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Rev 2/23/2001 <br /> l ° Page 2 of G <br /> 1 4b Did you observe evidence or do you have any prior Yes No Unk <br /> 1 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 which)? <br /> 5a Are there currently any damaged or discarded Yes QNo Unk <br /> automotive or industrial batteries, pesticides, paints, or <br /> other chemicals in individual containers of>5 gal (I 9L)in <br /> s volume or 50 gal (190L) in the aggregate, stored on or used <br /> at the property or at this facihty? <br /> 5b Did you observe evidence or do you have any prior Yes 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 /> 5a Are there currently any industrial drums (typically 55 Yes Unk <br /> ° t gal (208L))or sacks of chemicals located on the property or <br /> at the facility? <br /> t <br /> 5b Did you observe evidence of do you have any prior Yes o 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 /> i <br /> 7b 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 is of an unknown origin? <br /> 8a Are thei e cui rently any pits,ponds, or lagoons located Yes (DO Urik <br /> Y i on the property in connection with waste treatment or waste <br /> disposal? <br /> 8b Did you observe evidence or do you have any prior YesNo Unk <br /> knowledge that there have been previously, any pits,ponds, <br /> or lagoons located on the property in connection with waste <br /> la treatment or waste disposal? <br /> 0 <br /> 9a is there currently any stained soil on the property? Yes No , Unk <br /> -411 <br /> 9b Did you observe evidence or do you have any prior Yes �o Unk <br /> knowledge that there has been previously any stained soil <br /> on the property' <br /> Initials <br />