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g............................. <br /> MIX., <br /> IN NINE <br /> Z <br /> 0.- <br /> A. IF THE CLAIMANT (IN ADDITION TO BEING THE TANK OWNER AND/OR TANK OPERATOR) IS THE PROPERTY OWNER,LIST <br /> THE DATE THE SITE WAS ACQUIRED: --.--- —. 1 V%4.,—O I ---tct+ - <br /> MONTH DAY YEAR <br /> B. IF THE SITE WAS ACQUIRED AFTER 1/1/84, LIST <br /> THE PERSON(S) FROM WHOM IT WAS ACQUIRED: <br /> NAME <br /> ADDRESS TELEPHONE <br /> C. IF THE SITE HAS BEEN SOLD, LIST THE PARTY <br /> TO WHOM IT WAS SOLD AND THE DATE SOLD: <br /> NAME <br /> DATE SOLD: <br /> Month Day Year ADDRESS TELEPHONE <br /> D. IF FILING AS THE TANK OPERATOR,LIST THE DATES OF OPERATION: <br /> FROM TO <br /> E. SITE OWNERS,TANK OWNERS AND TANK OPERATORS <br /> PROVIDE THE FOLLOWING HISTORY OF THE SITE OWNERS,TANK OWNERS,AND TANK OPERATORS TO THE BEST OF YOUR KNOWLEDGE. AT A MINIMUM,PROVIDE <br /> THIS INFORMATION COVERING THE PERIOD FROM THE DISCOVERY OF THE UNAUTHORIZED RELEASE TO THE TIME OF APPLICATION SUBMITTAL. <br /> PERIOD PROPERTY OWNER TANK OWNER TANK OPERATOR <br /> 19141 —prymAo . <br /> FROM NAMENAME <br /> (_DCL qA5� N <br /> TO ADDRESS ADDRESS ADDRESS <br /> PERIOD PROPERTY OWNER TANK OWNER TAK OPERATOR <br /> R�1- �'-Ymuu4A WAAAarl Wcw,,— N-WAll vi <br /> FROM NAME NAME NAME <br /> 19W 23 A.'?52,q0 <br /> TO ADDRESS ADDRESS ADDRESS <br /> PERIOD PROPERTY OWNER TANK OWNER TANK OPERATOR <br /> FROM NAME NAME NAME <br /> TO ADDRESS ADDRESS ADDRESS <br /> PERIOD PROPERTY OWNER TANK OWNER TANK OPERATOR <br /> FROM NAME NAME NAME <br /> TO ADDRESS ADDRESS ADDRESS <br /> (REVISED 1/94) (SEE FACING PAGE FOR INSTRUCTIONS) PAGE 4 <br />