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FJSurface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E06146A <br /> Property Location: 1018 8t 1020 S. Carroll Ave, Stockton, CA <br /> Page 11 <br /> 2. Have pesticides, herbicides or other agricultural chemicals been mixed, ElYes ❑ No <br /> formulated, rinsed, or disposed of on the property? If so, please <br /> describe the locations where such pesticides, herbicides or chemicals <br /> were mixed, formulated, rinsed, or disposed, and the type of <br /> pesticides, herbicides or chemicals mixed, formulated, rinsed or <br /> FU disposed of at each location. <br /> r" <br /> { ; 3. Has any soil or groundwater analysis been performed to detect ❑ Yes ❑ No <br /> pesticides, herbicides or chemicals used at the site? If so, please <br /> provide a summary of the findings or attach the report(s). <br /> kf <br /> ENDORSEMENTS: <br /> ty <br /> F <br /> Part 2 <br /> F As the present owner of the property or as an officer or general partner of the present owner of the <br /> property (or the duly authorized representative of such owner), 1 am familiar with all of the operations <br /> presently conducted on the property, and hereby certify that to the best of my knowledge, <br /> information, and belief the information disclosed above is true and correct. <br /> F- <br /> 07 0 4 <br /> Owner or Key Site Manager's Signature Da e <br /> Owner or Key Site Manager's Name (please print) <br /> Title, Company <br /> .E I <br /> .' If you have any questions about this questionnaire,please contact Tina Cheney at(209)367-3701 ext. 233. <br />