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Question Owner Occupant, Site Visit <br /> 4a. Did you ohsw-va evidence or do you have prior Yrs Nr, Unk Ym No Luk Ye, No U-0, <br /> knowledge that the property was previously used as a <br /> gasnitne statron, utotor repair facility, commercial <br /> printing facility, dry etcnncr% photo devcleping lab, <br /> junkyard or landfill or as a waste Irealrnent,stnrngc, <br /> disposal,processing or recycling facility. <br /> If appliwble,identify which,when? <br /> 4b. Did you observe evidence or do you have prior Yrr. Vo Unk Yc' No Uil. Yes No 11nk <br /> knowledge that any ad <br /> Joining property was prerfously <br /> used as a gasoline station, inotor repair fa:ility, <br /> commercial printing facility, dry cleaners, photo <br /> develnping lab, junkyard Or landfill or as a waste <br /> _ treatment, storage, disposal, processing or mewling <br /> I'acility <br /> Ir applicable,identify which,when? <br /> 5n Arc there r mentfy any durrruged or discarded Lruk Ya, No I.nk Yr.. No l.nk <br /> automotive or industrial batteries,pesticides,paints or <br /> tithe-chemicals in individual containers larger than 5- <br /> Liallra stored or Used aldre property or facility? <br /> ` 5b. Did you observe evidence or do you have prior Yrs Vo Unk Yts No Lid, Yes No Unk <br /> knowledge that there have been prevloastyany damage. <br /> IW dLscrOdcd auloinouve or industrial baaerres, <br /> pesticides, paints or other chemicals in individtta: <br /> tonrainers larger than 5-gallon stored o- i.%W at the <br /> 1•roperty or facility? <br /> .S� <br /> ta-Arc there wrrvntlyaoy industrial dnu is,typically Yee. Vo Uuk Tcs No Ln1 i a; No link <br /> a 5_Gallon,ursacksofchrrnitals loaned on the property <br /> '- r Lrcilily' <br /> lib. Did you observe evitlenrz Indo you have prim N'L n !;rl. %'n No L,i 'i e, W I <br /> know lenge the 1 industrial drums,typically 55-pl Ion,or <br /> ,ticks of chanicals wcm previousiv louated ou JhC <br /> prop:rty or thcility? <br /> r <br /> ddvvnc rd(7oaEmimnnrnnal,Ira:. A571N phuu lrl'SA QUCRIIaIIORiR 11/2011 Poo int lt <br />