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08.�4i 95 15:58 UST CLEF JP FUND 912094640138 140.765 D02 <br /> DETAILED REVIEW CHECKLIST <br /> LrtiIM HO.- 7 773 REGIO ; <br /> PRIORITY ASSIGNED; - - �t pp AGE6 , (� O <br /> CURRENT CNK;" AND <br /> Dll�E- YIFM <br /> WE CONTACT PERSON- r' �; r r✓ { _ <br /> HFYI PNONE E d <br /> SITE ADDRESS; -- <br /> LAt <br /> la{mant Ide,.... ED <br /> 1• aimnnt tdwac the owner and/or operator C/►`i r!�'. <br /> --- of the leakin usT? <br /> Haw all aiopllcabie past and current UST <br /> owners/operators been Identiaad,7 <br /> —~ -wired tax ID number! rovided? <br /> 4.date dile/tanks f1eqviroO.verified? <br /> u_ Utatlment P Costa <br /> t. an ciaim <br /> 2• Claimed corrvctive ectiori casts <br /> Ilt, int aiinant exceed 10,Dnp? -- <br /> _ <br /> I.Joint Claimant is ars owner and/or operator. <br /> nu!!r rovided? �L <br /> 3.Joint-{ IfT aAf 6 riori t IRS6 YMif e�f� <br /> t . - <br /> 1• No.arovide <br /> 2.M411111MG Attdrest/ hon.no" rov decd? <br /> V' Ontamr."Ofl @ OcaUrronea POM ort' <br /> 1. esction o tank and_use ver ed? <br /> T oc*j rad term tank% - Y s o <br /> ---.- <br /> S. tank oarrtamed efisfAte subytanaA? - <br /> 4.14 there any tnridence that tho UAW was the `� <br /> result of a*pili.over611 or gross e/ `� �LA- f L's 1Z�tywy� p}y�, <br /> no li ante? r <br /> 5. if clsfmant submittedmorr:than one claim � -for the site.each claim Is for a - ---- -- <br /> e ante accurtenee? <br /> 8• ma _ <br /> Vll. r s ties <br /> tclaimaTIPR rid <br /> erre <br /> Ing owner <br /> Rt tlme of leak_ discov� <br /> C _re. you <br /> . S• �✓� <br /> 3. laimant is tis cunsnt owner and operator? yes q <br /> 4.It either question. No,other party(s) <br /> r{ori tqssa was verified'? <br /> Iitx11 Asa ae Ra On <br /> A. Pritxity Class <br /> Ae6164n0ml Motor Fuel Tank% <br /> /• USTlooated at the residence of a person <br /> and properly rented residentiai use <br /> onl attfine of leek discover ? <br /> 2. UST patted at property imyrovod fay an i <br /> owner-oceupfed single family <br /> dwelling or d upiex at time M teak <br /> discover ? <br /> 3 Usf'was Ihol used for aprioultural purposes - —� <br /> or far resale on or after 1"1405? <br /> OR <br /> Residential Small Hume Heating Oil Tanks <br /> 4. UST located at the residence of a person <br /> at time of lank 1fscevery9 <br /> 5.U3T locatedat ptopeny improved by' n <br /> owner-occupied single famlly <br /> --'- <br /> dwelling or duplex at Elmo of'leak <br /> _ dlecovery-7 <br /> -_ 6.U8T has a capacity of 1.103 gallons or acs? -- <br /> 7.UST�s used qtly to store home t,�ting ail <br /> ---, for conwrnptive use ¢►opertj,p <br /> 8.UST was not located nn�griCU111,,raf property <br /> on or after 1/1/85? <br />