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Rev.6/26//2001 <br /> Page 2 of 5 <br /> r <br /> 4b. Did you observe evidence or do you have any prior Yes leo/ Unk <br /> knowledge that any adjoining property has been used as a <br /> gasoline station,motor repair facility, dry cleaners,photo <br /> developing laboratory,junkyard or landfill, or as a waste <br /> 6. treatment, storage, disposal,processing, or recycling <br /> facility(if applicable, identify which)? / <br /> 5a. Are there currently any damaged or discarded Yes N6 Unk <br /> r automotive or industrial batteries,pesticides,paints, or <br /> other chemicals in individual containers of>5 gal(19L)in <br /> volume or 50 gal (190L) in the aggregate, stored on or used <br /> at the property or at this facility? / <br /> 5b. Did you observe evidence or do you have any prior Yes Nt Unk <br /> knowledge that there have been previously any damaged or <br /> discarded automotive or industrial batteries,pesticides, <br /> paints, or other chemicals in individual containers of>5 gal <br /> r <br /> (I 9L) in volume or 50 gal (190L)in the aggregate, stored <br /> on or used at the property or at this facility? / <br /> 6a. Are there currently any industrial drums(typically 55 Yes N6 Unk <br /> �- gal (208L))or sacks of chemicals located on the property or <br /> at the facility? / <br /> _ 6b. Did you observe evidence or do you have any prior Yes NI Unk <br /> knowledge that there have been previously any industrial <br /> drums (typically 55 gal (208L)) or sacks of chemicals <br /> located on the property or at the facility? <br /> r <br /> 7a. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that fill dirt has been brought onto the property <br /> r that originated from a contaminated Site? <br /> 7b. Did you observe evidence or do you have any prior Yes 119' Unk <br /> knowledge that fill dirt has been brought onto the property <br /> ` that is of an unknown origin? / <br /> 8a. Are there currently any pits,ponds, or lagoons located Yes N6 Unk <br /> r. on the property in connection with waste treatment or waste <br /> disposal? / <br /> 8b. Did you observe evidence or do you have any prior Yes No Unk <br /> ` knowledge that there have been previously any pits,ponds, <br /> or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> r <br /> 9a. Is there currently any stained soil on the property? Yes NI Unk <br /> ` 9b. Did you observe evidence or do you have any prior Yes Nd Unk <br /> knowledge that there has been previously any stained soil <br /> r on the property? J <br /> Initials t to d <br /> r <br />