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MAY 19,2006 02:13P 7077668386 page 5 <br /> Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Dumber: E06063A <br />( T Property Location: Bird Road, Tracy, CA 95376 <br /> Page 5 <br /> P' <br /> NEIL 0. ANDERSON r2 ASSOCIATES, INC. <br /> €NVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART Z: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> I. Current owner of property <br /> it name: C} h+ 4z PrN r (-? o t k T I F <br /> L r I r <br /> Address: <br /> r � ��. � <br /> e ti Telephone: 707— <br /> Year purchased: C 1 1 1 <br /> 2. Previous owners)and contactinformatiort(if known): <br /> ° Name: <br /> Address: <br /> If <br /> Teteptiane: <br /> Year purchased: <br /> 'r <br /> �- 3. Other person with historical knowledge of property: <br /> Name: <br /> Address: <br /> Telephone: <br /> wt <br /> `- Relationship to property: <br /> t <br /> r <br /> 4, Please describe current u5e(s)of property: <br /> DUs' �ftiC�F"' <br /> I <br /> 5. Please describe any other known past use(s)of property, and approximate dates of each use: <br /> if1Ym hine'ani7 4finvliuns ubutulhi.e ,plruse egrr71fit-1 A bhi-Harm tit(vP4)i67-j 707 all <br /> } <br />