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SEP-13-2005 09:28H FROM: TO:3694228 P:10 <br /> NQA JOB NUMBER: E05106A <br /> PROPERTY LOC'1TION: 11573 Norman Avcrtuc,Stc>ckr.<>n,('ahfc>rnia <br /> Page 10 <br /> 4. Have there been any spills, leaks, or other releases of a Yes No <br /> chemicals on the property? If so, please describe the <br /> chemicals and quantities released, any cleanup measures <br /> taken, and the results of any soil or groundwater samples <br /> performed to detect the presence of chemicals spilled, <br /> leaked, or released on the property. <br /> 5. Please attach copies of any permits or licenses pertaining to <br /> the use, storage, handling, or disposal of chemicals on the <br /> property. <br /> IV. INDUSTRIAL PROPERTIES <br /> Is the property currently used for any industrial purpose? 0 Yes No <br /> Has the property ever been previous used for an industrial purpose ❑ Yes ` ] No <br /> (other than the current use)? <br /> If the answer to either question Is"yes,"please answer the following: <br /> 1. Has the property been used for disposal of any liquid or solid ❑Yes al(No <br /> waste? <br /> 2. Have evaporation or storage ponds been located on the ❑Yes No <br /> property? <br /> 3. Have waste water treatment facilities, such as acid ❑Yes ] No <br /> neutralization vaults, been located on the property? <br /> 4. Are there raw chemical or waste chemical storage areas on 4 Yes l No <br /> the property? <br /> If any of questions 1-4 are answered "yes," please provide a description, including the <br /> location of all disposal sites, treatment facilities and storage areas, the type of <br /> chemicals or wastes handled at each site, the results of any soil or groundwater <br /> samples taken in the vicinity of each site, and the manner in which each site not <br /> presently in use was closed. <br /> !f you have any questions about this questionnaire.,please contact Nancy Rosulek at(20.9)367-3701 ex; 22% <br />