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Surface and Subsurface Contamination Report Questionnaire <br /> NOA Project Number: E07021A <br /> Property Location: 748 8 808 S. Walker, 5205 E. Main, Stockton, CA <br /> Page 5 of 11 <br /> NEIL O. ANDERSON 8t 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 t <br /> Name: l�ebt�} C44c3-�- J <br /> Address: (.4LL( L.: vt 6ak a�• <br /> Telephone: Io9 - 443- 10" 1 <br /> Year purchased: I001. I a.60 `j <br /> 2. Previous owner(s) and contact information (if known): <br /> _ Name: (Zzc�4 bondc� o <br /> Address: <br /> Telephone: G 's 9 - — o p <br /> Year purchased: <br /> 3. Other person with historical knowledge of property: <br /> Name: k o loctit C kg c6 f <br /> Address: <br /> _ Telephone: y63 - leto 4 <br /> Relationship to property: ti ctybe� �•' ci t7 <br /> 4. Please describe currentuse(s) of property: <br /> p <br /> _ UQcan� a �CL PM1 i1.q <br /> 5. Please describe any other known past use(s) of property, and approximate dates of each use: <br /> ljyou have any questions about this questionnaire,please contact Abby Rocco at(209)367-3701 ext. 238. <br />