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FEB-12-2008 08 :40 AM BOERSMA. BROS. INC. <br /> 2' 5995546 <br /> P. a1 <br /> _+ NOW <br /> February 7,2008 <br /> FROM: Mr, James Boorama <br /> 12293 North Ripon Road <br /> Ripon, CA <br /> PROJECT: APN 245-160-12, 12293 North Ripon Road, Ripon- San Joaquin County <br /> SUBJECT: Surface and Subawfgce Contamination Report Required by the San Joaquin County <br /> Environmental Health Department, <br /> Please use the hack of this document, or sepparate paper if necessary. Please mail, e-mail or fax this document back <br /> to Chesney Consulting upon completion. -Rank you. <br /> I. Ilow long have you owned the property and is your ranch known by your name or any other name? Who <br /> were the prior owners and their length of ownership, if known? What activities have taken place and what <br /> is the proposed development of the property? <br /> Length of Owncrship and Ranch Name; <br /> Previous Ownership to you,and length of ownership, if known_ <br /> Activitics/Proposed Development:, _ <br /> 2. IS thcrc, or has there ever been to your knowledge, anytype of above ground or underground storage tank# <br /> on the subject property,or any t e of hurled containers. Are there any septic tanks on t e property? <br /> No.. . �►► �. �-�Q a . - <br /> 3. Please pprovide a list of the pesticides that have been applied to the subject Property Berea a in the past three <br /> yyears(Use separate List if convenient). Are pesticides/herbicides mixed on the property Before spraying? <br /> If so, where? How arc pesticides/herbicides ap lied to the subject property(ground, genal)? Are there any <br /> wells(donr.estic and/or irrigation)on tl c proper and¢p t� �becktlow prevention devices? <br /> R u r..^ '1(00, <br /> Pcxticides/l3erbicidc.c Applied: �. 5 �.�, �.�,,,r.%• .� !ryL4��r�' Od �X90?X98 <br /> Mixing Area Location(s) and Application Method; q t1//rt <br /> Q <br /> Wclls:�`T�i t//pi lh' ackflow Prevention Devices: <br /> 4. What fertilizers are applied to the property acre ge? What amount of nitrogen fertilizer is applied, if any) <br /> 15-0 <br /> 5. Are any hazardous materials stored, 00,11..eviously ifcred on the roperry. If so, where? Are you aware of any <br /> hazardous material release nn, or around your property? <br /> Hazardous Materials: A-,",t,'i' <br /> Hazardous Materials Releasc: <br /> , t <br /> F Are there any casements through the property, or any underground pipelines? <br /> Signed f'"e `�— — Date: o7 <br /> Thank a for your time. If there %hottld be any questions,please give me a call. <br /> S1 -crely, <br /> Don Che ey, ,E.A. <br /> Registered Environment AS#es#nr*4675 <br /> Agricultural Peat Contro Adviaor 06237 <br />