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s 02/09/2006 12:11 2094740488 WENDLAND TRUCKING PAGE 11 <br /> surface and 5 <br /> ybsurfa Cantaminotion Report Questionnaire <br /> NDA Prof Oct Number, 405163A <br /> Property Location: 2430 S. Drais Ave.;Stockton CA <br /> Ir Page 11 , 95$T 5 <br /> 2. Have pesticides, herbicides or Other agricultural chemfcals been mixed, yes <br /> i faRrlulated, rinsed, or disPased pf on they i}ropert 7 ] Nn <br /> descrilye the locations where such pesticides d 50, please <br /> I ri were mixed, formutated , and the type or Chemfca[s <br /> Pesticides, herbicides or chemicals mixed, <br /> disposed, and <br /> rinsed or <br /> ,-, disposed of at each location. <br /> k <br /> a <br /> 3. Has arty soil or groundwater analysis been performed to detect <br /> pesticfdes, herbicides or chemicals used at the situ if so, please Yes <br /> j L provide a summary of the findings or attach the report(s). <br /> ENPORSEWNTS. <br /> E Fit <br /> Part a <br /> As the present owner of the property cr as an officer or general partner of <br /> Property(or the duly authorized representative of such owner), f am famiiie the <br /> present owner of the <br /> s PresentlY conducted on the property, and hereby certifywith all of the operations <br /> r information, and belief the information disclosed abov <br /> is <br /> antic ��my knowledge, <br /> d <br /> Owner or Qy , e Manager's Signature ate <br /> FL, I <br /> Owner pr+�ey Site hharyaget's Name (Piease print) <br /> F <br /> Title, Com n <br /> Pa Y <br /> F; <br /> Ifyau ha"R anY 4ftt ien�e r2hour this qucos j017"O rM,p]Gas�rantael�antaF lrobhrsvn q/ dr1II <br /> 1 <br /> f <br />