85-22 Attachement-1 Lakeside Ave.pdf

MATRIXNEWORLD Engineering Progress Matrix New World Engineering Questionnaire for Site owner / Site Operator(s)/Occupant(s) including the Key Site Manager / User QUESTION YES (*) NO UNK? 15. Are there currently any industrial drums or chemicals at the subject property? 416. Are you aware of contaminated fill at the subject property? (Le. Fill dirt from Off-site.) 17. Are there currently any pits, ponds, or lagoons in connection with waste disposal or treatment at the subject property? 18, Are there any current or previous underground storage tanks or aboveground storage tanks at the subject property? 19. Are there currently any vent pipes, fill pipes, or access ways protruding from the ground at the subject property? 20. 1s the subject property served by a private well and or a private septic system? QUESTION YES NO UNK? 21. Does the property discharge industrial wastewater (excluding sanitary sewer)? 22. Are there any monitoring wells at the subject property? 23. Does the purchase price being paid for this property reasonably reflect the fair market value of the property? If there Is a difference, it is because of known contamination? 24. What type of property transaction is being performed? i.e. sales, purchase, Purchase & sale exchange, refinance? Piease provide the following documentation to Matrix, if available: ~ Previous Phase I Environmental Site Assessments ~ Geotechnical reports - Environmental Compliance Audit Reports - Environmental permits - Registrations for USTs and/or ASTs + Registrations for underground injection - Asbestos or Lead-Based Paint reports systems - Hazardous waste generator notices PRINT NAME SIGN NAME TITLE COMPANY NAME USER - YES/NO. DATE