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u � <br /> Rev.6/26//2001 <br /> Page 3 of 5 <br /> ► <br /> 10a. Are there currently any registered or unregistered Yes No Unk <br /> ► storage tanks (above or underground) located on the <br /> property? <br /> ` l Ob. Did you observe evidence or do you have any prior Yes XX Unk <br /> knowledge that there have been previously any registered <br /> or unregistered storage tanks (above or underground) <br /> located on the property? <br /> I la. 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 I V v 1C)'-4 I u P %PC s <br /> property? <br /> ` 11 b. Did you observe evidence or do you have any prior Yes No ( Un <br /> knowledge that there have been previously any vent pipes, (/ <br /> fill pipes, or access ways indicating a fill pipe protruding IV y I "� I o 1J Q e S <br /> from the ground on the property or adjacent to any structure <br /> located on theroPe <br /> P nY• <br /> 12a. Are there currently any flooring, drains, or walls Yes Aid' 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 D16 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 4dO 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 Nt Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that the well has been designated as <br /> 6. contaminated by any government environmental/health <br /> agency? <br /> ` 14. Does the owner or occupant of the property have any Yes 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 I,I6 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 />