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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 8 <br /> r.. <br /> II. STRUCTURES <br /> Are there currently any structures on the property? / `�Yes ❑ No <br /> To the best of your knowledge, have there been any structures on the property ❑ Yes No <br /> in the past which have since been removed? <br /> If the answer to either question is "yes," please answer the following: <br /> 1. For each existing building, please provide type of building and date of original construction <br /> and any substantial renovations: <br /> r <br /> MObi �� hie ) movecR �r�� �yta�e�r-�� G��C 37S �r�' cr�0 <br /> 2. For each building known to have been removed, please provide type of building and <br /> approximate dates the building existed: <br /> ` hones <br /> 3. How are the structures heated and cooled (e.g., central, wall-mounted unit, space heaters, <br /> etc.), and what powers the heating and cooling devices (e.g., electric, propane, fuel oil <br /> tank, fireplace, etc. ? <br /> Ce,*,,Q heA 1 toa-1t uni a,-L - ) T000u-eA loy G. �c . <br /> 4. Provide a brief description of existing development with property dimensions, area, and <br /> acreage. <br /> 5. Are there any currently, or the best of your knowledge have there been ❑ Yes X No <br /> previously, any flooring, drains, or walls located within the facility that <br /> are stained by substances other than water or are emitting foul odors? <br /> 6. If any buildings were constructed prior to 1980, is there any currently or ❑ Yes P(No <br /> was there previously asbestos in any of the construction materials <br /> contained in the building(s)? <br /> If so, has a survey been conducted to assess the type, amount, location ❑ Yes ❑ No <br /> and condition of asbestos? (Please attach o copy of any survey report.) <br /> W. 7. If any buildings were constructed prior to 1980, is there any currently or ❑ Yes $No <br /> was there previously lead-based paint applied to the building(s)? <br /> If so, has a survey been conducted to assess the type, amount, location ❑ Yes ❑ No <br /> I. and condition of lead-based paint? (Please attach o copy of any survey <br /> report.) <br /> LIf you have any questions about this questionnaire,please contact Abby Rocco at(209)367-3701 ext.238. <br /> IL "04 <br />