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® Advanced GeoEnvironmental, Inc. 837 Shaw Road Interview: Stockton,CA 95215 [ l Verbal _ Telephone: (209)467-1006 Fax: (209)467-1118 Written ASTM Transaction Screen Questionnaire for the Transaction Screen Analysis (E 1528-00)Process and the Phase I Environmental Site Assessment(E 1527-00)Process This questionnaire is to be completed by the current owner, occupant or anyone with past knowledge concerning the property, either in written form or verbally,with questions asked by AGE or User(Client) designated parties.All questions should be answered to the best of the respondent's actual knowledge and must be answered in good faith.Explanations to any answers,especially"Yes"answers,should be made in the space following the question or on a separate sheet,noting the question number. Please be as complete as possible; if you do not know the answer to a question,please circle unknown (Unk). Following the site visit, it may be necessary for AGE or the preparer to ask clarifying questions of the interviewee(s). Project Name/Site Address: Person(s)Intervie eed, Date: Ju L 7 S ISUM10- emp rtlt SSCi2 Pl� Owner: 11QUtl1 Cay—n4 4175 H DPnef )3 Ueywe- [ 1 Occupant: 5-MCV-rDn CYC 95a15 [ ] Phone#: Phone#: to - [D!z�- L13L) - vto 1 / Client Information: Seiler 1 I Buyer I j Site Visit by: Date: (hC 'D --)v65— Name: -)v6`-Name: O)Cw lb 66U C1 G AGE Personnel: SU-20h-9 1, , t` f3kP.V-S1)fl Company: AGE Personnel: Address: LA In AGE Personnel: - J Y) UPr T3-A6 Site Reps/T'itle: fy\r- QU l (I,izf-lGi_ Phone#: C Q [ I This Interview was performed by: or [ 1 This Interview was performed/�isstered by: Name: Name: 111 r. DQ-tjl O 4V`(,La Title: Address: Advanced GeoEnvironmental, Inc.(AGE) 837 Shaw Road Phone/FAX#: / Stockton,CA 95215 Relationship to site: LO VI-�-r (209)467-1006 FAX: (209)467-1118 Relationship to user(client): Set The preparer represents that to the best of the preparer's knowledge the statements and facts made below are true and correct and to the best of the preparer's actual knowledge no material facts have been suppressed or misstated. (Preparer/Interviewer) Signature Date (Interviewee,if available) Signature Date Advanced GeoEnvuonracntal,Inc. ASTM Phase UrSA Questionnaire7/02 Page 1 of 10