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Rev 2/23/2001 <br /> y Page 3 of G <br /> 1 O Are there currently any registered or unregistered Yes � Unk <br /> 1 storage tanks (above or underground) located on the <br /> property" <br /> I Ob Did you observe evidence or do you have any prior Unk <br /> knowledge that there has been previously, any registered or <br /> unregistered storage tanks (above or underground) located <br /> on the property <br /> Ila A.ie there currently any vent pipes, fill pipes, or access YesUnk <br /> ways indicating a fill pipe protruding from the ground on <br /> the property or adjacent to any structure located on the <br /> property,' <br /> I 1 b Did you observe evidence or do you have any prior No Unk <br /> knowledge that there has been previously, any vent pipes, <br /> fill pipes, or access ways indicating a fill pipe protruding <br /> from the ground on the property or adjacent to any structure <br /> located on the property? <br /> l2a 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 /> 12b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there has been previously, any flooring, <br /> 10 drains, or walls located with the facility that are stained by <br /> substances other that water or are emitting foul odors? <br /> 4 13a If the property is served by a private well, or non- Yes 1 Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that contaminants have been identified in the <br /> well or system that exceed guidelines applicable to the <br /> water system? <br /> x,41 <br /> 13b If the property is served by a private well, or non- Yes 00' <br /> Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that the well has been designated as <br /> t contaminated by any government environmental/health <br /> agency`s <br /> € 14 Does the owner or occupant of the property have any Yes O Unk <br /> knowledge of environmental liens or governmental <br /> notification relating to past or recurrent violations of <br /> T,hj environmental laws with respect to the property or any <br /> facility located on the property,' <br /> 15a Nis the owner or occupant of the property been No Unk <br /> jinformed of the past existence of hazardous substances or <br /> petroleum products with respect to the property or any <br /> facility located on the property,' <br /> 0 <br /> Initial <br />