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`I <br /> t I <br /> UST CLAIM APPLICATION <br /> i <br /> INSTRUCTIONS FOR PAGE EIGHT <br /> Ix. PRIORITY CLASS DESIGNATION (Continued) <br /> t <br /> Class C-Other Business- If claiming Priority Class C, Other Business, check this box. ALL of the following <br /> I areas must be completed. Refer to Program Information, Priority CI la�lsses, for the criteria that must be met to <br /> claim this class. <br /> I' <br /> A. Identify the claimant's business name. <br /> B. Specify the claimant's business (i.e., gas station, real estate).;; <br /> i <br /> C. List the dates of when the claimant's business operations began and, if no longer in operation, the date <br /> the business ceased operations. <br /> D. List the address where the principal business office is located. + <br /> E. Check the appropriate boxes in response to the four questions. ; <br /> F. Check the appropriate box to indicate the claimant's type of ownership. <br /> G. List the name, location and relationship of all affiliated companies or other income.producing units <br /> (i.e., parent company subsidiary, franchise, branch). <br /> H. Specify the total number of full-time and part-time employe Is, including all affiliates. i <br /> i <br /> Class C- Local Governmental Entities and Nonprofit Organizations 1f claiming Priority Class C as a local <br /> governmental entity or a nonprofit organization, check this box. Alli of the following must be completed. Refer <br /> to Program Information, Priority Classes, for the criteria that must be!met to claim this class. <br /> A. Check the appropriate box to identify the claimant's status. <br /> I <br /> B. Specify the total number of full-time and part-time employees. <br /> Class D-All Other Tank Owners and/or Operators- If claiming Priority Class D, check this box. No further <br /> Priority Class information is required. } <br /> I <br /> j <br /> i <br /> f <br /> I � <br /> ii I, F <br /> �i <br /> I <br /> } <br />