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66/28/2006 10:00 9555692 DELTA HnME REPAIR PAGE 0 <br /> surface and SubsW'face Contamination Report Questionnaire <br /> N0A project Number! E06065A <br /> Property Loratian. 2002 13«Street, StoCkton, CA 95205 <br /> Paige 9 <br /> , H�MI�CE <br /> III, gw► <br /> r� <br /> Are there Currently, Or to the best of your knowledge have there been u No <br /> I <br /> previously, any registered or unregistered 50d t1e, diecset, poik or of er <br /> chemical storage tanks (above of unde+B <br /> Yes Jn <br /> th <br /> Are them any pesticides, iother ccx�tainers greater r other chemicalS than 5 galloor ns e cheor <br /> property in drums, sacks, ori <br /> r <br /> 50 gallons in the aggregatet <br /> if tree answer to either question is "yes," please answer the questions below: <br /> 1, for each tank, plea"list substance stored and tank capacity: <br /> Have the tanks been ►r+speCtrd or tested for leakage? When was the most recent te5t? What <br /> 2. <br /> if mai <br /> were the results? (Please attach capias of results a e. <br /> 3. For other storage containers, please describe the substances, quantities stared, and type$ Of <br /> containers. <br /> 4, Have there been any spills, leaks, or other releases of chemicals On the <br /> L3 Yes No <br /> �- property? if so, please describe the rhemicats and quantities released, <br /> any cleanup measures taken, and the results of any snit Of groundwater <br /> samplers performed to detect the presence of chemicals spilled, <br /> leaked, or released on the propertY. <br /> 5. <br /> Please atbAC}1 copies of any permits or licenses pertaining to the use, storage, handling, or <br /> disposal of chemicals on the property. <br /> {ryria hour any qut.tHons of>ous rNPs gkesrionnaira.plea re eortpct AhLy Ratio at(2Q9)34�"-31111 eat.2J& <br />