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F. The Transaction Screen Questionnaire: <br /> Please include additional information for any "Yes" answer including, to the bent ojyrnr knowledge. <br /> specifics on names, dates and especially location information For areas of environmental concern such as <br /> storage barrels,pits,sumps.wells,septic systems, former buildings,stained soil,and above and andereround <br /> storage tanks <br /> Question Owner Occupunfs Sire Visil <br /> I d.Is Me prnperi) currently used for resesidh,miliuuy ca Unk Yea No Unk Yea No Unk <br /> or oidusHal use^. <br /> Ib.is an adjoiningpmperry cnrretilr tried for research, Ycs Vo U11k Yes No link Ycc No Unk - <br /> milrary or industrial use? <br /> ?a. Did you observe evidence or do you have prior YesNo Unk Yes No Link Y,� No tank <br /> knowledge that the proprgv was nrevious(r used for <br /> research,military or industrial use?Which, when... <br /> 2b. Ord you observe evidence or do yrou have prior Yee No Unk Yca No Unk Ycs No Unk <br /> knowledge that any adjoining propertres were <br /> pro ioadly used fix research.military or and us trial use" <br /> Which,when_. <br /> 7a. is the prr>/vrrh•rurrenrlo usedasagn5,dire station, Yes No I_!nk Yes No Unk Yc' Vu Unk <br /> mat t repair facility,commercial printing facility.dry <br /> cleaners,photo developing lab,junkyard or landfill or <br /> as a waste treatment. storage, disposal, pmcc,sing u- <br /> recycling facility! <br /> If applicahlc,identify wham? <br /> A. Is any adjoining properry auvtsnr.. used as a Yes No Uuk )'os No Unk Yes No p:Ik <br /> gasoline station, moor repair facility. nrmmercial <br /> printing facility, dry clamern, pholn devel.gnng lab, <br /> junkyard or IundNll or ns i waste Ireturncnt, storage. <br /> Jisposal,prouming or recyclicg Facilily. <br /> II apptiuihle.Identity which'! <br /> Au\wnrrd rteullnvirenmcntai,lac. ASTM Phaar I.r5A Qrr.:n ianowrc 11:2011 Page=or In <br />