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underground Storage Tank Cleanup Fund <br /> DETAILED REVIEW CHECKLIST <br /> Claim No.: <br /> - _ Claimant N <br /> oma <br /> LAAq : f1riortA001 ncd. Site <br /> JMAA <br /> Onto Rpyioiowod: <br /> Site Adg <br /> ad <br /> I Claimant Owner/Orierator of UST <br /> L Tax IdentillCgtion Provided <br /> _7 <br /> 4w <br /> Valid Third Party Claim <br /> RW IR l000w—W,;WWRO PWOWMM, <br /> Joint Claimant 0wna!npjCktor of U4T <br /> Tax Identill;Ation Provided <br /> Financial Agreement Provided <br /> Tax-identification Provided__ <br /> Tank Description,Tank Ukjk_. <br /> Tank Sul3stante <br /> Site Map Provided <br /> Current Ownor/Cioerftr Identified <br /> Data Slta/Tanks ACQuIrad <br /> Ac4ulrod After 1/1 184/Reasonable Diligent .... .. <br /> Past er/Operatof Idantified <br /> -Other Claims For This 3R6 Submitted <br /> A;. <br /> Uncutharizod f1clomo <br /> Release RWrtadfConfirmed <br /> Data Release Disoovorod Confirmed <br /> Corroctivo Action Reouired ., <br /> Release Eliniblo(not a;gll.0verfill,etc <br /> Attlee�_ <br /> ftioase Prior to 1It188.CA initiated b W3 /88 <br /> Corrective Action In Compliance.. <br /> Permit Requirmemon Met b <br /> Permit walvkr Being Requested <br /> L Permit Waiver Granted 41 <br /> Lflqpcial Rae anolbill <br /> CISlmant in Compliance -- <br /> s <br /> Lawsuft.!aEuranco Claim.Settlement <br /> d <br /> LU <br /> data Filed-Data CbMP-100— <br /> Amount-n <br /> Pv <br /> e <br /> USTOF02B.DET(Rev.11911) <br /> EM V22:'ON aNnJ dnNU310 isn LG/GT/80 <br />