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r <br /> VAX. PRIORITY CLASS WORKSHEET <br /> A Wherrthe CLAIMANTls the owner OR operator(but not both) of the tank(s)at the TIME OF DISCOVERY of the unauthorized release,or <br /> when the CLAIMANT Is the CURRENT owner OR operator(but not both)of the tank(s),the claim submitted by either shall be based <br /> on the LOWEST PRIORITY appropriate for either party <br /> F THE CLAIMANT WAS EITHER S) OWNER OR THE OPERATOR(BUT NOT BOTH)OF THE TANK(S)ATTHE TIME OF DISCOVERY OF THE UNA1ln*MZED RELEASE, <br /> IDENTIFYT?tE OTHER PERSONS}AND THEIR APPROPRIATE PRIORITY CLASS <br /> ElFROM TO [DA [DB =C aO <br /> F THE CLAIMANT IS EITHER THE CURRENT OWNER OR OPERATOR OF THE TANKS)(BUT NOT BOTH) IDENTIFY THE OTHER PFRSON(S)AND THEIR <br /> APPROPRIATE PRIORrrY CLASS <br /> N/A El OA OB =C D <br /> Claimant had sold property FROM � 0 <br /> A p y prior to leak discovery and tanks had been removed. <br /> e PRIORITY CLASS CLAIMED: <br /> BASED ON CONSIDERATION OF THE PRIORITIES OF PERSON(S)IDENTIFIED ABOVE AND ANY JOINT CLAIMANTS(Refer to Page 2 of <br /> this Application Package), INDICATE THE APPROPRIATE PRIORITY CLASS SOUGHT BY THE CLAIMANT FOR THIS CLAIM <br /> ARESIDENTIAL <br /> ATING OR.TANK <br /> OR SMALL <br /> HOME HEl B SMALL BUSINESS E] C OTHER BUSINESS 1:1D ALL OTHER TANK OWNERS <br /> AND OPERATORS <br /> VIII. PRIORITY CLASS DESIGNATION <br /> A IF CLAIMING CLASS A CHECK THE APPROPRIATE BOX (Refer to instructions for required <br /> documentation to support Class A Priority and attach to this application at the time of submittal): <br /> Al M RESIDENTIALLY ZONED PROPERTY WITH AN UNDERGROUND STORAGE TANK THAT MEETS ALL OF THE <br /> FOLLOWING <br /> N/A <br /> A)CLAIMANT IS OWNER OF THE TANK FROM WHICH AN UNAUTHORIZED RELEASE OF PETROLEUM HAS OCCURRED AND <br /> B}TANK IS LOCATED ATTHE RESIDENCE OF A PERSON WHEN THE UNALRHOMMD RELEASE WAS DISCOVERED AND <br /> C)WHEN UNAUMORIZED RELEASE WAS DISCOVERED PROPERTY WHERE TANK(S LOCATED WAS IMP By BY O <br /> WNER-OCGIPIEp <br /> SINGLE FAMILY DWELLING OR DUPLq( AND AN <br /> DI TANK WAS LOCATED ON PROPERTY ZONED ONLY FOR RESIDENTIAL USE WHEN LKWMORIZED RELEASE WAS DISCOVERED AND <br /> E) TANK WAS NOT USED TO STORE MOTOR VEHICLE FUEL PRIMARILY FOR AGRICULTURAL USE OR FOR RESALE ON OR AFTER JANUARY 1,1995 <br /> A2❑SMALL HOME BEATING OIL TANK THAT MEETS ALL OF THE FOLLOWING, <br /> A)CLAIMANT IS OWNER OF THE TANK FROM WHICH AN UNAUTHORIZED RELEASE OF HOME HEATING OIL HAS OCCURRED AND <br /> B)TANK IS LOCATED AT THE RESIDENCE OF A PERSON WHEN THE UNAUTHORIZED RELEASE WAS DISCOVERED AND <br /> C)WHEN UNNJITHORIZED RELEASE WAS DISCOVERED PROPERTY WHERE TANK IS LOCATED WAS IMPROVED BY AN p OWNER_OCCUPIE <br /> SINGLE FAMILY DWELL WG OR DUPLEX, AND <br /> D}TANK HAS A CAPACITY OF 1 100 GALLONS OR LESS AND <br /> P TANK IS USED ONLY TO STORE HOME HEATING OIL FOR CONSUMPTIVE USE ON PROPERTY AND <br /> F)TANK IS NOT LOCATED ON PROPERTY USED FOR AGRICULTURAL PURPOSES ON OR AFTER JANUARY 1 1985 <br /> 1REMSED 4M) <br /> PAGE 4 <br /> 1 <br /> r <br />