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i F <br /> i Rev 2/23/2001 <br /> Page 3 of b <br /> 10a Are there currently any registered or unregistered Yes / UnI" <br /> ' storage tanks(above or underground) located on the C� <br /> property? <br /> I Ob Did you observe evidence or do you have any prior Yes Unk <br /> knowledge that there has been previously, any registered or <br /> 1 unregistered storage tanks(above or underground) located <br /> on the property' <br /> Ila 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 1 b Did you observe evidence or do you have any prior YesUnk <br /> knowledge that there has been previously, any vent pipes, 50 <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 /> 12a Are there currently any flooring, drains,or walls Yesa 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 No Unk <br /> knowledge that there has been previously, any flooring, <br /> drains, or wails located with the facility that are stamed 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 No Unk <br /> public water system, is there evidence or do you have prior <br /> k knowledge that contaminants have been identified in the <br /> well or system that exceed guidelines applicable to the <br /> water system? <br /> lid <br /> 13b If the property is served by a private welt, or non- Yes la Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that the well has been designated as <br /> i contaminated by any government environmentallhealth <br /> agency? <br /> 14 Does the owner or occupant of the property have any Yes N-,.J Ok <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 /> 15a Has the owner or occupant of the property been Yes Unit <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 h lbl' <br /> 1 <br />