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Rev.6/26//2001 <br /> Page 3 of 5 <br /> 10a. Are there currently any registered or unregistered YesNo Unk <br /> storage tanks (above or underground) located on the <br /> property? <br /> I Ob. Did you observe evidence or do you have any prior No Unk <br /> knowledge that there have be viously stered <br /> Ye <br /> or unregistered storage tank (abov or u dergroun P, t <br /> located on the property? <br /> 11 a. Are there currently any vent pipes,fill pipes, or access Yes ONo 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 ONq Unk <br /> knowledge that there have 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 /> 12a. Are there currently any flooring, drains,or walls Yes (�No) Unk <br /> located within the facility that are stained by substances <br /> other than water or are emitting foul odors? <br /> 12b. Did you,observe evidence or do you have any prior Yes FUnk <br /> knowledge that there have been previously any flooring, <br /> drains, or walls located with the facility that are stained by <br /> substances other than water or are emitting foul odors? <br /> 13a. If the property is served by a private well,or non- Yes ONo 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- YesNo Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that the well has been designated as <br /> contaminated by any government environmentallhealth <br /> agency? <br /> 14. Does the owner or occupant of the property have any YesNo Unk <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 YesNo 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 /> Initials <br />