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From Chinchiolo—Stemilt 209-931-1017 Wed 12 Apr 2006 04:18:27 PM PDT Page 6 of 14 <br /> Surface and 5ubsurFace Contamination Report Questionnaire <br /> NDA Project Number. E06027A <br /> Property Location: 19801, 70963&20719 Brennan Road, Escalon, CA 95320 <br /> Page 4 <br /> ENDORSEMENTS: <br /> Part1 <br /> �! As the User of the <br /> Pntative of such User), 5h vite e spec specific knowledge of the questions essment being prepared for the oposed inrPart the 1 of <br /> -authorized rep <br /> this Questionnaire regarding the property,,tind hereby certify that to the best of my knowledge, <br /> information, and belief the information disclosed above is true and correct. <br /> {` user or Client's signature Date <br /> r- <br /> User or Client`s Name (please print) <br /> -- � itte Co parry <br /> r <br /> i <br /> I � <br /> r <br /> i <br /> i <br /> ffyou have any grrearEons abeur this questivinaire,please coneaet Tina Cheney at(209)367-3701 ast 233. <br /> JA <br /> i <br /> t L <br />