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06/28/2006 10:00 9555692 DELTA HOME REPAIR PAGE 05 <br /> surface and sutr5101ace Contamination Ikeport Questionnaire <br /> N0A Project Number: E06O65A <br /> property Location: 2Di')2 i P Street, Stockton, CA M06 <br /> Page a <br /> ii. STRt}Q41 <br /> El yes Ho <br /> Are there currently any structures on the property? <br /> � <br /> p <br /> To the best of your knowledge, have there been any structures an the property ❑Yes <br /> in the past which have since been removed? <br /> If the answer to either question is "yam," please answer the following: <br /> t, <br /> For each existing t>uitding, Please provide type of bWlding and date of original construction <br /> and any substantial renovations: <br /> 2. For each building known to have been remover!, please provide tyre of building and <br /> approximate dates the building existed: <br /> 3. How are the Structures <br /> strsttetigcooled , central, heaters, <br /> etc,), and what powers and cootsgdevices (eg., electric, propane, fuel oil, <br /> tank, firep(ace, etc.)? <br /> 4. Provide a brief description of existing development with property dimensions, area, and <br /> acreage. <br /> 5. Are there any Currently, btb� LJ Yrs <br /> Na <br /> ur <br /> previously, any ficorii, rainsvr walks ocnted within the the faCilite have y <br /> that <br /> are stained by substances other than water or are emitting foul odors <br /> 6. If any buildings were constructed prior to 1950, is there any currently or ❑Yes ❑ Na <br /> was there previously asbestos in any of the construction m8tefiais <br /> contained in the building(s)? <br /> if so, has a survey been conducted to assess the otype, amount, t co �yes <br /> No <br /> and condition of nsbestost (pleas&attoch o copy f any Y report.) <br /> 7 if any buiidings were constructed prior to 1950, is there any currently or C3 Yes No <br /> was there previously teed-based paint applied to the building(s)' <br /> if so, has a survey been conducted to assess the type, amount, location Yos Cl No <br /> and condition of teed-based paint? (Please attach a cOPY of any survey <br /> r"rf_) <br /> Ifyo„have any gtlesftOn]ahaut thtx yvesttvnnalrr,pfwfe contact Abby Rncco pt(209)36?-3701 err.738. <br />