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Surface and Subsurface Contamination Report Questionnaire NOA Project Number: E051 50A Property Location: 5113 8 5153 E. Main Street, Stockton, CA 95215 Page 2 The Surface and Subsurface Contamination Report Questionnaire The Surface and Subsurface Contamination Report (SSCR) satisfies San Joaquin County requirements for parcel division and lot line adjustments and is intended to identify _ any sources of contamination on the property from on- or off-site causes. San Joaquin County requires that the current (and former, in some cases) owners of the property be interviewed regarding any environmental knowledge of the property they may possess. The attached two-part questionnaire is designed to supplement the interview requirement of the SSCR. Part 1 includes questions which relate specifically to the user's responsibilities, and to additional information sources which will be useful to us in completing our investigation most efficiently. Please complete this portion of the questionnaire at your earliest convenience and return it to us promptly. _ Part 2 includes questions to be asked of the current property owner and/or occupants. Please forward a copy of this portion of the questionnaire to the current owner and request that they complete and return it as soon as possible. [If you currently own the property and purchased it over six months ago, please complete Part 2 as well.] If the property is currently developed for non-residential uses, a copy of Part 2 should also be forwarded to each commercial tenant, with a request that it be completed and returned. We thank you for you assistance with this process. w Ifyou have any questions about this questionnaire,please contact Abby Racco at(209)367-3701 ext. 238.