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07/21/2005 07:44 FAX 2094662639 COMFORT AIR Z001 <br /> Jul 14 2005 12: 45PM CI-yney Consulting (2L,..., 668-2598 p. 4 <br /> C251/ <br /> July 14,2005 <br /> FROM: Mr.Donavan Chavez <br /> 23480 Tinnin Road <br /> Manteca,CA 95337 <br /> PROJECT: APN 226-110-32 <br /> SUBJECT: Surface and Subsurface Contamination Report Required by the San Joaquin County <br /> Environmental Health Department. <br /> Please use the back ofthis document, or separate paper if necessary. Please mail or fax this document back to <br /> Chesney Consulting upon completion.Thank you_ <br /> I. How long have you owned the property?Who were the prior owners and their length of ownership,if <br /> known? What activities have taken place on the property? <br /> Length of Ownership: -TO'n-J f �0� A"', 13 V.Q.(►.i`S <br /> Previous Ownership to you,if known AR QA�_ AN S,R • /0 f \J <br /> Activities: QA M.01na <br /> 2. Is there,or has there ever been to your knowledge,any type of above ground or underground storage tanks <br /> on the subject property,or any type of buried containers? Are there any septic tanks on the property? <br /> 2 ,Qp��� To.✓t lc5 <br /> 3. Please provide a list of the pesticides, if any,that have been applied to the subject property acreage in the <br /> past three years(Un separate ust ifounw•rdent), Are peaheides/herbicides mixed on the property before sprayings If <br /> so,where? How are pestieides/herbicides applied to the subject property and surrounding properties? Are <br /> there any wells (domestic and/or irrigation)on the property Is water supplied by an Irrigation District? <br /> Pesticides/Herbicides Applied: <br /> Mixing Area Location(s), Ce-M Ok S VNN % X0%1 <br /> Wells/IrrigationDistrict: <br /> 4. What fertilizers are applied to the property acreage? What amount of nitrogen fertilizer is applied,if any? <br /> 5. Are any hazardous materials stored,orpreviously stored on the property? If so,where? Are you aware of <br /> any hazardous material release on,or around your property? <br /> Hazardous Materials: 00'\x. SOC <br /> Hazardous Materials Release: {� <br /> 6. Are Basemen through the property,or any underground pipelines? <br /> Signed Date: 7-0-1—OT <br /> •Thank you for your time. If th a should be any questions,please give the a call. <br /> Sinc ly, <br /> Don Chep ftCon <br /> Registeredssessor#4675 <br /> Agriculturvisor#6237 <br /> P O. BoX3794 « Tur(ocl,Cit. 95381 r Offrce (209)668-1403 ♦ Fax(209) 668-2598 <br />