Laserfiche WebLink
Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: <br /> Property Location: 13737 N. Jack Tone Rd., Lodi, CA <br /> Page 5 <br /> NEIL O. ANDERSON Et ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property t 1 1 <br /> Name:Tokn 6r" M(tiri1a- 1 tOLOIP-5 <br /> Address: <br /> r Telephone: <br /> Year purchased: a0b�j <br /> 2. Previous owner(s) and contact information (if known): ��_(_tt <br /> Name: He.(S� I�YILtiY-'O1 &*Ad, (CKe Spe-eol �e- <br /> Address: J3-7b-7 N , �j G. Cf PGQ , <br /> Telephone: 333 — 2 91 <br /> Year purchased: <br /> r <br /> 3. Other person with historical knowledge of property: <br /> Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: Pq-s+t ,r—(�., ci—� ©ce+s) V Vl r- <br /> 4h2 I as+ 2-z y ear-5 <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> V. /f you have any questions about this questionnaire,please contact Abby Rocco at(209)367-3701 ext. 238. <br />