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a Bev.6126//200.1 (� <br /> Page l of 5 <br /> QUESTIONNAIRE <br /> MTN.HOUSE PHASE I ENVIRONMENTAL SM ASSESSMENT <br /> This questionnaire has been prepared by Condor Earth Technologies, Inc. (Prepares) 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) <br /> Owner 11 Occupant Preparer(during Site visit) <br /> Question Answer <br /> Ia. Is this Site used for an industrial use? Yes N Unk <br /> 1 b. Is any adjoining property used for an industrial use? Yes No Unk <br /> \ 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 ( o Unk <br /> knowledge that any adjoiningproperty has been used for an <br /> industrial use in the past? <br /> 3a. Is the property used as a gasoline station, motor repair Yes �o Unk <br /> facility, dry cleaners, photo developing laboratory, <br /> junkyard or landfill,or as a waste treatment, storage, <br /> disposal, processing, or recycling facility(if applicable, <br /> identify which)? <br /> 3b. Is any adjoining property used as a gasoline station, es g Unk <br /> motor repair facility, dry cleaners, photo developing $� <br /> laboratory,junkyard or landfill, or as a waste treatment, u�• I\ <br /> storage,disposal, processing, or recycling facility(if ap,A �VSir J ay64 Oera.l ali?�G real"�� <br /> applicable, identify which)? <br /> 4a. Did you observe evidence or do you have any prior Yes ; No y 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 />