Laserfiche WebLink
Y <br /> Rev 2/23/2001 <br /> Page 3 of G <br /> " ! I Oa Are there currently any registered or unregistered Yes No Unk <br /> storage tanks (above or underground) located on the <br /> property,' <br /> I Ob Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there has been previously, any registered or <br /> unregistered storage tanks (above or underground) located <br /> on the property,' <br /> I 1 a Are there currently any vent pipes, fill pipes, or access Yes G <br /> 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'2 <br /> I 1 b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there has been previously, any vent pipes, <br /> fill pipes, or access ways indicating a fill pipe protruding <br /> h from the ground on the property or adjacent to any structure <br /> located on the property <br /> 12a Are there currently any flooring, drams, or walls Yes No Unk <br /> located within the facility that are stained by substances <br /> other that water or are emitting foul odors? <br /> l2b Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that there has been previously, any flooring, <br /> drams, or walls located with the facility that are stained by <br /> substances other that water or are emitting foul odors? <br /> 13a If the property is served by a private well, or non- Yes 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 /> j water system 9 <br /> 13b If the property is served by a private well, or non- Yes No Unk <br /> public water system, is there evidence or do you have prior <br /> 4 knowledge that the well has been designated as <br /> contaminated by any government environmental/health <br /> agency? <br /> ` 14 Does the owner or occupant of the property have any Yes No 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 property? <br /> 1.5a Has the owner or occupant of the property been YesNo 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 property2 <br /> Initials <br />