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Rev. 6/26/12001 <br /> Page 2 of <br /> C 4b. Did you observe evidence or do you have any prior YesNo Unk <br /> knowledge that any adjoining property has been used as a <br /> gasoline station, motor repair facility, dry cleaners, photo <br /> developing laboratory,junkyard or landfill, or as a waste <br /> treatment, storage, disposal, processing, or recycling <br /> facility(if applicable, identify which)? <br /> 5a. Are there currently any damaged or discarded Yes Unk <br /> automotive or industrial batteries, pesticides,paints, or <br /> other chemicals in individual containers of>5 gal(19L) in <br /> volume or 50 gal(190L) in the aggregate, stored on or used <br /> at the property or at this facility? <br /> 5b. Did you observe evidence or do you have any prior YesNo Unk <br /> knowledge that there have been previously any damaged or <br /> discarded automotive or industrial batteries, pesticides, <br /> paints,or other chemicals in individual containers of>5 gal <br /> (19L) in volume or 50 gal(190L) in the aggregate, stored <br /> on or used at the property or at this facility? <br /> 6a. Are there currently any industrial drums(typically 55 Yes No Unk <br /> gal (208L))or sacks of chemicals located on the property or <br /> at the facility? <br /> 6b. Did you observe evidence or do you have any prior Yes )No Unk <br /> C knowledge that there have been previously any industrial <br /> drums(typically 55 gal(208L))or sacks of chemicals <br /> located on the property or at the facility? <br /> 7a. Did you observe evidence or do you have any prior Yes ONo Unk <br /> knowledge thatfill dirt has been brought onto the property <br /> that originated from a contaminated Site? <br /> 7b. Did you observe evidence or do you have any prior YesNo Unk <br /> knowledge that fill dirt has been brought onto the property <br /> that is of an unknown origin? <br /> 8a. Are there currently any pits,ponds, or lagoons located YesUnk <br /> S"ritif <br /> on the property in connection with waste treatment or waste poids <br /> disposal? <br /> 8b. Did you observe evidence or do you have any prior Yes ONo Unk <br /> knowledge that there have been previously any pits,ponds, <br /> or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> 9a. Is there currently any stained soil on the property? Yes No Unk <br /> 9b. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there has been previously any stained soil <br /> on the property? <br /> Initials <br />