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4 <br /> Rev 2/23/2001 <br /> w Page 2 of 6 <br /> 4b Did you serve evidence or do you have an prior Yes N Unk <br /> Y oh Y y p � <br /> knowledge that any adjoining property used as a gasoline <br /> station, motor repair facility, dry cleaners, photo developing <br /> laboratory,junkyard of landfill, or as a waste treatment, <br /> storage, disposal, processing,or recycling facility(if <br /> applicable, identify wliich)? <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 /> 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 /> 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 /> (19L) 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 Dad you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there have been previously any industrial <br /> . drums (typically 55 gal (208L)) or sacks of chemicals <br /> located on the property or at the facility9 <br /> 7a Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that fall dirt has been brought onto the property <br /> that originated from a contaminated Site9 <br /> 7b Dad you observe evidence or do you have any prior Yes CN o) Unk <br /> knowledge that fall dart has been brought onto the property <br /> that is of an unknown ongm9 <br /> 8a Are there currently any pats,ponds, or lagoons located Yes No Unk <br /> on the property in connection with waste treatment or waste <br /> disposal? <br /> 8b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there have been previously, any pats,ponds, <br /> or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> 9a Is there currently any stained soil on the property' Yes No Unk <br /> I ,t <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 theproperty? <br /> Initials <br />