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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 10 <br /> r <br /> IV. INDUSTRIAL PROPERTIES <br /> 6. <br /> Is the property currently used for any industrial purpose? ❑ Yes No <br /> ` Has the property ever been previous used for an industrial purpose (other than ❑ Yes �No <br /> the current use)? <br /> If the answer to either question is "yes," please answer the following: <br /> v <br /> 1. Has the property been used for disposal of any liquid or solid waste? ❑ Yes ❑ No <br /> 2. Have evaporation or storage ponds been located on the property? ❑ Yes ❑ No <br /> 3. Have waste water treatment facilities, such as acid neutralization ❑ Yes ❑ No <br /> vaults, been located on the property? <br /> 4. Are there raw chemical or waste chemical storage areas on the ❑ Yes ❑ No <br /> property? <br /> If any of questions 1-4 are answered 'yes," please provide a description, including the location of <br /> all disposal sites, treatment facilities and storage areas, the type of chemicals or wastes handled at <br /> each site, the results of any soil or groundwater samples taken in the vicinity of each site, and the <br /> manner in which each site not presently in use was closed. <br /> V. AGRICULTURAL PROPERTIES <br /> Is the property currently used for agricultural purposes, other than grazing or ❑ Yes No <br /> pasture land? <br /> To the best of your knowledge, has the property been used in the past for ❑ Yes No <br /> agricultural purposes, other than grazing or pasture land? / <br /> If the answer to either question is "yes," please answer the following: <br /> 1. Have pesticides, herbicides or other agricultural chemicals been applied ❑ Yes ❑ No <br /> to the property? If so, please describe the locations where such <br /> pesticides, herbicides or chemicals were applied, and the type of <br /> r pesticides, herbicides or chemicals applied in each area. (Please attach <br /> copies of pesticide use reports if available.) <br /> f. <br /> L <br /> {fyou have any questions about this questionnaire,please contact Abby Rocco at(209)367-3701 ext.238. <br /> L "OA0 <br />