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a , <br /> fi <br /> Rev 2/23/2001 <br /> " Page 2 of 6 <br /> 4b Did you observe evidence or do you have any prior (Yes--) No link <br /> + r ie knowledge that any adjoining property used as a gasoline <br /> station, motor re air facile , dry cleaners, photo developing <br /> laboratory,junkyard of landfill, or as a waste treatment, ����►�+ G r� i c u?-VF O'vf'r iv[ S� 1`-{L - <br /> 4 storage, disposal, processing, or recycling facility(ifs, ,••e t�. ► ! 7 <br /> applicable, identify which)? <br /> 5a Are there currently any damaged or discarded Yes No Unk <br /> automotive or industrial batteries,pesticides, paints, or <br /> other chemicals in individual containers of>5 gal (19L) in <br /> y volume or 50 gal (190L) in the aggregate, stored on or used <br /> at the property or at this facility? <br /> 5b Did you observe evidence or do you have any prior Yes No Unk <br /> F knowledge that there have been previously any damaged or <br /> discarded automotive or industrial batteries, pesticides, <br /> paints, or other chemicals in individual containers of>5 gal <br /> (I 91✓) in volume or 50 gal (190L)in the aggregate, stored <br /> on or used at the property or at this facility? <br /> 6a Are there currently any industrial drums(typically 55 Yes No Unk <br /> gal (208L)) or sacks of chemicals located on the property or <br /> at the facility? <br /> 6b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there have been previously any industrial <br /> 00 drums (typically 55 gal(208L)) or sacks of chemicals <br /> located on the property or at the facility? <br /> 7a Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that fill dirt has been brought onto the property <br /> h that originated from a contaminated SAO <br /> 7b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that fill dirt has been brought onto the property <br /> that is of an unknown origin? <br /> 8a Are thea e currently any pits,ponds, or lagoons located Yes Unk <br /> on the property in connection with waste ti catment or waste <br /> disposal? <br /> 8b Did you observe evidence or do you have any prior es No Unk <br /> knowledge that there have been previously, any pits,ponds, 1 0., Al G'R*1,v i <br /> or lagoons located on the property in connection with waste j ej-9 z_ D E7O i <br /> treatment or waste disposal? <br /> 9a 1s there currently any stained soil on the property' Yes No Unk <br /> 9b Did you observe evidence or do you have any prior Yes No ` Unk <br /> knowledge that there has been previously any stained soil <br /> on the property? <br /> Initials <br />