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Y <br /> Rev 2/23/2001 <br /> i rage 4 of 6 <br /> i 15b Has the owner or occupant of the property been Yes No Unk <br /> informed of the current existence of hazardous substances <br /> or petroleum products with respect to the property or any <br /> k <br /> facility located on the property? <br /> 15e Has the owner or occupant of the property been Yes No Unk <br /> informed of the past existence of environmental violations <br /> with respect to the property or any facility located on the <br /> property" <br /> 15d Has the owner or occupant of the property been Yes No Unk <br /> h ; informed of the current existence of environmental <br /> violations with respect to the property or any facility <br /> located on the property,' <br /> x 16 Does the owner or occupant of the property have any Yes No Unk <br /> knowledge of any Environmental Site assessment of the <br /> property of facility that indicated the presence of hazardous <br /> substances or petroleum products on, or contamination of, <br /> the property or recommended further assessment of the <br /> property" <br /> l�Y <br /> 17 Does the owner or occupant of the property know of Yes No Unic <br /> any past,threatened, or pending lawsuits or administrative <br /> proceedings concerning a release or threatened release of <br /> any hazardous substance or petroleum products involving <br /> the property by any owner or occupant of the property <br /> l 8a Does the property discharge wastewater, on or Yes No Unk <br /> adjacent to the property, other than storm water, into a <br /> storm water sewer system? <br /> I 8b Does the property discharge wastewater, on or Yes No Unk <br /> adjacent to the property, other than storm water, into a <br /> sanitary sewer system? <br /> 19 Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that any hazardous substances of petroleum <br /> products, unidentified waste materials,tires, automotive or <br /> industrial batteries, or any other waste materials have been <br /> rr <br /> dumped above grade burred and/or burned on the <br /> " property <br /> 20 is there a transformer, capacitor, or any hydraulic Yes No Unk <br /> Y equipment for which there are any records indicating the <br /> 9 presence of PCBs? <br /> s <br /> a <br /> i <br /> Initials <br />