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1 <br /> Rev 2/23/2001 <br /> Page 2 of 6 <br /> 4b Did you observe evidence or do you have any prior Yes Unk <br /> knowledge that any adorning property has been used as a <br /> gasoline station, motor repair facility, dry cleaners, photo <br /> developing laboratory,junkyard or landfill, or as a waste <br /> treatment,storage, disposal, processing, or recycling <br /> facility(if applicable, identify which.)? <br /> 5a Are there currently any damaged or discarded Yes EO 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 /> i 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 Did you observe evidence or do you have any prior Yes (rNo) Unk <br /> w 1 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 Yes o Unk <br /> knowledge that fill dirt has been brought onto the property <br /> 4 that originated from a contaminated Site? <br /> 7b Did you observe evidence or do you have any prior Yes Na Unk <br /> knowledge that fill dirt has been brought onto the property <br /> that is of an unknown origin? <br /> 8a Are there currently any pits,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 Unk <br /> knowledge that there have been previously any pits,ponds, <br /> or lagoons located on the property in connection with waste <br /> r treatment or waste disposal? <br /> 9a Is there currently any stained soil on the property? Yes a Unk <br /> 9b Did you observe evidence or do you have any prior Yes ala) Unk <br /> knowledge that there has been previously any stained soil <br /> on the property <br /> s <br /> t <br /> Initials �,4 <br /> F� <br />