge that fill dart has been brought onto the property <br /> that is of an unknown origin? <br /> 8a Are there currently any pats, ponds, or lagoons located Yes N Unk <br /> on the property in connection with waste treatment or waste <br /> disposal9 <br /> 8b Did you observe evidence or do you have any prior Yes D Unk <br /> knowledge that there have been previously any pats,ponds, <br /> or lagoons located on the property in connection with waste <br /> *, treatment or waste disposal? <br /> 9a Is there currently any stained soil on the property? es No Unk <br /> �r✓L�� Q�Y�r/7A-�./ d � O I r <br /> z" �.Tww Cw.r�J �IG� v9,t <br /> 9b Did you observe evidence or do you have any prior Yes Unk <br /> knowledge that there has been previously any stained soil <br /> on the property? <br /> Initials JVWPOI <br />