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Project Name: ENGEO <br /> Project No. Expect Excellence <br /> ENVIRONMENTAL SITE ASSESSMENT QUESTIONNAIRE <br /> FOR KEY SITE MANAGER <br /> To evaluate the potential for possible environmentally related impacts and site contamination the following information is <br /> requested. This questionnaire is to be preferably completed by the current property owner, or owner representative, leasing <br /> agent, or other person having good knowledge of the uses and physical characteristics of the property (Key Site Manager). <br /> PART <br /> 1. Property Address/Location and Assessor's Parcel Number(APN): <br /> 2. Current property owner(name, address, voice/fax number): <br /> 3. Date current property owner assumed title of property: <br /> 4. Current property development/improvements: <br /> 5. Past property use, development/improvements: <br /> 6. Neighboring property uses: <br /> Page 1 of 3 <br />