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S <br /> Rev 2/23/2001 <br /> PPage 2 of G <br /> O <br /> alb Did you observe evidence or do you have any priormNo Unk <br /> knowledge tha m ng property used as a gasoline <br /> statioi , otor rjeZair!ftl , dry cleaners, photo developing <br /> l laboratory,,lunkyard of landfill, or as a waste tieatment, <br /> storage, disposal, processing, or recycling facility (if <br /> applicable, identify which)' <br /> 5a Are theca currently any damaged or discarded Yes N Unk <br /> automotive or industrial batteries, pesticides, paints, or <br /> other chemicals in individual containers of>5 gal (19L) in <br /> volume or 50 gal (190L) in the aggregate, stored on or used <br /> at the property or at this facility? <br /> 5b Did you observe evidence or do you have any priorYes No Unk <br /> knowledge that there have been previously any damaged or <br /> discarded automotive or industrial batteries, pesticides, L <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 /> ba Are there currently any industrial drums (typically 55 Yes No Unk <br /> gal (208L)) or sacks of chemicals located on the property or <br /> at the facility <br /> 1 bb Did you observe evidence or do you have any prior Yes No Unk <br /> 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 facility? <br /> 7a Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that fill dart has been brought onto the property <br /> that originated from a contaminated Site? <br /> 7b Did you observe evidence or do you have any prior Yes No Unk <br /> r knowledge that fill dirt has been brought onto the property <br /> that is of an unknown origin? <br /> 8a Are there currently any pats ponds, or lagoons locatedYes No Unk � <br /> z on the property in connection with waste treatment or waste �1NL <br /> 2 <br /> disposal9 If <br /> 8b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there have been previously, any pits,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? YesII No Unk <br /> A-1) clrle-4� <br /> a <br /> 9b Did you observe evidence or do you have any prior Yes No Unk <br /> . knowledge that there has been previously any stained soil <br /> on the property <br /> initials <br />