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r Rev 2/23/2001 <br /> a Page 3 of G <br /> 1 Oa Are there currently any registered or unregistered Yes No Unk <br /> storage tanks (above or underground) located on the <br /> property", <br /> I Ob Did you observe evidence or do you have any prior Yes �No Unk <br /> knowledge that there has been previously, any registered or <br /> unregistered storage tanks (above or underground) located <br /> on the property,' <br /> 1 1 a Are there currently any vein pipes, fill pipes, or access Yes No? Unk <br /> ways indicating a fill pipe protruding from the ground on <br /> 3 the property or adjacent to any structure located on the <br /> property,' <br /> �^ 1 l b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there has been previously, any vent pipes, . �- <br /> fill pipes, of access ways indicating a fill pipe protruding <br /> from the ground on the property or adjacent to any structure <br /> �s located on the property? <br /> 12a Are there currently any flooring, drains, or walls Yes No) Unk <br /> located within the facility that are stained by substances <br /> other that water or are emitting foul odors? <br /> s l2b Did you observe evidence or do you have any prior Yes f No 1 Unk <br /> knowledge that there has been previously,any flooring, Lam/ <br /> drams, or walls located with the facility that are stained by <br /> substances other that water or are emitting foul odors9 <br /> 13a If the property is served by a private well,or non- Yes �No Unk <br /> public water system, is there evidence or do you have prior L <br /> knowledge that contaminants have been identified in the <br /> well or system that exceed guidelines applicable to the <br /> water system <br /> " 1 13 b if the pi operty is served by a private well, or non- Yes 1 Noy f Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that the well has been designated as <br /> i contaminated by any government environmental/health <br /> agency? <br /> 14 Does the owner or occupant of the property have any Yes ' No,/ Unk <br /> knowledge of environmental Item or governmental <br /> notification relating to past or recurrent violations of <br /> environmental laws with respect to the property or any <br /> facility located on the property? <br /> 15a Has the owner or occupant of the property been Yes No) Unk <br /> informed of the past existence of hazardous substances of <br /> petroleum products with respect to the property or any <br /> facility located on the property2 <br /> N <br /> C <br /> Initials <br />