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SEP-13-2005 09:288 FROM: TO:3694228 P:11 <br /> .,. <br /> NOA JOB NUMBER: E05106A <br /> PROPERTY L0CATION: 11573 Nomian 1kveiue,StocktoTi,(:alifi.)trii t <br /> Page 11 <br /> V. AGRICULTURAL PROPERTIES <br /> Is the property currently used for agricultural purposes, other that ❑Yes 1�No <br /> grazing or pasture land? f <br /> To the best of your knowledge, has the property been used in the Ll Yes L No <br /> past for agricultural purposes, other that grazing or pasture land? <br /> If the answer to either question is"yes," please answer the following: / <br /> 1. Have pesticides, herbicides or other agricultural chemicals ❑ Yes ] No <br /> been applied to the property? If so, please describe the ` <br /> locations where such pesticides, herbicides or chemicals <br /> were applied, the type of pesticides, herbicides or chemicals <br /> applied in each area. (Please attach copies of pesticide use <br /> reports if available.) <br /> 2. Have pesticides, herbicides or other agricultural chemicals ❑Yes No <br /> been mixed, formulated, rinsed, or disposed of on the <br /> property? If so, please describe the locations where such <br /> pesticides, herbicides or chemicals were mixed, formulated <br /> rinsed, or disposed, the type of pesticides, herbicides or <br /> chemicals mixed, formulated, rinsed or disposed of at each <br /> location- <br /> 3. <br /> ocation_3. Has any soil or groundwater analyses performed to detect ❑Yes No <br /> pesticides, herbicides or chemicals used at the site? If so, <br /> please provide a summary of the findings. <br /> lfyou have any questions uhuut this questirmnaire,please,contact Nancy Rosulek at(20.9) 367-3701 exl 221 <br />