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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 /> 6w storage tanks (above or underground) located on the <br /> property? <br /> 10b. 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 No Unk <br /> ways indicating a fill pipe protruding from the ground on <br /> ` the property or adjacent to any structure located on the f rrf Aor) <br /> property? <br /> I lb. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there have been previously any vent pipes, 1 <br /> fill pipes, or access ways indicating a fill pipe protruding rr q a7 10(1 <br /> from the ground on the property or adjacent to any structure J <br /> located on the property? <br /> 12a. Are there currently any flooring, drains, or walls Yes No Unk <br /> ` located within the facility that are stained by substances <br /> other than water or are emitting foul odors? <br /> 12b.Did you observe evidence or do you have any prior Yes 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 /> r contaminated by any government environmental/health <br /> agency? <br /> 14. Does the owner or occupant of the property have any Yes No 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 ONo 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 /> Initials_ <br />