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Question Owner Occupants Site Visit <br /> '.a, UW %vu observe evidence or du yell have prior Ya+ Vo Unk YoreT <br /> Yee Nu 11 ik <br /> knowledge that rill dirt has been brought onto the <br /> property Thal originated rrum a anttutninaleel.riEe'! <br /> 76. Did you obsave evidence or do y'nu have prior Yea N Unk Y,:n \o I.n� i N" I -.A <br /> knowledge that fill circ has been brought onto the <br /> properly that is of an unknown algin? <br /> So. Axe there airmnily any pits, ponds ur Lagoons Yes Vo Link Yes No Unk 'i•a No I :.k <br /> located on the property in connection with waste <br /> treatment or waste dispusnl7 <br /> Kb. Did you observe evidence or do you have poor YesNo Unk Yes No Unk Yee No <br /> knowledtte that them have been pmviorrs)y any pita; <br /> ponds or lagoons located on the property in connection <br /> with waste ummacnt er waste disposal? <br /> gra Is�hcrc,•nvrn!/y eny staircd.wil un the properry't Yes Unk Yes No Unk Yes No Unk <br /> 9b. Did you ob9mve evidence or do you 4ave prior Yes Fo Unk. Yes No Unk Yes No [Ink <br /> knowledge that them has been pvvfou.vl,any stained <br /> soil on the propertW? <br /> 10a.Are there curmntly any registered or unregistered Yes No Unk Ye> Vu Unk Yes Lind: <br /> storage larks(above or under-ground) lucnled on the <br /> property? <br /> I!yes. whcl r:me mcy located?Number,Stec,Content <br /> Jka l S�rl��yn c�..r�^'effl <br /> {dratard Gentvtv,mnmen:sl•ln_. ASIM Plrav:l.'rSA Quauinitmim l lr?4I1 Page n of 10 <br />