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Surface Subsurface Report Questionnaire Page 4 of 10 <br /> Viramontes Property <br /> Our Project Number: E07171A <br /> October 17, 2007 <br /> NEIL O. ANDERSON &ASSOCIATES, INC. <br /> ENVIROMENTAL QUESTIONNAIRE AND DISCLOSURE STATEMENT <br /> PART 2: OWNER INFORMATION <br /> (To be completed by Owner or Owner's representative) <br /> I. GENERAL INFORMATION <br /> 1. Current owner of property <br /> Name: <br /> Address: <br /> Telephone: <br /> Year purchased: <br /> 2. Previous owner(s) and contact information (if known): <br /> Name: <br /> Address: <br /> Telephone: <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> Name: <br /> Address: <br /> Telephone: <br /> Relationship to property: <br /> 4. Please describe current use(s) of property: <br /> &I r 1 L 71'�" I-- <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> 902 Industrial Way-Lodi.CA 95240•209.367.3701•Fax 209.369.4228 ©2007 Neil O.Anderson R Associates.Inc. <br />