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Surface Subsurface Report Questionnaire Page 4 of 10 <br /> Vander Meulen Property,APN 207-200-09 <br /> Our Project Number: E07101A <br /> June 20, 2007 <br /> � NEIL O. ANDERSON &ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> t_! PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: PETS aJ <br /> Address: �JC9L-o`v- CLLoi✓� <br /> E7frg10V, f~. y,'3,�'0 <br /> Telephone: �� �'g , f 3d - 7b� <br /> Year purchased: / 940 <br /> 2. Previous owner(s) and contact information (if known): <br /> F41 <br /> Name: of Vgivb C 10ru411 rJ .5CF'q1r�:- <br /> Address: <br /> Telephone: <br /> Year purchased: /163 <br /> 3. Other person with historical knowledge of property: <br /> FjName: E!) <br /> Address: 11)3f-S- J. ✓,1/v ,4GG6-�,J <br /> F <br /> Telephone: -1 a 1? - f3 i- - 7 6 <br /> Relationship to property: H A 'b � r5,� �r� y o v r'/c of'�,�.-y Fl?-0 <br /> ( 4. Please describe current use(s) of property: <}S;lrr2E ��a,e cog;;cam. <br /> F'QI�lprhE.v� .�'T6,e�L,� ion s�c�c� N�q.ev�!'r.`✓ &� �' <br /> S. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> 902 Industrial Way•Lodi, G4 95290 <br /> 209 367 3701 •Fax 209 333-8303 02007 Neil 0.Anderson&Associates,Inc <br />