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Site Transaction Screen Questionnaire 2329 East Vine Street(APN 141-195-23), Stockton -Appendix E3 GPI Environmental Management 1111111101100 Owner Occupants Observed During Site Visit 15b. Has the owner or occupant of the property been informed of the current existence of YesNo Unk Yes No Unk Yes Unk hazardous substances or petroleum products with respect to the property or any facility located on the property? 15c. Has the owner or occupant of the property been informed of the past existence of Yes NoUnk Yes No Unk Yes ® Unk environmental violations with respect to the property or any facility located on the property? 15d. Has the owner or occupant of the property been informed of the current existence of YesNo Unk Yes No Unk Yes Unk environmental violations with respect to the property or any facility located on the property? 16. Does the owner or occupant of the property have any knowledge of any environmental Yes No Unk Yes No Unk YesNo Unk site assessment of the property or facility that indicated the presence of hazardous sub stances or petroleum products on, or contamination of, the property or recommended further assessment of the property? 17. Does the owner or occupant of the property know of any past, threatened, or pending Yes No Unk Yes No Unk Yes Unk lawsuits or administrative proceedings concerning a release or threatened release of any hazardous substance or petroleum products involving the property by any owner or occupant of the property? 18a. Does the property discharge waste water (not including sanitary waste or storm water) Yes Unk Yes No Unk Yes ® Unk onto or adjacent to the property and/or into a storm water system? �// 18b. Does the property discharge waste water (not including sanitary waste or storm water) YesNo Unk Yes No Unk Yes Unk onto or adjacent to the property and/or into a sanitary sewer system? 19. Did you observe evidence or do you have any prior knowledge any hazardous Yes No Unk Yes No Unk 'e No Unk substances or petroleum products, unidentified waste materials tires, automotve or industrial batteries, or any other waste materials have been dumped above grade, buried and/or burned on the property? 20. Is there a transformer, capacitor, or any hydraulic equipment for which there are any Yes No Unk Yes No Unk Yes No Unk records indicating the presence of PCBs? The owner questionnaire was completed by The Occupant questionnaire was completed by: The Site Visit questionnaire was completed by: Name P'Cl Z GACTC-X--.-G Name Name Peter Almendinger Title OU9NLsZ Title Title Principal Firm Firm Firm GPI Environmental Management Address % i Cs ��2 Address Address 1516 Grant Avenue Suite 226 Novato CA Phone number W s z Phone number Phone number 415-892-9016 Date 2-3 Mal) ro Date Date '7 J u.d x uw Preparer's re tons o site - Preparer's relationship to site Preparer's relationship to site Consultant Signature og 0 Signature Signature tipl-