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Jhalli Property SSCR Page 3 of 10 <br /> Our Project Number: LES09050S <br /> January 29, 2009 <br /> NEIL O. ANDERSON AND ASSOCIATES, INC. <br /> ENVIRONMENTAL 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: C1GjRmjT S �� d9L�+ SuR� iT I�EIUR <br /> Address: T PE—C Rd ES[s1Lom- cA ' X517 10 <br /> Telephone: 90g- G19,T• Y70/ <br /> Year purchased: J C1g9 <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 /> 5. Please describe any other known past use(s) of property, and approximate dates of each <br /> use: <br /> NONE <br /> '-44 <br /> 02008 Neil C. Anderson&Associates, <br /> 902 Industrial Way• Lodi, CA 95240 •209.367.3701 • Fax 209.369.4228 Inc. <br />