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wciw"'ff� <br /> May 10,2005 <br /> FROM: <br /> PROJECT: APN 086-070-07 <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,if necessary. Please mail or fax this document back to Chesney Consulting <br /> upon completion. <br /> 1. How long did you own the property?Who were the prior owners and their length of ownership,if known? <br /> What activities have taken place on the property? <br /> Length of Ownership: <br /> Previous Ownership to you,if known <br /> Activities: <br /> 2. Is there,or has there ever been to your knowledge,any type of above ground or underground storage tanks <br /> on the subject property,or any type of buried containers? Are there any septic tanks on the property? <br /> 3. Please provide a list of the pesticides,if any,that have been applied to the subject ro erty acreage in the <br /> past three years. Are pesticides/Herbicides mixed on the property before spraymg H so,where? How are <br /> pesticides/berbicides applied to the subject property and surrounding propernes? Are there any wells <br /> (domestic or irrigation)on the property? Is water supplied by an Imgation District? <br /> Pesticides/Herbicides: <br /> Wells/Irrigation District: <br /> 4. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied,if any? <br /> 5. Are any hazardous materials stored,or previously stored on the property? If so,where? Are you aware of <br /> any hazardous material release on,or around your property? <br /> Hazardous Materials: <br /> Hazardous Materials Release: <br /> 6. Are there any easements through the property,or any underground pipelines? <br /> Signed Date: <br /> Thank you for your time. If there should be any questions,please give me a call. <br /> Sincel-ely, <br /> DoAnChLelsney <br /> Registered Environm*47 <br /> Assessor#4675 <br /> Agricultural Pest Control Advisor#6237 <br /> tT O. Omc3794 ♦ 7urfock C/4 95381 ♦ Office(209)668-1403 ♦ Ew,(209)668-2598 <br />