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PDT <br /> From Chinchiolo-Stemilt 209-931-1017 Wed 12 Apr 2006 04:18:27 PM <br /> rayc v. <br /> Surface and SubsurfaCe Contamination Report questionnaire <br /> NDA Project(dumber: E06022A <br /> Properly Location: 19801, 20963&20719 Brennan Road, Escalon, CA 95320 <br /> Page 5 <br /> NEIL O.ANDERSON a ASSOCIATES,INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2-OWNER INFORMATION <br /> (To be Completed by owner or Owner's representative) <br /> 1. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: 49 �. { i , C,, Sz/i <br /> Address: <br /> TeEephone: �zc. <br /> Year purchased: c� <br /> I <br /> Previous owners)and contact information (if known <br /> Name: <br /> Address: <br /> Telephone: <br /> ' <br /> FJ Year purchased: <br /> i . <br /> 3. Other person with historical knowledge of property: <br /> Name: f <br /> Address: P0 <br /> Telephone: .�F>` -2 1/ <br /> �+ <br /> f <br /> Itelationshtp to Property: � <br /> Please describe current use(s)of property: c <br /> C2@tri <br /> E+ and approximate dates of each use: <br /> 5. Please describe any other known past use(s) of property, <br /> k �+ <br /> I"y&u Tuve any tmwtion.c ebma this gsu:,srinnnairc,plwge contact Tina Cheney at(209)367-3701 ext.233. <br /> 4oA <br /> �i <br />