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1 <br /> Questions Owner Occupants Observed During <br /> qb Site Visit <br /> of your knowledge have there been <br /> previously, any pits, ponds, or lagoons, <br /> ' located on the property in connection <br /> with waste treatment or waste disposal? <br /> 9 Is there currently, or to the best Yes No Unk Yes No Unk Yes No Unk <br /> ' of your knowledge have there been <br /> previously, any stained soil on the property? <br /> 10 Are there currently, or to the best Yes No Unk Yes No Unk Yes No Unk <br /> ' of your knowledge have there been <br /> previously, any registered or unregistered <br /> storage tanks (above or underground) <br /> ' located on the property? <br /> 11 Are there currently, or to the best Yes No Unk Yes No Unk es No Unk <br /> of your knowledge have there been <br /> ' previously, any vent pipes, fill pipes, <br /> or access ways indicating a fill pipe <br /> protruding from the ground on the property <br /> or adjacent to any structure located <br /> ' on the property? <br /> 12 Are there currently, or to the best Yes No Unk Yes No Unk Ye No Unk <br /> of your knowledge have there been <br /> previously, any flooring, drains, or <br /> walls located within the facility that <br /> are stained by substances other than <br /> water or are emitting foul odors? <br /> 13 If the property is served by a private Yes No Unk Yes No Unk Yes No Unk <br /> well or non-public water system, have <br /> ' contaminants been identified in the well <br /> or system that exceed guidelines applicable <br /> to the water system or has the well been <br /> designated as contaminated by any government <br /> environmental/health agency? <br /> 14 Does the owner or occupant of the Yes No Unk Yes No Unk Yes No Unk <br /> property have any knowledge of environmental <br /> lens or governmental notifications relating <br /> to past or recurrent violations of environ- <br /> mental laws with respect to the property <br /> 1 or any facility located on the property? <br /> 15 Has the owner or occupant of the Yes No Unk Yes No Unk Yes No Unk <br /> property been informed of the past or <br /> current existence of hazardous substances <br /> or petroleum products or environmental <br /> violations with respect to the property or <br /> any facility located on the property? <br /> (GUIDENASTM TSQ) Page 2 of 5 <br />