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Surface Subsurface Report Questionnaire Page 4 of 10 <br /> Rose Family Tract <br /> Our Project Number: E07176A <br /> October 26, 2007 <br /> NEIL O. ANDERSON &ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: K 05 Q / �VV-1 � `I <br /> Address: ' I Q 41(fO� l/� Sal✓) ,705C C <br /> l �� �h c' <br /> Telephone: �� ��Z <br /> Year purchased: <br /> 2. Previous owner(s) and contact information (if known): }� l <br /> Name: ��/ ✓ TT �� 7, <br /> Address: <br /> Telephone: S 3 f `7 ✓� 3 — �} <br /> Year purchased: ,/J ll/q <br /> 3. Other person with historical knowjedge of property: <br /> Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> "'44 <br /> 902 Industrial Way•Lodi,CA 95240•209.367.3701 •Fax 209.369.4228 02007 Neil O.Anderson&Associates,Inc. <br />