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Rev 2/23/2001 <br /> 5 t Page 2of6 <br /> 4b Did you observe evidence or do you have any prior Yes Unk <br /> knowledge that any adjoiningproperty 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 ki jo 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 (19OL) in the aggregate, stored on or used <br /> at the property or at this factlity9 <br /> 5b Did you observe evidence or do you have any prior Yes (No J Unk <br /> knowledge that there have been previously any damaged or <br /> r 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 /> ;k on or used at the property or at this facility? <br /> 6a Are there currently any industrial drums(typically 55 Yes O Unk <br /> gal (208L))or sacks of chemicals located on the property or �J <br /> at the facility`? <br /> h 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 Yes No Unk <br /> knowledge that fill dirt has been brought onto the property <br /> that originated from a contaminated Site? <br /> 7b Did you observe evidence or do you have any prior Yes NSC Unk <br /> knowledge that fill dart has been brought onto the property <br /> that is of an unknown origin9 <br /> 8a Are there currently any pats,ponds, or lagoons located Yes V Unk <br /> on theproperty in connection with waste treatment or waste <br /> disposal? <br /> 8b Did you observe evidence or do you have any prior Yes (2o ) Unk <br /> knowledge that there have been previously any pits,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 (Nod 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 /> 1 <br />