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1 Rev 2/23/200 i <br /> Page 4 of 6 <br /> i <br /> € 15b Has the owner or occupant of the property been Yes Io Unk <br /> informed of the current existence of hazardous substances <br /> of petroleum products with respect to the property or any <br /> facility located on the property' <br /> 15c Has the owner or occupant of the property been YesNo Unk <br /> informed of the past existence of environmental violations <br /> c with respect to the property or any facility located on the <br /> property <br /> a <br /> 15d Has the owner or occupant of the property been Yes o Unk <br /> informed of the current existence of environmental <br /> violations with respect to the property of any tacility <br /> located on the property? <br /> �r <br /> 16 Does the owner or occupant of theproperty have any Yes Unk <br /> knowledge of any Environmental Site Assessment of the v <br /> property of facility that indicated the presence of hazardous <br /> substances or petroleum products on, or contamination of, <br /> the property or recommended further assessment of the <br /> property� <br /> x <br /> 17 Does the owner or occupant of the property know of Yes o Unk <br /> any past, threatened, or pending lawsuits or administrative <br /> 1 proceedings concerning a release or threatened release of <br /> any hazardous substance or petroleum products involving <br /> the property by any owner or occupant of the property,' <br /> 18a Does the property discharge wastewater, on or es No Unk <br /> adjacent to the property, other than storm water, into a <br /> storm water sewer system? CW cxaP 4 " <br /> �_ l �✓�t-1Irl <br /> 18b Does the property discharge wast water,on or Yes o Unk <br /> adjacent to theproperty, other than storm water, into a O <br /> J > <br /> sanitary sewer system? <br /> 19 Did you observe evidence or do you have any prior Yes /'NcJ Unk <br /> s knowledge that any hazardous substances or petroleum <br /> products, unidentified waste materials,tires,automotive or <br /> industrial batteries, or any other waste materials have been <br /> dumped above grade, buried and/or burned on the <br /> property <br /> 20 Is there a transformer, capacitor, or any hydraulic Yes Unk <br /> equipment for which there are any records indicating the <br /> presence of PCBs? <br /> x <br /> Initials p <br />