Laserfiche WebLink
Rev 2/23/2001 <br /> Page 4 of 6 <br /> the of ant <br /> 15b Has the owner or occupant r <br /> 2 I � p property been Yes Na Unk <br /> informed of the current existence of hazardous substances <br /> or petroleum products with respect to the property or any <br /> facility located on theproperty? <br /> 15c Has the owner or occupant of the property been Yes No Unk <br /> informed of the past existence of environmental violations <br /> w,11 respect to the property or any fac,IEty located on the <br /> property <br /> 15d Has the owner or occupant of the property been Yes No Unk <br /> 1 <br /> informed of the current existence of environmental <br /> violations with respect to the property or any facility <br /> located on the property? <br /> 16 Does the owner or occupant of the property have any Yes Unk <br /> knowledge of any Environmental Site Assessment of the <br /> property or facility that indicated the presence of hazardous <br /> substances orpetroleum 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 ONq 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 /> the property by any owner or occupant of the property? <br /> y 18a Does the property discharge wastewater on or Yes Cho/ Unk <br /> adjacent to the property, other than storm water, mto a <br /> storm water sewer system? <br /> 18b Does the property discharge wastewater on or adjacent Yes No Unk <br /> to the property, other than storm water, into a sanitary <br /> 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 /> 5 j 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 /> k 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 /> presence of PCBs? <br /> � i3 <br /> Initials �! <br />