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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: <br /> Property Location: 13737 N. Jack Tone Rd., Lodi, CA <br /> Page 7 <br /> 12. Are there any electrical transformers or capacitors on the property ❑ Yes D�No <br /> which are known to contain PCBs (polychlorinated biphenyls), or which <br /> ` may have been manufactured before 1980 and whose PCB content is <br /> unknown? <br /> 13. Water is provided to the property by: <br /> �] A well ❑ N/A <br /> ❑ Public water system <br /> 14. Waste water disposal is provided to the property by: <br /> L ❑ Public sewer system L6 On-site septic system <br /> ❑ Pond(s) Other <br /> ❑ N/A <br /> 15. Are there any wastewaters generated and/or disposed of on the E] Yes fNo <br /> property other than storm water runoff and domestic sewage? Please <br /> describe. (Please attach copies of any wastewater discharge permits or <br /> licenses pertaining to operations on the property.) <br /> 16. Are there any other types of liquid wastes or solid wastes generated at ❑ Yes No <br /> the property? Please describe how they are handled and disposed of. <br /> (Please attach copies of any waste disposal permits or licenses <br /> pertaining to operations on the property.) <br /> 17. Are there any activities on the property which generate air pollutants, ❑ Yes No <br /> including fuel burning equipment? Please describe. (Please attach <br /> copies of any air permits or licenses pertaining to operations on the <br /> �. property.) <br /> V <br /> Ijyou have any questions about this questionnaire,please contact Abby Rocco at(109)367-3701 ext 138. <br /> L '44 <br />