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Project Name: Langston II ENGEO <br /> Project No. Expect Excellence <br /> ENVIRONMENTAL SITE ASSESSMENT QUESTIONNAIRE <br /> FOR CLIENT <br /> To evaluate the potential for possible environmentally related impacts and site contamination the following information is <br /> requested. This questionnaire is to be completed by the user of the phase one environmental site assessment, or their <br /> authorized representative. <br /> PART <br /> 1. Property address and Assessor's Parcel Number(APN): <br /> 209-45-39 <br /> Parcel Q of Tract 3848 in the town of Mountain House <br /> 2. Current property owner(name, address, voice/fax number): <br /> Mountain House Developers, LLC <br /> 3. Date current property owner assumed title of property: <br /> May 10, 2005 <br /> 4. Current property development/improvements: <br /> Vacant land <br /> 5. Past property use, development/improvements: <br /> Farmland <br /> 6. Neighboring property uses: <br /> The site is surrounded by residential with the exception to the south which is zoned for commercial use. That site is <br /> vacant at this time. <br /> Page 1 of 2 <br />