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Project Name: Mountain House Creek, Parcel L, Tract 3424 ENGEO <br /> Project No, P2021.000.272 --- Expect t:xceUence <br /> ENVIRONMENTAL SITE ASSESSMENT QUESTIONNAIRE <br /> EOR CLIENT <br /> To evaluate the potential for possible environmentally related impacts and site contamination the following information is <br /> requested. This questionnaire is to be completed by the user of the phase one environmental site assessment, or their <br /> authorized representative. <br /> PART I <br /> 1. Property address and Assessor's Parcel Number(APN): <br /> (-bus 2 � � U �I n-v1 <br /> 2. Current property owner(name, address, voice/fax number): <br /> rs c i-* un [L6y,-L,.. &3 J cavil LL,r, <br /> 3. Date current property owner assumed title of property: <br /> 4. Current property developmentlimprovements: <br /> -7 2/J^t f e4ju-0-L <br /> 5. Past property use, developmentlimprovements: <br /> N uQ 6-. V A-rW-Jo L"13 r4ac.crL <br /> 6. Neighboring property uses: <br /> Page 1 of 2 <br />