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Rev.6/26//2001 <br /> Page 3 of 5 <br /> 10a. Are there currently any registered or unregistered YesNo Unk <br /> storage tanks (above or underground) located on the <br /> property? <br /> I Ob. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there have been previously any registered <br /> or unregistered storage tanks (above or underground) <br /> located on the property? <br /> 11 a. Are there currently any vent pipes, fill pipes,or access Yes /( Iol Unk <br /> ways indicating a fill pipe protruding from the ground on l 0 <br /> the property or adjacent to any structure located on the <br /> property? <br /> _ 11 b. Did you observe evidence or do you have any prior Yes ( Io Unk <br /> knowledge that there have been previously any vent pipes, L/ <br /> fill pipes,or access ways indicating a fill pipe protruding <br /> from the ground on the property or adjacent to any structure <br /> located on the property? <br /> 12a. Are there currently any flooring, drains, or walls Yes C/ Unk <br /> located within the facility that are stained by substances L0 <br /> other than water or are emitting foul odors? <br /> 12b. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there have been previously any flooring, <br /> drains, or walls located with the facility that are stained by <br /> substances other than water or are emitting foul odors? <br /> 13a. If the property is served by a private well, or non- Yes No Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that contaminants have been identified in the <br /> well or system that exceed guidelines applicable to the <br /> water system? <br /> 13b. If the property is served by a private well, or non- Yes No Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that the well has been designated as <br /> contaminated by any government environmental/health <br /> agency? <br /> 14. Does the owner or occupant of the property have any Yes ONo Unk <br /> — knowledge of-environmental liens or governmental <br /> notification relating to past or recurrent violations of <br /> environmental laws with respect to the property or any <br /> facility located on the property? <br /> 15a. Has the owner or occupant of the property been Yes D <br /> Unk <br /> informed of the past existence of hazardous substances or <br /> petroleum products with respect to the property or any <br /> facility located on the property? <br /> r. <br /> Initial - t <br />