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z <br /> 4 <br /> Rev 2/23/2001 <br /> /23/20 <br /> r Page3ot6 <br /> 10a Are there currently any registered or unregistered Yes o Unk <br /> storage tanks (above or underground) located on the <br /> property I <br /> 1 Ob Did you observe evidence or do you have any prior Yes �1CT�o Unk <br /> knowledge that there has been previously, any registered or �JJ <br /> unregistered storage tanks (above or underground) located <br /> g <br /> on th e property <br /> Ila Are there currently any vent pipes,fill pipes, or access Yes Unk <br /> ways indicating a fill pipe protruding from the ground on <br /> the property or adjacent to any structure located on the <br /> property - <br /> 1 I b Did you observe evidence or do you have any prior Yes Unk <br /> knowledge that there has been previously, any vent pipes, <br /> fill pipes, or access ways indicating a fill pipe protruding <br /> ' from the ground on the property or adjacent to any structure <br /> located on the property? <br /> 12a Are there currently any flooring, drains, or walls Yes ( To Unk <br /> located within the facility that are stained by substances �J <br /> other that water or are emitting foul odors? <br /> 5 12b Did you observe evidence or do you have any p for Yes Unk <br /> knowledge that there has been previously, any flooring, v <br /> drains, or walls located with the facility that are stained by <br /> ` substances other that water or are emittuig foul odorsv <br /> 13a If the property is served by a private well, or non- Yes o Unk <br /> public water system, is there evidence or do you have prior <br /> knowledge that contaminants have been identified in the <br /> well or system that exceed guidelines applicable to the <br /> water system? <br /> 13b If the property is served by a private well, or non- Yes No Unk <br /> public water systern, is there evidence or do you have prior <br /> g knowledge that the well has been designated as <br /> contaminated by any government environmental health <br /> agency9 <br /> l 14 Does the owner or occupant of the property have any Yes ` X10 ) Unk <br /> knowledge of environmental liens or governmental <br /> notification relating to past or recurrent violations of <br /> environmental laws with respect to the property or any <br /> facility located on the property2 <br /> r <br /> 15a Has the owner or occupant of the property been Yes -No Unk <br /> informed of the past existence of hazardous substances or <br /> petroleum products with respect to the property or any <br /> . facility located on the property9 <br /> Initials <br />