Laserfiche WebLink
Page 1 of 3 <br />Project Name: <br />Project No. <br /> <br />ENVIRONMENTAL SITE ASSESSMENT QUESTIONNAIRE <br />FOR KEY SITE MANAGER <br /> <br /> <br />To evaluate the potential for possible environmentally related impacts and site contamination the following information is <br />requested. This questionnaire is to be preferably completed by the current property owner, or owner representative, leasing <br />agent, or other person having good knowledge of the uses and physical characteristics of the property (Key Site Manager). <br /> <br /> <br />PART I <br /> <br />1. Property Address/Location and Assessor’s Parcel Number (APN): <br /> <br /> <br /> <br /> <br /> <br /> <br />2. Current property owner (name, address, voice/fax number): <br /> <br /> <br /> <br /> <br /> <br /> <br />3. Date current property owner assumed title of property: <br /> <br /> <br /> <br /> <br /> <br /> <br />4. Current property development/improvements: <br /> <br /> <br /> <br /> <br /> <br /> <br />5. Past property use, development/improvements: <br /> <br /> <br /> <br /> <br /> <br /> <br />6. Neighboring property uses: <br /> <br /> <br /> <br /> <br />Oakwood Shores – Area 1 <br />12921.000.003 <br />Oakwood LT Ventures II <br />2000 Crow Canyon Place STE 350 <br />12-9-2009 <br />Vacant Field <br />Unknown <br />Water District Facility