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1 <br /> Rev 2/232001 <br /> Page 2 of <br /> 4b Did you observe evidence or do you have any prior Yes No Unk <br /> know]edge that any adjoining property used as a gasoline <br /> station, motor Y epaxr 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 whlch)9 _ <br /> 5a Are there currently any damaged or discarded YesU Unk <br /> x automotive or industrial batteries, pesticides, paints, or <br /> other chemicals in individual containers of>5 gal (I 9L) in <br /> volume or 50 gal (190L) in the aggregate, stored on or used <br /> at the property or at this facillty9 <br /> 5b Did you observe evidence or do you have any prior Yes ONO 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 andustnal drums(typically 55 Yes CNo) Unk <br /> gal (208L)) or sacks of chemicals located on the property or <br /> at the factlity9 <br /> t 6b Did 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 facility? <br /> 7a Did you observe evidence or do you have any prior Yes60) <br /> Unk <br /> knowledge that fill dirt has been brought onto the property <br /> �4 <br /> that originated from a contaminated Szte9 <br /> 71b Did you observe evidence or do you have any prior YesNo Unk <br /> knowledge that fill dirt has been brought onto the property <br /> that is of an unknown origin's <br /> 8a Are there currently any pats,ponds, of lagoons located YesNo 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 �N() 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 Na Unk <br /> 4 <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 f <br />