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LIVE OAK GEO ENVIRONMENTAL, INC. <br />407 W. Oak St., Lodi, CA 95240 ❖ (209) 369-0375 s• logelodi.com <br />SURFACE & SUBSURFACE CONTAMINATION REPORT <br />OWNER/KEY SITE MANAGER QUESTIONNAIRE <br />Holfman Property <br />7272 E. Lathrop Rd. <br />Manteca, California <br />At your request, Live Oak GeoEnvironmental (LOGE) is preparing a Surface & Subsurface Contamination <br />Report (SSCR) for the above property. As the owner of the property, we ask that you designate a "key <br />site manager" or person with the most knowledge of the property to complete this form (or complete it <br />yourself if you are the most knowledgeable person). The designated person should complete the <br />following questionnaire and email it to liveoak.enviro@gmail.com. Thank you! <br />GENERAL INFORMATION <br />Current owner of property: <br />I1 <br />Name <br />Address <br />2n2� "79 1 t1 <br />Telephone <br />Year purchased <br />2. Please describe current use(1s) of property: <br />1 <br />3. Please describe any other known past use(s) of property, and approximate dates <br />of each use: <br />4. Please describe any other relevant historical information in your possession <br />concerning the subject property. <br />(a� <br />1 V9'.A <br />