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06/11/2002 TUE 10:46 FAS 209 467 5316 GrUe CO/��niversity Park <br /> w.. �0011006 <br /> Jin• 3. 2002 i : 26AM CONDOR EARTH TErHNOLOGIES N 9794 P 4lE <br /> '-� 1Ray.2! 3*oo l <br /> Flip 1 of! <br /> PHASE I Ew xONMENTAL SITE ASSESSMET <br /> TRANSACTION SCREEN QUESTIONNAiPRIg <br /> PR()FOSEA CSU ST'ANISLAUS SCHOOL SITE <br /> This questioru3aire has been prepared by Condor Earth Technologies, Inc. (Preparer) by request <br /> w. from Steve Break-field of. Stockton Unified School Di*ict(User)in order to obtain Wormatiou <br /> regardmtS the propusd l CSU Stanislaus School (Site). The objective of this yuestiotan* la to <br /> pro-vide the User with information regarding the presence or likely presence of any hazardous <br /> subAlUces or Petroleum products on the property Wt may prasent s Material xisk of harm to <br /> Public health or to the eavimoment ltaformation provided by this questionnaire will be used to <br /> identify recognized anvbonmental condifims existing ars the Site that may or may not requite <br /> additional researcls. The questiomaaire is provided on a voluntary basis by the respondent as part <br /> of a customary practice for conducting an Enviromnental Site Assessment on a specific,parcel of <br /> rW estate- Please respond to the best of your ability. To provide further information, please <br /> descnU reason for any affirmative answers on a separate sheet of paper. <br /> w• RESPONDENT(CHECK ONE) <br /> Owner ❑ Occupant .._I Preparcr(during Site visit) [� � <br /> Question �1 � Answer <br /> +... la, Is this Site used for an i:ndustria!use'? Yes O Unk <br /> Ib. is Any adjoining property used for an industrial use? Yes � Uuk <br /> Za. Did you observe evidence or do you have any prior Yes Unk <br /> kttowledga that Mo property has been used for an industrial <br /> use in the past? <br /> �..� 2b. Did you Qbxrve evidence or do you have any prior Yes Unk <br /> knowledge that any adjoini�sgpropzri:v has been used for ars <br /> industrial use in the past? <br /> 3a. is the property used as a gasoline station,motor repair yes <br /> faUnk <br /> cility,dry cleaners,photo developing Laboratory, <br /> junkyard or landfill,or as a waste treatment,storage, <br /> disposal, processing,or recycling facility(if applicable, <br /> identify which)? <br /> I <br /> 3b. Is any adjoining property used as a gasoline station, 'Yes No <br /> motor repair facility;(ty cleaners,photo developing <br /> laboratory,juakyard ar landfill,or as a waste treatment, <br /> storage,disposal,processing, or recycling facility(if <br /> applicable, ideatitfy which)? <br /> 4a. Did you observe evidence or do you have any prior Yes No 0) <br /> knowledge tltai tho property has been used as a gasolma <br /> statioti,Motor repair facility,dry cleaners,photo developing <br /> +"' laborata <br /> ry,junkyard or latkdtiil,or as a wastetrcatment, <br /> storage, disposal,processing,or recycling facility(if <br /> applicable,identify which)? <br /> �'' Initials <br /> W <br />