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' Rev.6/26//2.001 <br /> Page l of <br /> T QUESTIONNAIRE <br /> l MTN.HOUSE PHASE I ENVIRONMENTAL SITE ASSESSMENT <br /> This questionnaire has been prepared by Condor Earth Technologies, Inc. (Preparer) by request <br /> from Trimark Communities. (User) in order to obtain information regarding the proposed Mtn. <br /> House Neighborhood Site, Stockton, California (Site). The objective of this questionnaire is to <br /> provide the User with information regarding the presence or likely presence of any hazardous <br /> substances or petroleum products on the property that may present a material risk of harm to <br /> public health or to the environment. Information provided by this questionnaire will be used to <br /> identify recognized environmental conditions existing on the Site that may or may not require <br /> additional research. The questionnaire is provided on a voluntary basis by the respondent as part <br /> of a customary practice for conducting an Environmental Site Assessment on a specific parcel of <br /> real estate. Please respond to the best of your ability. To provide further information, please <br /> describe reason for any affirmative answers on a separate sheet of paper. <br /> RESPONDENT(CHECK ONE) K ft'r� bu"VA� m,..- <br /> Owner Occupant Preparer(during Site visit) ❑ JCtG t E <br /> 04Nan�t+aue. <br /> erd- <br /> Question Answer <br /> Ia. Is this Site used for an industrial use? Yes N Unk <br /> lb. Is any adjoining property used for an industrial use? Yes No Unk <br /> L 2a. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that the property has been used for an industrial <br /> use in the past? <br /> 2b. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that any adjoining property has been used for an <br /> industrial use in the past? <br /> 3a. Is the property used as a gasoline station, motor repair Yes No Unk <br /> facility, dry cleaners, photo developing laboratory, `r,o,egtn.Ca &taevn(}�'t^' <br /> •` <br /> junkyard or landfill, or as a waste treatment, storage, `s Ip�p <br /> disposal,processing, or recycling facility(if applicable, 6� <br /> identify which)? ON <br /> 3b. Is any adjoining property used as a gasoline station, Yes Unk <br /> motor repair facility, dry cleaners, photo developing <br /> laboratory,junkyard or landfill, or as a waste treatment, <br /> storage, disposal, processing,or recycling facility(if <br /> applicable, identify which)? <br /> 4a. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that the property has been used as a gasoline <br /> station, motor repair facility, dry cleaners, photo developing <br /> laboratory,junkyard or landfill, or as a waste treatment, <br /> storage, disposal, processing, or recycling facility(if <br /> applicable, identify which)? <br /> Initials <br />