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LOGE Project Number: 2216 <br />SSCR Questionnaire: Holfman, 7272 Lathrop Rd., Manteca <br />Page 2/7 <br />Yes No <br />5. Are you aware of any former addresses or previous assessor's parcel numbers ❑ <br />(APNs) for the subject property? Include previous addresses/APNs even if <br />subject property was split from a larger parcel. (If yes, please discuss.) <br />6. Are there any businesses using any portion of the property which are operated by <br />I_7 ❑ <br />an entity other than the property owner (including a tenant farming operation)? If <br />yes, please provide contact name and phone number for each: <br />Act �1 SAI <br />� <br />7. To the best of your knowledge has the property ever een used as a gasoline <br />ElEg/ <br />station, motor repair facility, commercial printing facility, dry cleaners, photo <br />developing laboratory, junkyard or landfill, or as a waste treatment, storage, <br />disposal, processing, or recycling facility? <br />8. To the best of your knowledge has any adjoining property ever been used as a <br />❑ a( <br />gasoline station, motor repair facility, commercial printing facility, dry cleaners, <br />photo developing laboratory, junkyard or landfill, or as a waste treatment, storage, <br />disposal, processing, or recycling facility? <br />9. Do you have any knowledge of the past or current existence of hazardous <br />❑ Di - <br />substances or petroleum products on the property or within any facility located on <br />the property? <br />10. Are there any electrical transformers or capacitors on the property which are <br />❑ ,_,LL""11% <br />known to contain PCBs (polychlorinated biphenyls), or which may have been <br />manufactured before 1980 and whose PCB content is unknown? <br />11. Water is provided to the property by: <br />% <br />[Rf A Well © Irrigation District <br />❑ Public Water System ❑ None Available <br />Approximate age of system: <br />4� <br />12. Waste water disposal is provided to the property by: <br />u On -Site Septic System ❑ None Available <br />❑ Public Sewer System <br />Approximate age of system: <br />Ui1 Ln Co V`- <br />