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Surface & Subsurface Contamination Report Questionnaire <br /> Den Hartog Property Page 4 of 10 <br /> Our Project Number: LES080521 <br /> April 25, 2008 <br /> NEIL O. ANDERSON & 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 <br /> Name: /p/eTe/' rl2N <br /> Address: <br /> Telephone: <br /> Year purchased: 2 > <br /> 2. Previous owner(s) and contact information (if known): <br /> Name: <br /> Address: <br /> Telephone: <br /> Year purchased: <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: <br /> 1///4/e y/O�V' 'o/' /3 <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> ,ay <br /> i <br /> 902 Industrial Way•Lodi,CA 95240•209.367.3701 •Fax 209.369.4228 02008 Neil O.Anderson&Associates.Inc. <br />