Subject Property Questionnaire Site Address and/or Parcel Number(Required)I am filling this survey out as a: Owner Owner's Representative Facility Manager Site Operator Potential Buyer Refinance Manager Other Please Answer the six questions below to the best of your knowledge:Are you aware of any environmental cleanup liens against the property that are filed or recorded under federal, tribal, state, or local law? No Yes (explain below) Please explain your answer above.Are you aware of any Activity and Use Limitations (AULSs), such as engineering controls, land use registry under federal, tribal, state, or local law? No Yes (explain below) Please explain your answer above.As the User of this ESA, do you have any specified knowledge or experience related to the property or nearby properties? For example, are you involved in the same line of business as the current or former occupants of the property or an adjoining property so that you would have specialized knowledge oof chemicals and processes used by this type of business? No Yes (explain below) Please explain your answer above.Is the property valued at a fair market price? If you conclude there is a difference, have you considered whether the lower purchase price is because contamination is known or believed to be present at the property? No Yes (explain below) Please explain your answer above.Are you aware of commonly known or reasonably ascertainable information about the property that would help the environmental professional to identify conditions indicative of releases or threatened releases? For example, as user, (a.) Do you know the past uses of the property?, (b.) Do you know of other chemical releases that have taken place at the property?, (c.) Do you know of any environmental cleanups that have taken place at the property? No Yes (explain below) Please explain your answer above.As the user of this ESA, based on knowledge and experience related to the property are there any obvious indicators that point to the presence or likely presence of contamination at the property? No Yes (explain below) Please explain your answer above.DIRECTIONS: The E1527 Standard requires that the User will ensure the consultant is made aware that any environmental history or documents exist for a site, and if so, that these documents be provided for the consultant's review. Please indicate whether any of these documents are available, and ensure that Environmental Services Company will either receive copies or be provided an opportunity to review the relevant materials. As part of this study, which of the following are you providing?Previous environmental site assessment reports No Yes Environmental compliance audit reports No Yes Environmental permits (including but not limited to solid waste disposal permits, hazardous waste disposal permits, wastewater permits, NPDES permits, underground injection permits) No Yes Registrations for underground and aboveground storage tanks No Yes Registrations for underground injection systems No Yes Material safety data sheets No Yes Community Right-To-Know plan No Yes Safety plans: preparedness plans, spill prevention, countermeasure, and control plans; etc. No Yes Reports regarding hydrologic conditions on the property or surrounding area No Yes Notices or other correspondence from any government agency relating to past or current violations of environmental laws with respect to the property or relating to environmental liens encumbering the property No Yes Hazardous waste generator notices or reports No Yes Geotechnical studies No Yes Risk assessments No Yes Recorded Activity and Use Limitations (AULs) No Yes Completed by(Required) First Last Email(Required) PhoneCompany NameYour TitleRelationship to SiteI Certify the above-listed answers are true, accurate, and correct. (Sign by typing signature in ALL CAPS)(Required)NameThis field is for validation purposes and should be left unchanged.
