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E <br /> October 28,2010 <br /> FROM: Mr.and Mrs. Steve and Peggy Morrissey <br /> 9849 North Jack Tone Road <br /> Stockton,CA 95212 <br /> PROJECT: APN 063-200-04,9849 North Jack Tone Road-San Joaquin County <br /> SUBJECT: Surface and Subsurface Contamination Report Required by the San Joaquin County <br /> Environmental Health Department. <br /> Please use the back of this document,or se arate paper if necessary. Please mail,e-mail or fax this document back <br /> to Chesney Consulting upon completion.Tank you. <br /> 1. How long have you owned the property and is your ranch known by your name'or any other name? Who <br /> were the prior owners and their length of ownership, if known? What activities have taken place and what <br /> is the proposed development of the property? <br /> Length of Ownership and Ranch Name(s): � <br /> Previous Ownership to you,and length of ownership, if known: 1' ` <br /> Activities/Proposed Development: '-a OS s q ,ce,! -f <br /> 2. Is there,or has there ever been to your knowledge,any t pe of above ground or underground storage tanks <br /> on the subject property,or any type of buried containers. Are there any septic tanks on theproperty? <br /> _!(-(-e see;c- +,%,nYs .. <br /> 3. Please provide a list of the pesticides that have been applied to the subject property acreage in the past three <br /> yyears(Use separate List if convenient). Are pesticides/herbicides mixed on the property before spraying? <br /> if so,where? How are pesticides/herbicides applied to the subject property(ground, aerial)? Are there any <br /> wells(domestic and/or irrigation)on the property and do they have backflow prevention devices if used for <br /> filling of spray rigs? <br /> Pesticides/Herbicides Applied: c,-!:: y G- 0-�r(k5 6, <br /> Mixing Area Location(s)and Application Method: Dn ct �- tom, a a� � q , r �^� <br /> Wells: a 'i— �l Gtr (�A Backflow Prevention Devices: �; <br /> 4. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied, if any? <br /> l 5D w. of 4 <br /> 5. Are any hazardous materials stored, or previously stored on the property? If so,where? Are you aware of any <br /> hazardous material release on,or around your property? r <br /> Hazardous Materials: ,A'(_TA S c.l «nJ �k s e� "KI k t zC.h3} GtAi"frcf 2f—/ &5&4els <br /> Hazardous Materials Release: i1orq-, a� �wSe nl tris. <br /> i <br /> 6. Are there any easements through the property,or any underground pipelines? 0 of <br /> Signed Date: <br /> Thank you for your time. If there should be any questions, please give me a call. <br /> Sincerely, <br /> CHF,?NEY C LILTING <br /> D',onn/n Ch�ets eyy, P, ., R.E. <br /> Registere CiviE Engin r 975479 <br /> Registered Environm tal Assessor#4675 <br /> Agricultural Pest Control Advisor#074363 <br /> P. O. Box 3794 • Turfock, CA 95381 • Office (209) 668-1403 • Fax (209) 668-2598 <br />