Laserfiche WebLink
08/31/2006 14:05 120956' X27 MIRAMAR R.E. BRA' —RS PAGE 08/08 <br /> .� TUE AUG 29, 2008 01 :5�10-0 ./ PACE 11 <br /> Surface and Subsurface Contamination Report questionnaire <br /> NOA Project Number: E06096A <br /> Property Location: 17 N. Hinkley Ave.. 5tockton, CA 95215 <br /> Page 11 <br /> 2. Have pesticides, herbicides or other agricultural chemicals been nixed, ❑ Yes [�No <br /> formulated, rinsed, or disposed of on the property? If so, please <br /> describe the locations where such pesticides, herbicides or chemicals <br /> were mixed, formulated, rinsed, or disposed, and the type of <br /> pesticides, herbicides or chemicals mixed, formulated, rinsed or <br /> disposed of at each location. <br /> 3. Has any soil or groundwater analysis been performed to detect ❑ Yes No <br /> pesticides, herbicides or chemicals used at the site? If so, please <br /> provide a summary of the findings or attach the report(s). <br /> ENDORSEMENTS: <br /> Part 2 <br /> As the present owner of the property or as an officer or general partner of the present owner of the <br /> .- property(or the duly authorized representative of such owner), I am fanMliar with all of the operations <br /> presently conducted on the property. and hereby certify that to the best of my knowledge, <br /> Information, and belief the information disclosed above is true and correct. <br /> ne r e Maa=nager's Signature Date <br /> Owner or Key Site Manager's Name (please print) <br /> TITI fmm� <br /> lfrnrr hmr mt.v pnesNnns rtAan!this prreanonnNrt,plrnsvr fartnCr a'lrrn Charrrr mx309!365•3707 cel.133, <br /> r <br />