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SEP-13-2005 09:27A FPOf1: `3694228 P:2 <br /> ..- <br /> NUA_JOB a_MER: E05106 <br /> PROPERTY L,(K ATI ON: 11573 Nor-man Avcnuc,,,',tocktC)r1,C;alifottttia <br /> Page 2 <br /> The Surface/Subsurface Contamination Report Questionnaire <br /> Tlae Sutface/SUllsutfacc Contamination Report (SSSC;R) satisfies San Joaquin County requirements for pared <br /> division and lot line adjustments and is intended to identify any sources of contamination on the property from <br /> on- or off-site causes. <br /> San Joaquin County requires that the current(and former,in some cases)owners of the property beinterviewed <br /> regarding any enviromriental luiowledgc of thr property they may possess. The attached two-part questionnaire <br /> is designied to supplcmcnt the interview requirement of the SSSC;R. <br /> Y fart 1 includes questions which relate specific,, ly to the user's responsibilities, and to additional information <br /> sources which wu11 Ue useful to us in completing our investigation most efficiently. Please complete this Portion <br /> of the questionnaire at your earliest convenience and return it to us promptly_ <br /> Part?includes questions to be asked of the current property owner and/or occupants, Please forward a copy <br /> of this portion of the questionnaire ro the current owner and request that they complete and return it as soon <br /> as pns.,;ihle. F f you currenrly nwtt the property And purchased it over six months ago,please complete Part 2 as <br /> well if you have owned the property for less than six months,please forward Part 2 to the former owner for <br /> completion_] Tf the property is currently developed for non-residential uses,a copy of Part 2 should also be <br /> forwarded to each commercial tenant,with a request that it be completed and returned, <br /> We thank you for you assistance with this process. <br /> ifyou herve anv questions about this questionnaire,please contact Nancy Rosulek at(209) 367-3701 evt 221 <br />