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9 l <br /> b <br /> Rev 2/23/2001 <br /> ti r Page 3 of 5 <br /> v <br /> } <br /> l0a Aie there currently any registered or unregistered Yes No Unk <br /> i storage tanks (above or underground) located on the <br /> property' <br /> I Ob Did you observe evidence or do you have any prior YesUnk <br /> knowledge that there has been previously, any registered or CO) <br /> unregistered storage tanks (above or underground) located <br /> )M y on the property' <br /> i <br /> I 1 a Are there currently any vent pipes, fill pipes, or access Yes No 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 /> 1 I b Did you observe evidence or do you have any prior Yes ONo 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 /> 4 Iocated on the property' <br /> 12a Are there currently any flooring, drains,or walls nes, 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 o ? 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 pnvate well, or non- Yes No 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 Np�. i 1nlG <br /> public water system, is there evidence or do you have prior <br /> knowledge that the well has been designated as <br /> r contaminated by an government environmental/health <br /> y <br /> agency9 <br /> € 14 Does the owner or occupant of the property have any Yes PNo Unk <br /> knowledge of environmental liens or governmental <br /> notification relating to past or recurrent violations of <br /> g environmental laws with respect to the property or any <br /> t facility located on the property? <br /> 15a Has the owner or occupant of the property been Yes Unk <br /> informed of the past existence of hazardous substances or t <br /> 1 petroleum products with respect to the property or any <br /> facility located on the property? <br /> Initials <br />