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; a <br /> Rev 2/23/2001 <br /> fi Page 3 of 6 <br /> a <br /> . lOa Aie there currently any registered or unregistered Yes No Unk <br /> storage tanks(above or underground) located on the <br /> property," <br /> 4 <br /> 10b Did you observe evidence or do you have any prior No Unk <br /> knowledge that there has been previously, any registered or <br /> unregistered storage tanks (above of underground) located <br /> on the property,' <br /> I I a Are there currently any vent pipes, fill pipes, or access Yes 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 I b Did you observe evidence or do you have any prior No Unk <br /> knowledge that there has been 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 /> I2a Are there currently any flooring,drains, or walls Yes 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 CN4Yi Unk <br /> k ' 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 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 /> water system? <br /> ` 13b If the property is served by a private well,or non- Yes CN� Unk <br /> public water system, is there evidence or do you have poor <br /> knowledge that the well has been designated as <br /> contaminated by any government environmental/health <br /> agency? <br /> 14 Does the owner or occupant of the property have any YesUnkUnk <br /> R <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 properry� <br /> 15a Has the owner of occupant of the property been No 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 /> i <br /> n <br /> d <br /> inFi1a15 <br /> i <br />