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Text File  |  1997-10-13  |  6.0 KB  |  209 lines
  1. ' Edited Form File: U:\Pangaea\Esa1.frm
  2. ' Date Created:    06-Jun-1997 08:20:06
  3. '
  4. ' Fonts
  5. F,1,100,1,0,0,Arial Narrow
  6. F,2,90,0,0,0,Arial Narrow
  7. F,3,60,0,0,0,Arial Narrow
  8. F,4,70,0,0,0,Arial Narrow
  9. F,5,70,1,0,0,Arial Narrow
  10. F,6,50,1,0,0,Arial Narrow
  11. F,10,130,0,0,0,Arial 
  12. F,9,140,1,0,0,Arial 
  13. '
  14. P,1,1,Form710
  15. '
  16. ' Open Rectangles
  17. R,1,1,617,1215,0,1,0
  18. '
  19. ' Filled Rectangles
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  93. R,404,1198,26,1,1,1,0
  94. '
  95. ' Lines
  96. '
  97. ' Images
  98. I,251,17,eaa-logo.pcx
  99. '
  100. ' Text Strings
  101. T,195,510,2,0,Unknown
  102. T,358,548,2,0,Unknown
  103. T,294,548,2,0,No
  104. T,253,533,2,0,Observed During Site Visit:
  105. T,220,548,2,0,Yes
  106. T,503,510,2,0,Unknown
  107. T,439,510,2,0,No
  108. T,366,494,2,0,Occupants (if applicable):
  109. T,366,510,2,0,Yes
  110. T,364,323,2,0,Inspection Date
  111. T,195,654,2,0,Unknown
  112. T,358,693,2,0,Unknown
  113. T,294,693,2,0,No
  114. T,253,678,2,0,Observed During Site Visit:
  115. T,220,693,2,0,Yes
  116. T,131,510,2,0,No
  117. T,503,654,2,0,Unknown
  118. T,13,470,1,0,1.
  119. T,28,470,1,0,Is the property or any adjoining property used for an industrial use?
  120. T,58,494,2,0,Owner:
  121. T,439,654,2,0,No
  122. T,58,510,2,0,Yes
  123. T,366,639,2,0,Occupants (if applicable):
  124. T,13,323,2,0,Environmental Inspector
  125. T,13,346,2,0,Company
  126. T,366,654,2,0,Yes
  127. T,131,654,2,0,No
  128. T,13,601,1,0,2.
  129. T,36,601,1,0,To the best of your knowledge, has the property or any adjoining property been used for an industrial use in
  130. T,38,614,1,0,the past?
  131. T,58,639,2,0,Owner:
  132. T,4,1215,4,0,    Copyright 1994 Environmental Assessment Association, 8383 East Evans Road, Scottsdale Arizona 85260 USA
  133. T,12,1225,4,0,This form may be reproduced without written consent, however, the \"Environmental Assessment Association\" must be acknowledged and credited.
  134. T,97,1237,3,0,This form was reproduced by United Systems Software Company - 955 E. Javelina Avenue - Suite 106 - Mesa, AZ  85204 - (800) 969-8727
  135. T,583,1215,5,0,Pg 1 of 4
  136. T,582,1229,5,0,Form 710
  137. T,58,654,2,0,Yes
  138. T,195,812,2,0,Unknown
  139. T,358,851,2,0,Unknown
  140. T,294,851,2,0,No
  141. T,253,836,2,0,Observed During Site Visit:
  142. T,220,851,2,0,Yes
  143. T,503,812,2,0,Unknown
  144. T,474,277,2,0,Phone  (          )
  145. T,13,230,2,0,City
  146. T,180,276,2,0, Improved   Occupied by Whom
  147. T,13,276,2,0,Property Is
  148. T,257,230,2,0,County
  149. T,523,230,2,0,Zip
  150. T,13,207,2,0,Property Address
  151. T,13,253,2,0,Legal Description
  152. T,90,276,2,0, Vacant Land
  153. T,412,230,2,0,State
  154. T,13,300,2,0,Prepared For
  155. T,399,346,2,0,Title
  156. T,13,369,2,0,Address
  157. T,13,392,2,0,City
  158. T,13,415,2,0,Phone  (          )
  159. T,331,392,2,0,State
  160. T,464,392,2,0,Zip
  161. T,311,415,2,0,Fax  (          )
  162. T,439,812,2,0,No
  163. T,366,797,2,0,Occupants (if applicable):
  164. T,366,812,2,0,Yes
  165. T,131,812,2,0,No
  166. T,13,746,1,0,3.
  167. T,37,746,1,0,Is the property or any adjoining property used as a gasoline station, motor repair facility, commercial printing
  168. T,37,759,1,0,facility, dry cleaners, photo developing laboratory, junkyard or landfill, or as a waste treatment, storage,
  169. T,37,772,1,0,disposal, processing, or recycling facility?
  170. T,58,797,2,0,Owner:
  171. T,58,812,2,0,Yes
  172. T,195,973,2,0,Unknown
  173. T,358,1011,2,0,Unknown
  174. T,294,1011,2,0,No
  175. T,253,996,2,0,Observed During Site Visit:
  176. T,220,1011,2,0,Yes
  177. T,503,973,2,0,Unknown
  178. T,439,973,2,0,No
  179. T,366,957,2,0,Occupants (if applicable):
  180. T,366,973,2,0,Yes
  181. T,131,973,2,0,No
  182. T,13,906,1,0,4.
  183. T,36,906,1,0,To the best of your knowledge has the property or any adjoining property been used as a gasoline station,
  184. T,37,919,1,0,motor repair facility, commercial printing facility, dry cleaners, photo developing laboratory, junkyard or
  185. T,37,932,1,0,landfill, or a waste treatment, storage, disposal, processing, or recycling facility?
  186. T,58,957,2,0,Owner:
  187. T,58,973,2,0,Yes
  188. T,195,1146,2,0,Unknown
  189. T,358,1185,2,0,Unknown
  190. T,294,1185,2,0,No
  191. T,253,1169,2,0,Observed During Site Visit:
  192. T,220,1185,2,0,Yes
  193. T,503,1146,2,0,Unknown
  194. T,439,1146,2,0,No
  195. T,366,1131,2,0,Occupants (if applicable):
  196. T,366,1146,2,0,Yes
  197. T,131,1146,2,0,No
  198. T,13,1066,1,0,5.
  199. T,37,1066,1,0,Are there currently, or to the best of your knowledge have there been previously, any damaged or discarded
  200. T,37,1079,1,0,automotive or industrial batteries, or pesticides, paints, or other chemicals in individual containers of greater
  201. T,37,1092,1,0,than 5 gal (19 L) in volume or 50 gal (190 L) in the aggregate, stored on or used at the property or at the
  202. T,37,1106,1,0,facility?
  203. T,58,1131,2,0,Owner:
  204. T,58,1146,2,0,Yes
  205. T,3,1217,6,0,C
  206. T,29,139,10,0,ASTM STANDARD PRACTICE FOR ENVIROMENTAL SITE ASSESSMENTS
  207. T,171,155,10,0,TRANSACTION SCREEN PROCESS
  208. T,18,182,9,16777215,INSPECTION DATA
  209.