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Surface &Subsurface Contamination Report Questionnaire <br /> Cotta Property, Peltier&Blossom Roads Page 4 of 10 <br /> Our Project Number: LES080021 <br /> March 4, 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: C° r 1p ,O- �y eJ . <br /> Address: -? .0&Z 00!v• -hOH tom'" RC) "/ <br /> Telephone: q o 47 — 5? L 4 — H// 9 Gt <br /> Year purchased: t c) p b+ <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 /> '4 , CY7ap S <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> 902 Industrial Way•Lodi,CA 95240•209.367.3701 •Fax 209.369.4228 02008 Neil O.Anderson&Associates,Inc. <br />