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Daycare Questionnaire

Client Information

  
Client Name:
Company Name:
(if applicable)
Address to send proposal to:
Phone:
Fax:
Email:
   
Property Information

  
Site Address:
Block & Lot:
Current use of Property:
Previous use of Property:
Square Footage of Daycare:
Year Building was Built:
Type of Application:
(initial, renewal or relocation)

Does the site have an outdoor play area for the children?
If so, please describe ground cover (covered with asphalt, grass, mulch, rubberized mat, etc).
Is the site provided water by a public water supply or potable well?
Has radon testing been conducted within the last five (5) years?
Has lead testing ever been conducted?
Has asbestos sampling ever been conducted?
Is a dry cleaner or nail salon present in the building where the daycare center is located?
 

 

 
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400 State Route 34, Suite B, Matawan, NJ 07747

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