BEFORE THE ILLINOIS POLLUTION CONTROL BOARD
RECEIVEDCLERK'S
OFFICE
TED'S CITGO,
)
Petitioner,
FEB 2 6 2007
)
STATE OF ILLINOIS
V .
)
PCB 07-66
Pollution
Control Board
(UST Appeal)
ILLINOIS ENVIRONMENTAL PROTECTION )
AGENCY,
)
Respondent
.
)
NOTICE
Dorothy Gunn
Mandy L. Combs
Clerk
The Sharp Law Firm, P .C.
Illinois Pollution Control Board
P .O. Box 906
100 West Randolph Street, Suite 11-500
Mt. Vernon, Illinois
62864
Chicago, Illinois 60601-3218
PLEASE TAKE NOTICE that I have today caused to be filed an APPEARANCE and
ADMINISTRATIVE RECORD with the Illinois Pollution Control Board, copies of which are served
upon you .
ILLINOIS ENVIRONMENT ROTECTION AGENCY
ames G. Richardson
pecial Assistant Attorney General
Dated : February 23, 2007
1021 North Grand Avenue East
P .O. Box 19276
Springfield, Illinois 62794-9276
217/782-5544
THIS FILING IS SUBMITTED ON RECYCLED PAPER
BEFORE THE ILLINOIS POLLUTION CONTROL BOARD
RECEIVED
CLERK'S
OFFICE
TED'S CITGO,
)
FEB 2 6 2007
Petitioner,
)
PollutionSTATE
O
PCB 07-66
Control Board
V .
)
(UST Appeal)
ILLINOIS ENVIRONMENTAL PROTECTION
)
AGENCY,
)
Respondent.
)
APPEARANCE
I, James G
. Richardson, hereby enter my appearance in this proceeding on behalf of the
Illinois Environmental Protection Agency
.
Dated: February 23, 2007
1021 North Grand Avenue East
P.O. Box 19276
Springfield, Illinois 62794-9276
217/782-5544
ames G
. Ric ardson
Special Assistant Attorney General
THIS FILING IS SUBMITTED ON RECYCLED PAPER
ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
1021 NORTH GRAND AVENUE EAST, P
.O . Box 19276, SPRINGFIELD, ILLINOIS 62794-9276 - 1217) 782-3397
JAMES R
. THOMPSON CENTER, 100 WEST RANDOLPH, SUITE 11-300, CHICAGO, IL 60601 -(312) 814-6026
(217) 782-6762
DEC 14 2006
Ted's Citgo
Nick Stamayannos
1322 Washington Street
Waukegan, IL 60085
Re: LPC #0971905329 -Lake County
Waukegan/Ted's Citgo
1322 Washington Street
Leaking UST Incident No
. 981745
Leaking UST Technical File
Dear Mr . Stamayannos :
The Illinois Environmental Protection Agency (Illinois EPA) has reviewed the High Priority
Corrective Action Plan submitted for the above-referenced incident . The Illinois EPA received
the plan, dated October 2006, on October 27, 2006 . Citations in this letter are from the
Environmental Protection Act (Act), in effect prior to June 24, 2002, and 35 Illinois
Administrative Code (35 111
. Adm . Code).
Pursuant to Section 57
.7(c) of the Act and 35 Ill : Adm . Code 732
.405(c), the plan is approved .
The activities proposed in the plan are appropriate to demonstrate compliance with Title XVI of
the Act and 35111
. Adm . Code 732 .
In addition, pursuant to Section 57
.7(c) of the Act and 35 111 . Adm, Code 732 .405(c), the High
Priority Corrective Action Plan Budget is modified, Based on the modifications listed in Section
2 of Attachment A, the amounts listed in Section I of Attachment A are approved . Please note
that the costs must be incurred in accordance with the approved plan
.
Be aware that the amount of payment from the Fund may be limited by Sections 57 .8(e), 57
.8(g)
and 57
.8(d) of the Act, as well as 35 111 . Adm . Code 732 .604, 732 .606(s) and 732
.611 .
An underground storage tank system owner or operator may appeal this decision to the Illinois
Pollution Control Board
. Appeal rights are attached .
Roo R
.
BLAGOJEVICH, GOVERNOR
ROCKFORD-4302 North Main Street, Rockford, IL 61103 -
ELcw - 595 South State, Elgin, IL 60123 - 104
BUREAU of LAND - PEORL-7620 N . University SL, Peoria, IL 61(
SPRINGFIELD-4500
S
. Sixth Sueei Rd ., Springfield, IL 627(
MARION -
2309
b
DOUGLAS P . SCOTT, DIRECTOR ,
CERTIFIED MAIL
7004 2510 0001 8585 8855
Administrative Record/PCB 07-66
Page 0I
Page 2
If you have any questions or need assistance, please contact Trent Benanti at (217) 524-4649 .
Sincerely,
Michael T. Lowder
Unit Manager
Leaking Underground Storage Tank Section
Division of Remediation Management
Bureau of Land
MTL:TLB :H :\Projects2\Ted's Citgo\Letters\HPCAP .doc
Attachments : Attachment A
Appeal Rights
C :
United Science Industries, Inc .
BOL File
bee: Mike Lowder
Doug Oakley
Trent Benanti
Administrative Record/PCB 07-EE
Page 02
Re :
LPC #0971905329 -
Lake County
Waukegan/Ted's Citgo
1322 Washington Street
Leaking UST Incident No
. 981745
Leaking UST Technical File
SECTION 1
Based on the modifications listed in Section 2, the following amounts are approved
:
$
0.00
Drilling and Monitoring Well Costs
$ 264.17
Analytical Costs
$
0 .00
Remediation and Disposal Costs
$
0.00
UST Removal and Abandonment Costs
$1,537 .89
Paving, Demolition, and Well Abandonment Costs
$8,742 .33
Consulting Fees
Handling charges will be determined at the time a billing package is reviewed by the Illinois,
EPA
. The amount of allowable handling charges will be determined in accordance with Section
57 .8(1) of the
. Environmental Protection Act (Act) and 35 Illinois Administrative Code (35 III
.
Adm
. Code) 732.607 .
SECTION 2
The Sr
. Tech and Sr
. Project Manager costs associated with monitoring well
abandonment are not approved as part of this budget
. These costs are included in the
monitoring well abandonment cost, for which a maximum rate of $10
.28 per foot applies .
The Sr. Tech and Sr
. Project Manager costs associated with monitoring well
abandonment exceed the maximum payment amounts set forth in Subpart H, Appendix D
and/or Appendix E of 35111 . Adm
. Code 732
. Such costs are ineligible for payment from
the Fund pursuant to 35 Ill, Adm
. Code 734.606(ccc)
. In addition, such costs are not
approved pursuant to Section
57.7(c)(4)(C)
of the Act because they are not reasonable
.
MTL:TLB
:H:\Projects2\Ted's
Citgo\Letters\HPCAP_A
.doc
Attachment A
Administrative Record/PCB 07-66
Page 03
Appeal Rights
An underground storage tank owner or operator may appeal this final decision to the Illinois
Pollution Control Board pursuant to Sections 40 and 57 .7(c)(4) of the Act by filing a petition for
a hearing within 35 days after the date of issuance of the final decision ; however, the 35-day
period may be extended for a period of time not to exceed 90 days by written notice from the
owner or operator and the Illinois EPA within the initial 35-day appeal period
. If the owner or
operator wishes to receive a 90-day extension, a written request that includes a statement of the
date the final decision was received, along with a copy of this decision, must be sent to the
Illinois EPA as soon as possible .
For information regarding the filing of an appeal, please contact
:
Dorothy Gunn, Clerk
Illinois Pollution Control Board
State of Illinois Center
100 West Randolph, Suite 11-500
Chicago, IL 60601
312/814-3620
For information regarding the filing of an extension, please contact :
Illinois Environmental Protection Agency
Division of Legal Counsel
1021 North Grand Avenue East
Post Office Box 19276
Springfield, IL 62794-9276
217/782-5544
Administrative Record/PCB 07-BB
Page 04
General Information for the Budget & Billing Forms
LPC
City :
0 : 1971905329
County: lake
Site
AddressWaukegan
:
Site Name :
Ted'sCitgo
IEMA
Incident No
.:
1322
Washington Street
981745
IEMA Notification Date :
7/17/1998
This
Date this
form
farm
is being
was preparedsubmitted
:
as a (check
10f2/2006one)
:
13
Budget Proposal
QBudget Amendment (Budget Amendments must include only the cost ova the previous
budget)
[-]Billing Package
Please provide the name(s) and date(s) of report(s) documenting the costs requested
:
Name(s) :
Date(s);
This package is being submitted for the site activities below (check one)
:
35 Ill Adm Code 734 :
Q Early Action
Q Free Product Removal after
Early Action
QSite Investigation
Stage 1D
Stage
2[:]
Stage 3a
F]Corrective Action
35 111 Adm Code
732:
QEarly Action
QFree Product Removal after Early Action
El Site Classification
RFC£
Oar
Qtow Priority Corrective Action
s
40
'?046
®High Priority Corrective Action
/ep
'04
35111 Aden Code 731 :
[]Site investigation
Qconccxive
Ana
Administrative Regard/PCB 07-GB
Page 05
General Information for the Budget & Billing Forms
If eligible for reimbursement, where should reimbursement checks be sent? Please note that only owner or operators of USTs may
be eligible for reimbursement
. Therefore, payment can only be made to an owner or operator . The Illinois EPA is not required to
and will not recognize an assignment or other delegation or payment as justification for issuing payment to anyone other than the
owner or operator
. The following address will be used as the mailing address for reimbursement chocks and any final
determination letters regarding reimbursement
.
Pay to the order of:
Ted's Citgo
Send in care of:
AddressCity
:
: 1322 Washington
Nick
StreetStamayannos
Waukegan State: IL Zip : 60085
The payee is the
:
If you have a change of address,
Signature or the owner or operator of the UST(s)(required)
print off a new W-9 Form
Number of petroleum USTs in Illinois presently owned or operated by the owner or operator any subsidiary, parent or
joint stock company of the owner or operator
: and any company owner by any parent. subsidiary or joint stock
company of the owner or operator :
Fewer than 101
:
13
Operator
13
101 or
:[-_]more
(check one or both)
Number of USTs at the site:
5
(Number of USTs including USTs presently at the site and USTs
that have been removed .)
Number of incidents reported to IEMA for this site:
Incident Numbers assigned to this site due to releases from
2 USTs
:
Please list all tanks that have ever been located at the site and tanks that
981745
are presently
and 991207located
at
the site
.
Page U6
Product Stored in
UST
Gasoline
G»soliii'e" r" ""0
Diesel
~„
.:
.: .
.
Gdsolindx
Used Oil
Sire
(gafoas)
10000
106M
1000
80t)d
550
Did UST have a
release?
O Ys ∎ No
Elves ONO
0 Ys ONO
∎ Ys 0 No
0 Ys ONO
Incident No
.
981745
981745
981745
IT
^t.
.
.
:
. , -
991207
Type of Release
Tank Leak/Overfill/
Piping Lead
Lines/Overfill
U
0
.
Lines/Overfill
UST system
'
∎ Ys ∎ No
DYS ∎ No
Qves ONO
QYs ONO
ram ;
y~ uww~fn
.~u,
.
}
D
l into nr7
Proposed Budget Summary and Budget Total
BUDGET SUMMARY PAGE
List the total dollar amount from each of the forms listed below as applicable
. The total proposed budget will be
automatically calculated .
7
. Handling Charges Form
: Handling charges will be determined a the time a billing package is submitted to the
Illinois EPA . The amount of allowable handling charges will be determined in accordance with the Handling Charges
Form .
Total Proposed Budget (less handling charges)
:
$ 11,315.28
Administrative Record/PCB 07-66
Page 07
1 . Drilling and Monitoring Well Costs Form:
$
2 . Analytical Costs Form :
$
264
.17
3. Remediation and Disposal Costs Form :
4 . UST Removal and Abandonment Costs Form
:
S
5. Paving, Demolition and Well Abandonment Costs Form
:
S
1,537.89
6. Consulting Fees Form:
$
9,513
.22
Drilling and Monitoring Well Costs Form
I.
Drilling - The per-foot' charge for advancement of a boring of the installation of a well includes all costs associated with
performing die boring . The 'per-foot" rate charge includes but is not limited to all drilling labor, drill rig time, soil boring
abandonment, mobilization drill rig travel time and per diem, and other drilling expenses
. An indication must be mace as to why each
boring is being conducted
(i.e., defining the extent of contamination
. classification boring, installation of monitoring wells .
investigation of migration pathways, injection of a remediation compound) and the drilling type (either hollow-stem
auger/conventional [HSA[, push-driven technologies [PUSH], or Injection)
.
Total Feet via HSA
:
Total
TotalI
. Monitoring
FatFeet for
via
We1URecovery
Injection
Total
PUSH:
Drilling
via
Wells
PUSHCosts
: -
:
71w
S 'per-foot"
charge
fat
fat
includes
xx all
fat
costs
x associated
or Minimum
with
per
per
per
foot
Chargefoot
foot
the installation
===
:
$SS$ of
the monitoring or
recovery well . The charge includes but is not limited to costs associated with labor . well casing, screen, filter pact, annular seal,
surface seal and well covers .
Total feet of monitoring well installation via HSA
:
Total feet of monitoring well installation via PUSH
:
Total feet of 4' or 6" recovery well installation :
Total feet of 8" or greater recovery well installation
:
feet
feet
xx per
per
foot
foot=
S
feet x
Total
Drifting and MonitoringTotal Well
Monitoring
Costs
Wells
: S
Costsfeet
Administrative
x
: $ per
per
foot
foot
Record/PCB
== SS
07-66
Page [lB
Number of
Monitoring Wells
Type
HSA/PUSH/4.6"
Recovery/8" Recovery
Diameter of Well
(inches)
Depth of
Well
(feet)
Total Feet of Wells to be Installed
Number of Borings to
be Drilled
Type
IISAIPUSII/Injection
Depth (feet) of
Each Bo
Total Fee
Drilled
Reason for Drilling
.u.
.
Analytical Costs Form
laboratory Analysis - The laboratory analysis charge includes all costs associated with the transportation and/or delivery
and
analysis of each applicable sample
. The charge includes but is not limited to costs associated with laboratory
personnel, sample
handling, transportation and/or
delivery of samples to the laboratory, sampling equipment, sampling containers, sample disposal
and all aspects of the applicable laboratory analysis
. Please enter the number of samples for each analysis and the actual cast per
analysis up to the maximum cost per analysis.
Administrative Record/PCB 07-BB
Page 09
Laboratory Analysis
Number or
( samples
Rate per
analysis
Total per
parameter
Chemical
Wx
1
~ . . .
Ll
=$
x
3
x
= $
x
= S
-
x
= $
-
z
= $
-
x
= $
-
x
= $
Y
-
1
a
Analytical Costs Form
Metals
t
.,, qp
a
Other
x
= $
x
x
x
x
= $
x
x
x
x
= S
S
= S
a $
x
=S
A sampling event, at a minimum, is all samples (soil and groundwater) collected in a calendar day
.
Total Analytical Costs
:
$
x64.17
Administrative Record/PCB 07-66
Page ID
Remediation and Disposal Costs Forms
A
. Conventional Technology
Excavation, Transportation and Disposal of contamination soil and/or the 4-foot bacidia material
removal during early action activities
:
The cubic yard rate includes all costs associated with the excavation, rrensponation, and disposal of contaminated soil
and/or backfill material . The rate includes but is not limited to all personnel
. equipment
. materials, and other
expenses for the excavation, transportation, and disposal of contaminated soil and/or backfill material .'
cubic yards (x) per cubic yard (=) $
BackfJling the excavation
:
The cubic yard rate includes all costs associated with the purchase, transportation
. and placement of clean backfill
material. The rate includes but is not limited to all personnel, equipment
. materials, and other expenses for the
purchase, transportation, and placement of clean backfill material
.'
Overburden Removal
cubic yards
and
(x)Return
:
per cubic yard (=)
$
into the excavation necessary to conduct corrective anion
. The rate includes but is not limited to all personnel .
equipment
. materials, and other expenses for the excavation and placement back into the excavation of non-
contaminated soil .'
cubic yards (x)
B. Alternative Technology
This section must be used for any 'mediation other than conventional
per cubic
technologyyard
(=)
. Alternative
$ technology
includes
but is not limited to soil vapor extraction, land farming
. bio-piles, low temperature thermal desorption . air sparging
.
bio-sparging, in-situ biorernediation, chemical oxidation
. or dual phase extraction
. The information on the
Remediation System Information document and a time and materials breakdown of all costs associated with all
personnel, equipment, materials, operation and maintenance, consultant design time
. additional personnel oversight
rime and other expenses for the proposed mmodiation system must be submitted
. Due to the variability of these
systems, the Illinois EPA will review these proposals on a site-specific basis
. Tie cost includes but is not limited to
all personnel, equipment
. materials, installation operation and maintenance, system shut-down and other expenses
for the proposed renediation
. 2'
Alternative technology selected
:
cubic yards of soil remediated
All materials.
Total
equipmentCost . field
of the
purchasesSystem
. and
(=)subcontractor
$ costs
mast be listed on the Total Materials Cost
Summary Sheet and Total Non-Consulting Personnel Time summary Shca, and the totals from that form should be
placed on the line above
. All consultant time must be
listed
on the Consultant Fees Form
Administrative Record/PCB 07-BB
Page
II
Remediation and Disposal Costs Forms
C
. Groundwater Remediation and/or Free Product Removal System
L Drum Disposal
This section must be used if a groundwater remediaion and/or free product removal system is proposed in a corrective
action plan
. The information on the Remediation System Information document and a time and materials breakdown of all
costs associated with all personnel, equipment, materials, operation and maintenance, and other expenses for the proposed
system must be submitted . Due to the variability of these systems, the Illinois EPA will review these proposals on a site-
specific basis .
All materials,
Total
equipment,
Costfield
of the
purchases,
System
and
(=)
subcontractor
$ costs
must be listed on the Total Materials Cost Summary Sheet
and Total Non-Consulting Personnel Time summary Sheet, and the totals from that form should be placed on the line above-
D
. Groundwater and/or Free Product Removal and Disposal
This section must be used if groundwater or
free
product is removed using a vacuum truck or other similar method . The
charge includes but is not limited to all costs associated with the removal, transportation, and disposal of contaminated
groundwater and/or free product
gallons (x)
This section must be used whenever a solid or liquid waste generated
per
while
gallon
performing
(=)
soil
$borings, installing
monitoring
wells, hand bailing free product or during UST removal or other corrective anion activities is disposed of in a 55-gallon
drum
. The charge includes all costs associated with drum disposal, including but not limited to transportation charges and
disposal fees
.
Disposal ofcuttings
Disposalor
solid
ofWaterwaste
:
:
drums
drums
(x)(x) per drum (=) $
per drum (=) $
Total Remediation and Disposal Costs: $ -
'Calculate Volume as follows: SOIL [(Length in feet x Width In feet x Depth in feet of contaminated soily271 x 1
.05 bulking factor .
This formula should be used for soil excavated, transported, and disposed
. Overburden SOIL [(length in feet x Width in feet x Depth in
feet of contaminated soily27) .
This formula should be used for soil excavated and returned back into the excavation
. A conversion factor
of 1 .5
tons/cubic
yard will be used to convert invoices submitted in tons versus cubic yards .
'Calculate Volume: as follows
: SOIL [(Length in feet x Width in feet x Depth in fat of contaminated soily27] . This formula should be
used for determining the amount of soil to be treated in-situ .
s
Alternative technologies other than those identified in thissection may be proposed
; however, a time and materials breakdown of all
costs associated with all personnel, equipment, materials, operation and maintenance, and other expenses for the proposed remediation
must be submitted
. The Illinois EPA will review these proposals on a site-specific basis
.
Administrative Record/PCB 07-BG
Page 12
UST Removal and Abandonment Costs Form
This section applies to UST removal, abandonment, and disposal activities
. The rate includes but is not limited to all
personnel, equipment, materials, and other expenses for the excavation, transportation, and disposal, or abandonment in
place, of the UST(s) .
Please list all tanks that have been removed from or abandoned at the site for which reimbursement is requested
. The
maximum amount for removal or abandonment is based on the size of the UST outlined in the Rate Sheet
Total UST Removal and Abandonment Costs : S
Administrative Record/PCB 07-GB
Page 13
Product Stored in UST
Size (gallons)
Abandoned or
Removed
$ Rate
Did UST have a
release?
O
Yes ONO
ClYes U No
∎ Yes ONO
Q Yes ∎ No
∎ Yes ONO
0Yes ONO
∎Yes ONo
∎ Yes ∎ No
OY ∎ No
0 Yes
ONO
∎Yes ONO
OYes ∎ No
OYes ∎ No
∎ Yes ∎ No
∎ Yes ∎ No
~, .{~
R(~
:: ®^'
T
l
SAM
:v
17
rL
~>
.
•u
0 Yes ONO
∎ Yes Q No
Q Yes ONO
Paving, Demolition, and Well Abandonment Cost Form
A. Concrete and Asphalt Placement/Replacement
This section must be used for concrete and/or asphalt placement or replacement The rate includes all costs associated
with concrete and/or asphalt placement or replacement
. including but not limited to all personnel, equipment,
materials, and other expenses
. Please note that the cost for the replacement of concrete or asphalt will not be
reimbursed until after the issuance of the No Further Remediation Letter
. In addition, documentation of the type,
either asphalt or concrete, the thickness, and square feet of the asphalt or concrete being replaced must be provided in
the accompanying plan/report
.
B . Building Demolition and Canopy Removal
This section must be used if a building will be demolished or a canopy or other eligible above grade structure is to be
removed in order for contaminated soil beneath it to be excavated
. The rate includes but is not limited to all
personnel, equipment, materials, and other expenses for the demolition and disposal of the building and/or dismantling
and reassembly of above grade structures
. Subcontractor cost estimates for the removal of a building, a canopy, or
other eligible above grade structure must be submitted with all budgets
.
Items to Be Removed
Rate $
'total Amount
Total Concrete and Asphalt
Placement/Replacement Costs:
I Total
Building Demolition and Canopy
Removal Costs : $
I
I
Administrative Record/PCB D7-BB
Page 14
Square
Feet
Asphalt or
Concrete
Thickness
(Inches)
Rate $
Replacement or
Placement for an
engineered barrier
Total Amount
$0 .00
Paving, Demolition, and Well Abandonment Cost Form
C. Well Abandonment
This section must be used for the abandonment of monitoring
or recovery wells that are abandoned pursuant to
regulations promulgated by the Illinois Department of Public Health at 77
III . Adm . Code 920
.120. Please note that
each monitoring well must be listed individually .
onulonng
Well
m #
ype o e
PUSH
I
Recovery)
hny~`:b
. .
s
Y~
M
•
l
,
H .S.A:' .
21 .4
. a.
Rate S
$10 .28 .
Individual Well Abandonment
Charge
S
$
$
S.
I'
I Total Well Abandonment
Costs:
Is
1,537
.89
I
Total Paving, Demolition, And
Well Abandonment Costs
; $ ts37
.89
Administrative Record/PCB 07-66
Page 15
Consulting Fees Form
The consulting fee include all costs associated with professional consulting services
. Personnel and
materials not directly part of the professional consulting services or part of
unit rates listed an the Rate
Sheets must be listed in the Non-Consulting Personnel Time Summary Sheet and
Materials Cost Summay
sheet. The consulting fee includes but is not limited to all personnel time for plan,
budget, report, and
reimbursement preparation, as well as project oversight, travel time and per diem,
mileage or vehicle
charges, and equipment charges such as for PIDs, hand augers, cameras, gloves, and sampling equipment
.
This form must be completed In its entirety.
Please follow the directions on the Consulting Fees Form
document for each filed an the Consulting Personnel Time Costs and Consultants
Materials Costs. Please
note that a separate line for each employee performing tasks in each remediation
category is required
.
Multiple pages of Consulting Personnel Time Costs and Consultant's Materials
Costs forms must be used it
additional space is needed
. The total for all Consulting Personnel Time Costs and Consultant's Materials
Costs must be entered below to calculate the Total Consulting Fees .
Administrative Record/PCB 07-BG
Page IG
Total Consulting Personnel Time Costs :
$
9,513 .22
Total Consultants Materials Costs :
$-
Total Consulting Fees :
9.513.22
Consulting Fees Form
Consulting Personnel Time Costs :
CCAP-Budget
Sr Project Manaager
I 3 I
S 102.791 $ 308.37
Draft Corrective Action Budget
Sr Pro'ect Manager
10
S 102.79
TACO Tier 2 Calculations -
R26 Modeling
40
$ 102.79
CR
Draft Corrective Action
Plan/Corrective
Action Completion Report
4,11160
"o -Ow z
Senior Scientist
I 4
I
$
87
.371$
349.48
City of Waukegan Highway Authority
Agreement
'Titles from Personnel Titles and Requirements document must be used
.
Total Consulting Personnel Time Cost
: $ 8,74233
Administrative Record/PCB 07-66
Page 17
Employee Name
Personnel Title'
I
Hours I
Rate' I Total $
Remediation Category
Task
Sr Project Manager
I
8
I
$ 102.79 S
822.32
HAA
City of Waukegan Highway Authority Agreement
- Institutional Control
Sr Admin Asst
I
4
I $
46.261$
185.04
CACR
Copy/Mait/BindIFle CAP/CACR (2) and Budgets (2)
-:
-<-
I
•
Sr Draftperson
I
6
I
$
61.671$
370A2
CACR
CAP/CACR
Figures, R-26 Modeling Map
Sr Acct Technician
$ 46 .26
231 30
CACR
Reimbursement Package Prep and Submittal
Sr Prof Engineer
I
10 I $ 133 .631$
1,336
.30
CACR
Professional Supervision
. Certification
. ReportBudget Review
Consulting Fees Form
Consulting Personnel Time Costs
:
I
I
I$
'Titlcs from Personnel Titles and Requirements document must be used .
$
Total Consulting Personnel Time Cost
:
S
770.89
Administrative Record/PCB 07-BB
Page lB
Employee Name
Personnel Title'
I Hours
I
Rate' ( Total S
Rentediation Category
Task
''
E Z 3`
Sr Tech
I
10
l $ 66.811$
668.10
CCA - Field
Monitoring Well Abandonment Documentation
1
$ 102.79
102 .79
CCA -
Field
Monitoring Well Sealing Forms for IL Dept of Public Health
:
II
1$
_
I
Consulting Fees Form
Consultant's Materials Costs :
Material, Equipment, or Field Purchase
Tune or
Amount Used I Units
Unit Rate I Total Costlltem
Remediation Category
I
DescriptioMustiticatlon
I
I
I$
I
I
I$
I
I
Is
I
I
I
Is
I
I
Is
I
1
II
I
I
Is
I
Is
I
Administrative Record/PCB 07-BB
Page 19
Handling Charges Form
Handling charges for field purchases and subcontractor billings must be calculated based on the table below
.
}landline charges do not need to be submitted in a budget or approved as van of a budtet Copies of invoices and/or
receipts of the subcontractor charges and/or field purchase must be submitted with an Application for Payment
Invoices and/or receipts must include a breakdown of the date the work was conducted and documentation of all
activities and materials purchased .
If the invoices and receipts do not contain this information, additional
documentation must be submitted providing this information .
Subcontract and Field
Eligible Purchase Cost
$1-$5 .000 .
$5,001 -$15,000
$15,001-$50,000
$50,001 - $100,000
$100,001 - $1,000,000
Handling Charges as a
Percentage of Cost
12%
$600 + 10% of ant. over $5,000
$1,600 + 8% of amt over $15,000
$4,400 + 5% of ant. ova $50,000
$6.900
+ 2% of amt over $100,000
Subcontractor Name or Field Purchase
Type of Work Performed by
Subcontractor
Total Subcontractor and Field Purchase Costs : $
Subcontractor or Field
Purchase Amount $
Administrative Record/PCB 07-BB
Page 20
Bid Summary Form
In circumstances where a rate listed In Subpart H : Maximum Payment Amounts, Appendix D Sample
Handing and Analysis, or Appendix E Personnel Titles and Rates of 35 III . Adm . Code 734 or 35 III
. Adm .
Code 732 may not be conductive to an activity of a remediation project, bidding of that rate may be
conducted.
The following hems must be provided
:
1 . A copy of the scope of work provided to the subcontractors requesting bids
;
2. Copies of all
bids received (a minimum of three bids Is required); and
3
. A completed and signed copy of this forth .
Rate(s) being bid out : Subcontractor
Total Bid Cost
I hereby certify that:
Lowest Bid :
The bids are based on the same scope of work
;
The bids will remain valid for a period of time that will allow the owner or operator to accept them
upon the Illinois EPA's approval of the associated budget
-
.
The bids were obtained only from people qualified and able to perform the work
;
The bids were not obtained from an persons in whom the owner or operator or the primary
contractor has a financial interest
;
Copies of all bids received have been submitted to the Illinois EPA
; and
A minimum of three bids has been received
.
Consultant Name
:
Consulting Firm Name
:
Signature:
Administrative Record/PCB 07-66
Page 21
Non-Consulting Personnel Time Summary Sheet
To complete form6 see instruction .
Employee Name
Personnel Title
Hours
I
Rate
,
Total $
Task
,
,
°
/
~
.1
°
~Tdlcs from Personnel Titles and Requirements document must be used .
Total Non-Consulting Personnel
Administrative
Time Cost: $
Record/PH @7-66
Page
~~~~
Materials Cost Summary Sheet
To complete form, see instructions
Material
. Equipment, or Field Purchase
lime or
1 Amount Used
I
Unit Rate
I
Units Total Cost/Item
Subcontractor (if applicable) :
I
I
Is
I
I
1
s
I
I
1$
I
I
1$
II
I
I
1$
II
1
I
1$
Total Materials
Administrative
Cost
:
$
Record/PCB B7-BB
Page 23
Ja es G
. Richa son
Special Assistant Attorney General
Division of Legal Counsel
1021 North Grand Avenue East
P.O
. Box 19276
Springfield, Illinois 62794-9276
217/782-5544
217/782-9143 (TDD)
CERTIFICATE OF SERVICE
I, the undersigned attorney at law, hereby certify that on February 23, 20071 served true and
correct copies of an APPEARANCE and ADMINISTRATIVE RECORD by first class mail of the
United States Postal Service upon the persons as follows
:
Dorothy Gunn
Mandy L. Combs
Clerk
The Sharp Law Firm, P
.C.
Illinois Pollution Control Board
P.O
. Box 906
100 West Randolph Street, Suite 11-500
Mt
. Vernon, Illinois 62864
Chicago, Illinois 60601-3218
ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
THIS FILING IS SUBMITTED ON RECYCLED PAPER
