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From Chinchiolo—Stemilt 209-931-1017 Wed 12 Apr 2006 04:18:27 PM PDT Page 1G or 14 <br /> Surface and SUbsurf&ce Contamination Report Questionnaire <br /> NOProject Number: E06022A <br /> t ape LoCat#an: 19801,20963 &20719 Brennan Road,Escalon, CA 95320 <br /> l Page 1 <br /> IV, INDUSTRIA1.PROPERTIES <br /> Is the property currently used for any industrial purpose? yes ' ' "d <br /> Has the property ever taeen previous used for an industrial purpose(other than Yes L1d'►vo <br /> the current use)? <br /> if the answer to either question is "yes," Please answer the following: <br /> i <br /> 1. Has the property been used for disposal of any liquid or solid waste? ❑Yes ❑No /J//1- <br /> 2. <br /> t//1~2. Have evaporation or storage ponds been located on the property? C]Yes No <br /> 3 <br /> . Have waste water treatment facilities,such as acid neutralization ❑Yes No <br /> l <br /> vaults, been located on the Property? <br /> �. Are there raw chemical or waste chemical storage areas on the ❑Yes ❑No NIr4 <br /> property? <br /> If any of questions 1.4 are answered"yes," please provide a description,including the location of <br /> all disposal sites, treatment facilities and storage areas,the type of chemicals or wastes handled at <br /> each site,the results of any sail or groundwater samples taken in the vicinity of each site, and the <br /> manner in which each site not presently in use was closed. <br /> V. AGRICULTURAL PROPERTIES <br />� 1s the property currently used for agricu#tural purposes, other than grazing or Yes Q no <br /> k pasture land? <br /> li <br /> To the best of your knowledge, has the property been used in the past for es ❑No <br /> agricultural Purp(nes,other than grazing or pasture land? <br /> Fl If the answer to either question is"yes," please answer the following: <br /> Y _ <br /> 1. Have pesticides, herbicides oro ricultural chemicals been applied Yes No <br /> to the property? if so, please escrl the locations where such <br /> pesticides,herbicides or chemi ere applied,and the type of <br /> # pesticides,herbicides or chemicals applied in each area. {Aiease attach <br /> copies of pesticide use reports if avaRabie.) <br /> P. <br /> F <br /> l )f you have any guepions about this quWWOnnaim please contact Tina Cheney a!(21)9)367-3701 ext,.233. <br />