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Phase I / TSA Environmental Site Assessment (ESA) Questionnaire Date : <br /> Project Address: 161 East Trensponallon Dave, Ripon <br /> Interviewee: <br /> page 3of8 <br /> ADDITIONAL HAZARDS <br /> Lead-based faint (LBP) :^Are u aware of the presence of LBP_coated surfaces on the property <br /> structure(s)? 0 Yes ❑ Unknown <br /> If yes, describe: <br /> Is there any bvidence on the subject property of illegal or dangerous on-site application , handling or <br /> storage of maintenance chemicals such asp rides, rodenticides, fertilizers, cleaners, paint solvents, <br /> swimming pool cleaners , etc? ❑Yes No ❑ Unknown <br /> If yes, describe: <br /> Have there ever been any dry we�lle.Aumps, separators (or clarifiers or grease traps) or in-ground <br /> hydraulic lifts on the properly? E�Jjes ❑ No ❑ Unknown <br /> If yes, describe (include where, what use and size, if known ): <br /> SUBJECT PROPERTY PROPERTY UTILITY INFOR <br /> Is water currently provided by: public water system ❑ well [] private company <br /> List name of utility provider and/or location of well , connection date: ❑ none or list <br /> - <br /> 1:�17?1 , pie ?q <br /> Electrical utility provider and estimated connection date: ❑none or list- <br /> Natural gas utility provider and estimated connection date: © none or list- <br /> Does the property discharge waste water to a : ❑ municipal sewer sanitary system ; n-site <br /> sewage treatment system ; Mon-site septic system ; or ❑ there is no sewer utility/septic on-site . <br /> If the droperty is served by aseptic syste or systems, please list the location of rthe s tem (is <br /> apermit available <br /> ? ): Vl� 7r ' � v <br /> rte" t <br /> Advanced GeaEnvironmenral, Inc. , <br />