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W AffA <br /> p <br /> Undorgmund Storage Tank Cleanup Fund % / <br /> DETAILED FIEVIEW CHECKLIST W <br /> ICtalm Na.: Claimant Nem_gy' ln� G ._ 5 <br /> � R,e Ion; priori sal qed: - Site <br /> _._ <br /> DoleReviewed: $ y ._......_ . Site Address: <br /> i <br />! Rawer. Lead Anon <br /> IN <br /> CInimam OvmiiOparatg6p u6T - __ _..u.._ ... . <br /> I <br /> Tax Idaraiflcaflon Pravidad... .- <br /> valid Third Pany_Claim <br />'I <br /> _ ,;ImCiaimantOwnarlOWratorofUST . ,.,. <br />'d <br /> Finanalel Arae ent Provldsi _-.,. . _._.. . . . . - . <br /> Tax fdentificaflpn Provided .. ... ..._ ... , , ._ <br /> 1111111111110 <br /> Tank D criutlon,Tank Use _.-_.— _ .... <br /> Tank Substance ----- <br /> Ske Mag,.Provided _ _ _ <br /> Curr#pt OwnedOoeretar IdentifiedData Slte lha! ks A auired <br /> _„ Awaited Aller 1A194,IReasonabla Dlligen _.. ......._ . . . .. . ._ . . . _r <br /> Past OwnarIftteerator identified ---. ..•-- <br /> Other Claims For This Sita Submitted <br /> Uneuthorizad Release <br /> Raleaso Re arted/Cgnilnned _. <br /> Date R816ase Diacovarad Conllrmed — „-_, ...,.�. —.... . ....—. _ <br /> Corrective Action Required .,_ ._._ —.. . . ._ <br /> Release Eli lble not a s ill overflll, atu <br /> Conwive Action <br /> Ralease Prior to 1/1/084 CA Initiated b 89Corrective Action in Corn Aftnoa_— <br /> Penn" <br /> ._^Pormg Requirements Maftyi <br /> Permit Waiver Selno Requested <br /> Permit Waiver Granted _ . .,. .. , __ .. __ _. _. ._..._ <br /> Rnanclej Responsibility <br /> Claimant I comptlance <br /> lawsuit lnauranoa Clalgl lettfement __ _... - - %-� <br /> ~ Amount Racaived <br /> Orignal SI tures _ <br /> Autttodzed Roweaentatiya <br /> Joint Claimant Slgnefsk., .____ <br /> USTCF025.DET (Ray. him) <br /> 60d 6LL 'OIJ 8£T049G6OE;G F aNnA dflNtlT'I9 15f1 E:2 ; TT L6/S0/90 <br />