)

)

)

PCBNo.

03-185

)

(UST Appeal)

)

)

NOTICE

i V E

D

CLERKS

OHIEF

SEP

292003

STATE OF

ILLINOIS

Pollution

Control Board

DorothyM. Gunn, Clerk

Illinois Pollution Control Board

James R. Thompson Center

100 WestRandolph Street

Suite 11-500

Chicago, 11.

60601

Carol Sudman, Hearing Officer

Illinois Pollution Control Board

1021 North Grand Avenue, East

P.O. Box

19274

Springfield,

IL

62794-9274

Stephen F. Hedinger

Hedinger Law Office

2601

South Fifth Street

Springfield,

IL

62703

PLEASE TAKE NOTICE that

I have

today

filed

with

the

office of the

Clerk of the

Pollution

Control

Board an

APPEARANCE

and

ADMINISTRATIVE

RECORD,

copies

of which

are

herewith

served upon you.

Respectfully submitted,

ILLINOIS

ENVIRONMENTAL

PROTECTION AGENCY,

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)

SWIF-T-FOOD MART.

BEFORE

THE POLLUTION

CONTROL BOARD

OF THE

STATE OF ILLINOIS

Petitioner,

V.

ILLINOIS ENVIRONMENTAL

PROTECTION AGENCY,

Respondent.

Respi

John J(

Kim

Assistant Counsel

Dated: September 26,

2003

---

C’

~HR”

orrrr

BEFORE

THE POLLUTION CONTROL

BOARD

OF THE STATE OF ILLINOIS

SEP

2

9

2003

SWIF-T-FOOD MART,

)

STArE OF !LLINO!S

Petitioner,

)

Pollutton

Control

Board

V.

)

PCBNo.

03-185

ILLINOIS ENVIRONMENTAL

)

(UST

Appeal)

PROTECTION AGENCY,

)

Respondent.

)

APPEARANCE

The undersigned,

as

one of its

attorneys, hereby enters

his

Appearance

on behalf of the

Respondent, the Illinois

Environmental Protection Agency.

Respectfullysubmitted,

ILLINOIS ENVIRONMENTAL PROTECTION AGENCY,

~

Assistant Counsel

Special Assistant Attorney General

Division ofLegal Counsel

1021

North Grand Avenue, East

P.O.

Box

19276

Springfield, Illinois

62794-9276

217/782-5544

217/782-9143 (TDD)

Dated: September 26, 2003

This filing submitted on recycled paper.

---

CERTIFICATE

OF SERVICE

I,

the undersigned attorney

at

law,

hereby certify

that

on

September

26,

2003,

I served

true

and

correct

copies of an

APPEARANCE

and

ADMiNISTRATIVE RECORD,

by placing

true

and correct copies

in properly sealed and

addressed envelopes and by depositing said sealed

envelopes in

a

U.S.

mail drop box

located within Springfield, Illinois, with sufficient

First Class

Mail postage affixed thereto,

upon the following named persons:

Dorothy M. Gunn, Clerk

Stephen F. Hedinger

Illinois Pollution Control Board

Hedinger Law Office

James R. Thompson Center

2601

South Fifth Street

100 West Randolph Street

Springfield, IL

62703

Suite

11-500

Chicago, IL 60601

Carol Sudman, Hearing Officer

Illinois Pollution

Control Board

1021 North Grand Avenue, East

P.O. Box

19274

Springfield,

IL

62794-9274

(I:;~!;;ii~!IIIIII:II:)

AGENCY,

Assistant Counsel

Special Assistant Attorney General

Division ofLegal

Counsel

1021

North Grand Avenue, East

P.O. Box

19276

Springfield,

Illinois 62794-9276

217/782-5544

217/782-9143 (TDD)

---

it xz

c r

,

~

r. t

BEFORE THE POLLUTION CONTROL

BOARD

CL~R1S

OFflcr

OF THE

STATE

OF ILLINOIS

SEP

29

2003

SWW-T-FOOD

MART,

)

STAlE OF ILLINOIS

Petitioner,

)

Pollution

Control Board

v.

)

PCB No.

03-185

ILLINOIS

ENVIRONMENTAL

)

(lIST Appeal)

PROTECTION AGENCY,

)

Respondent.

)

ADMINISTRATIVE RECORD

NOW COMES the Respondent,

the Illinois

Environmental

Protection Agency

(“Illinois

EPA”), by one of its

attorneys,

John

3.

Kim,

Assistant

Counsel

and

Special

Assistant

Attorney

General, and,

pursuant to

the September 22,

2003

order

entered by the Hearing Officer assigned

to this matter by the Illinois Pollution

Control Board

(“Board”) and

35

III. Adm.

Code

105.212,

hereby

files

this

Administrative

Record

of the

Illinois

EPA’s

decisions

in

this

matter.

An

original

and

requisite

number of copies

of this

Record are herewith

filed with

the Board,

the

assigned Hearing Officer,

and the Petitioner, Swif-T-FoodMart.

Respectflflly submitted,

ILLINOIS

ENVIRONMENTAL

PROTECTION AGENCY,

Assistant Counsei

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)

Dated:

September 26, 2003

Joi

---

ILLINOIS

ENVIRONMENTAL

PROTECTION

AGENCY

1021

NORTH

GRAND AVENUE

EAST,

P.O.

Box

19276,

SPRINCFIEI..D,

ILLINOIS

62794-9276

JAMES

R.

THOMPSON

CENTER,

100

WE5r

RANDOLPH,

SUITE

11-300,

CHicAGO,

IL 60601

RoD

R.

BLAGOJEVICH,

GOVERNOR

RENEE

CIPRIANO,

DIRECTOR

217/782-6762

CERTIFIED

MAIL #

MAR

03.2003

1

Swif-T-Food Mart

Attn:

Isam Saed

314

South Lewis Avenue

Waukegan, Illinois.60085

Re:

LPC #097 1905268

--

Lake County

WaukeganiSwif-T-Food Mart

1100 Belvidere Road

LUST Incident No. 951716

LUST FISCAL FILE

Dear Mr.

Saed:

The Illinois Environmental Protection Agency has completed the review ofyour application for

payment from the Underground Storage

Tank

Fund for the above-referenced LUST incident

pursuant to

Section 57.8(a) ofthe Illinois Environmental Protection Act (Act), and 35 Ill.

Adm.

Code ‘732, Subpart F.

This information is dated November 7, 2002 and was received by the

Agency on November 18, 2002.

The application for payment covers the period from December

1,

1995

to

November 20, 2001.

The amount requested is

$203,644.16.

The deductible amount

to be

assessed on this

claim is $10,000.00, which is being deducted from

this payment.

In addition to the deductible, there are costs from this claim that are not being

paid.

Listed in Attachment A are the costs that are not being paid and the reasons these costs are

not being paid.

On November

18,

2002,

the Agency received your complete application for payment fof this

claim.

As

a result of the Agency’s review ofthis

application for payment,

a voucher for

$171,560.12 will be prepared for submission to the Comptroller’s Office for payment as funds

become available based upon the date the Agency received your complete request for payment of

this application for payment.

Subsequent applications for payment

that have been/are submitted

will be processed

based upon the date complete subsequent application for payment requests are

received by the Agency.

This constitutes the Agency’s final action with regard to the above

application(s) for payment.

An underground storage tank owner or operator may appeal this

final decision to

the Illinois

Pollution Control

Board (Board) pursuant to Section

57.8(i)

and

Section 40 of the Act by filing a

ROCKFORD—

4302

North Main

Street,

RockIord,

IL

61103

—(815) 987-7760

•

DES

PLAINES —9517

W.

Harrison

SI,,

Des

Plaines, IL 60016— (047) 294-4000

ELOrN

—593

South State, Elgin,

IL 60123—

847)

6UB-3131

•

PEoRIA —5415

N,

University St.,

Peoria, IL 61634—309) 1,93.5453

BUREAU

OF LAND

-

PCOtIAr

762(1

N.

University

St.,

Peoria,

IL 61614—13091 693-5462

•

CN~pA,r.N—

2125

South

First

Street, Champaign,

IL 61870—12171 278-5800

SPRINGFIELO—4500S.

Sixth

Street

Rd.,

Springfield,

IL 62706

—(2171 78b-6892

•

Cot.ttNsvtIII

—

2009 MaIl

Street, Collinsville,

IL

(,2134

—

(bIB) 346-512(1

MARION

—2309W.

Main

St.,

Suite

316, Marion,

IL

629Sq

—(618)

993-7200

1

---

Page 2

petition for a hearing within 35

days after the date ofissuance ofthe final decision.

However,

the 35-day period may be extended for a period oftime not to

exceed 90 days by written notice

from the owner or operator and the Illinois EPA within the initial

35-day appeal period.

Ifthe

applicant wishes to receive a 90-day extension, a written request that includes a statement ofthe

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 regardingthe filing ofan appeal, please contact:

Dorothy Gunn, Clerk

Illinois Pollution Control Board

State ofillinois Center

100 West Randolph, Suite 11-500

Chicago, Illinois

60601

312/814-3620

For information regarding the

filing

of an extension, pleasecontact:

Illinois Environmental Protection Agency

Division ofLegal Counsel

1021

North

Grand

Avenue East

Springfield, Illinois 62794-9276

217/782-5544

If

you have any questions or require further assistance, please contact Niki Weller of my

staff at 217/782-6762.

DEO:NW;ct\033074.doc

Attachment

cc:

AES Consultants,

Ltd.

bce:

Division File

LCU

File

Niki Weller

E.

Oakley, Manager

LUST Claims Unit

Planning & Reporting Section

Bureau ofLand

2

---

Attachment A

Accounting Deductions

Re:

LPC #0971905268--Lake

County

Waukegan/Swif-T-Food

Mart

t 100 Belvidere Road

LUST Incident.No. 951716

LUST Fiscal File

Citations

in

this

attachment

are

from

and

the Environmental Protection Act (Act)

and

35 Illinois

Administrative Code (35 Ill.

Adm.

Code).

Item #

Description ofDeductions

1.

$8,275.18, deduction for costs associated with High Priority site activities.

The billings

submitted exceed the approved budget amounts.

The Illinois EPA is unable to approve

billings

that exceed the approved budget amounts.

(Section

57.8(a)(1)

ofthe Act

and

35

Ill.

-

Adni.

Code 732.601W))

A deduction is beingmade from the Handling Charges in the

amount

of $8,275.18.

2.

Deductions for costs which

are

unreasonable as submitted.

(Section 57.7(c)(4)(C) of the Act

and

35

Ill. Adm.

Code 732.606thh))

A deduction for costs associated with High Priority site activities.

The billings submitted

exceed the approved budget amounts.

The illinois EPA is unable to approve billings

that

exceed the approved budget amounts.

(Section

57.8(a)(1)

ofthe Act and 35 Ill. Adm.

Code

732.601(f))

A deduction is being made from the Field Purchases

and

Other Costs in the

amount

of

$13,808.86.

The costs

are

from Peter S.

Hartmann

Company invoices for the percentage

markups/handling charges.

There cannot be a percentage-markup and a handling charge both

requested

and

there has not been

any

handling charges approved in a budget.

NW:ct\

3

---

6

TITLE XVI PAYMENT SUMMARY

Reviewer:

NOd

Weller

Incident: #

951716

Initial

Review Date:

2/26/03

Queue:

11/1 8/02

Billing Period:

12/1/95

to

11/20/01

Site Name:

Waukegart/Swif-T Food

Mart

PM:

Kuhlman

Early

Action:

____________

Site Class.:

Low

Priority:

____________

High

Priority:

XX

-

Amount requested for Early Action:

Amount requested for Site Classification:

_____________

Amount requested for Low Priority:

_____________

Amount

requested for High Priority:

203,644.16

SUB TOTAL:

$203,644.16

Less:

STANDARD

DEDUCTIBLE:

-

(10,000.00)

Less:

DEDUCTIONS:

LESS

COSTS NOT APPROVED

IN

A BUDGET

(8,275.18)

LESS COSTS

NOT APPROVED

IN

A BUDGET & UNREASONABLE

(13,808.86)

SUMMARY DATE:

3/3/0

~

ORIGINAL 0-DATE:

________

//

Total

Amount Due:

$171,560.12

Payee:

FYI

-

Facility:

_____________________________________

Address:

Address:

-

City:

_________________________________

City:

__________________________________

County:

___________________________________

County:

____________________________________

3

---

TITLE XVI

TO:

-

Doug Oakley

Initial Review

Date:

2/26/03

FROM:

Niki

Weller

Project Manager:

Kuhiman

Sent to Tech:

LPC # &

County:

0971905268

Lake

Site Name:

WaukeganlS’Mf-T Food Mart

Site Address:

1100

Belvidere

Rd.

LUST

Incident#

951716

-

-

LUST

I

FISCAL

FILE

-

The above referenced facility’s consultants/contractors submission regarding invoices and billings has been reviewed.

The consultant/contractor

in this

billing package

is:

AES

Consultants,

Ltd.

Queue:

11/18/02

-

120

date:

3/18/03

Revised

Q:

_______________

Revised

120:

IEMA:

8/11/95

52

Days After

IEMA:

10/2/95

OSFM:

_______________

Date of

45

Day Report:

12/7/95

E.A.

Ext

Date:

_______________

Opt-In Date:

___________

NFR

Date:

_______________

Date of Site Class.

Cornp.

Report:

4/9/01

# of Eligible Tanks:

3

Tank Size:

2-3000

1-4000

Tank Pull:

________________

Planned:

Not Planned:

The Billing Period for this claim covers:

12/1/95

to

11/20/01

The Amount Requested

in this

billing package

is:

$203,644.16

The Budget Amount Approved forthis s~e

is:

$278,787.00

The Deductible Applied to

this billing package

is:

($10,000.00)

Early Action:

_________________

Site Class.:

Low

Priority:

______________

High

Priority:

XX

MANDATORY DOCUMENTS:

1.

Copy of

OSFM eligibility / deductibility letter

X

-

2.

Professional

Engineer’s

Certification

X

3.

Minority

/

Women’s Business Enterprise form

X

4.

Federal Taxpayer Identification Number form.

X

5.

Private insurance

Coverage Forms.

X

6.

Page C-2 or 0-1

-

Owner / Operator Billing Certification

4

---

Page2

-

lncjc~nt#

951716

The costs have been deemed reasonable

based upon establishedstandards,

practices and procedures with the

following exceptions:

THIS CLAIM WAS RECEIVED IN LCU

2/26/03.

ACÔORDING TO THE RECEIVED DATE 014 THE CLAIM IT

WAS RECEIVED

WE

HAVE A DUE DATE OF

120 DAYS

3/18/03 iS THE

THERE ARE TWO INCIDENT NUMBERS 951716 AND 960723

NO CLAIMS HAVE BEEN

PAID

UNDER THE

951716—-THEY HAVE ALL BEEN DENIED FOR VERIOUS

REASONS.

Need to know if we should assess

two

-deductible’s?

There has been

one claim paid under the 96

# and a

deductible

assessed.

The 95

#

in the

begInning was the only # that had an

eligibility and no claims were

paid for venous reasons.

Thenthe 96 # received an eligibility and was a re-reporting of the 95

#5.

Since

there HAS NOT been a deductible

assessed

form the 95 # and there HAS been a deductible assessed for the

96#

DO WE ASSESS ANOTHER DEDUCTIBLE far the

9511?

PER HARRY CHAPPEL WE ARE TO ASSESS ANOTHER DEDUCTIBLE FOR THE

95*. (2(27/03)

$1 0,000.00 dod.

Cut $13,808.66

Handling

charges charged on the Peter J.

I-Iartmann Co. invoices (no handling has been

-

-

approved in a budget and they are asking for h/cgs which

Is included

In the bill when adding

the bills together plus requesting another handling

for

Hartmann

Co. on the line Item for

Handling

Charges.

Cut $8,275.18 Handling charges (on line item) no handling has been approved in a budget.

This review does not take Into consideration the following Issues:

1) The legitimacy or validity of the site

remediation activities;

2)

Whether or not plans for corrective action

were submitted or approved by the Agency pursuant to Sections 22. 18b(d)(4)(E) and

22. lUb(d)(4)(F) of the Environmentài Protection Act; 3) if there are any reports,

technical data,

or in formation in support of this claim.

5

---

-

Approved LUST Budget/Billing Tracking

Summary

LUST Incident #:

951716

Project Manager:

Kuhlrnan

LUST Site

Name:

Waukegan/Swif-T Food Mart

XX

HP

Phase of Work being billed for:

LP

APPROVED BUDGETAMOUNTS:

Budget Line Items

Approved Costs ~Amendment

#1

iAmendment #2

Amendment #3

IAmendment #4

IAmendment #5

jApproved Cumulative

Date of Approved Budget

3/19/02

6/12/02

I

I

I

1.

Investigative Costs:

3,700.00

0.00

$3,700.00

2.

Analysis Costs:

6,820.00

0.00

$6,820.00

3.

Personnel:

37,192,00

0.00

$37,192.00

4.

Equipment:

1275.00

0.00

$1,275.00

5.

Field Purchases & Other:

0.00

229,800.00

$229,800.00

6.

Handling Charges:

0.00

0.00

$0.00

Totals

$48,987.00

$229,800.00J

$o.ooj

$0.00

$0.00

$0.00

$278,787.00

AMOUNTS PER CLAIM APPLIED TO APPROVED BUDGETLINES:

0,

Billing Line Items

IBil

ling

#1

IBtlling

#2

Billin

g

#3

IBilling #4

IBiuing #5

~BilIing

#6

~Billing

Cumulative

Date

of Billing

11/18/02

(

I

I

I

I

1.

Investigative Costs:

2.

Analysis

Costs:

3.

Personnel:

4.

Equipment:

5.

Field Purchases

& Other:

6.

Handling

Charges:

Totals

0.00

4,950.00

25,610.00

800.00

150,000.12

o.oij

181,560.12

BIlling *1 C~t

$13,80tB6 field pur & other,

$827515

hcgs.

BILLING

TO BUDGET DIFFERENTIALS:

0.00

i

0.00

$4,950.00

$25,810.00

$800.00

I

0.00

0.00

0.00

$150,000.12

$0.00

$0.00

$181,560.12

(

Budqet/Billinq Line Items

Line Item Differences

—

1.

Investigative Costs:

$3,700.00

2.

Analysis Costs:

$1,870.00

3.

Personnel:

$11,382.00

4.

Equipment:

$475.00

5.

Field Purchases & Other:

$79,799.BB

6.

Handling

Charges:

$0.00

---

DATE TRACKiNG SHEET

To:

Victoria Mckinrion

Queue:

11/18/02

From:

Niki

WaDer

-

Amount Requested:

$203,644.16

LPC # & County:

0971905268

Lake

Site Name:

Waukegan/Swif-T Food Mart

Site Address:

1100 Belvidere

Rd.

LUST Incident

#

951716

LUST / FISCAL FILE

Dates

Pulled Claim

-

2/26/03

Initial Review

2/26/03

Called

or Faxed Consultant

Letter Out to Consultant

Received Reply From Consultant

___________

Cailed or

E-Mailed Technical

2/27/03

Received Reply From Technical

2/27/03

Sent to Technical

Received Back From Technical

___________

Review Completed

2/27/03

Sent to Word Processing

2/27/03

Received Back from Word Processing

-

.~/.?243

(&AeX)

Sent to be Mailed

~

3

Comments:

This claim was received In the LCU 2/26/03 and at that

time

picked up Ion review.

The Q date has a date of

11/18/02---- was sent from technical 2/26/03

see

Eric Kulhman

Claim was received In technical 11/18/02.

7

---

Illinois Environmental Protection Agency

BOL

-

LUST Incident Tracking (Lit)

Incident #

951716

LPC #

0971905268

IEMA Date:

8/11/1995

Site:

Swif-T Food Mart

-

Street:

1100 Beividere

Rd.

-

City:

Waukegan

J

State:

IL

j

Zip:

-

County:

Lake

J

Latitude:

42.35176

j

Longitude:

-87.84484

PRP:

Swif-T Food Mart

Ann:

Isam

Saed

-

Phone:

Street:

314

South Lewis Ave.

City:

Waukegan

State:

~J

Zip:

Project Mgr:

Kubman

Consultant:

AES Consultants, Ltd.

Subject to:

732

Opt-In Date:

Site Class.:

HIGN~

Products:

Gasoline, Diesel

I

Non-LUST Letter Date:

f

I

57.5(g)

Letter Date:

20-Day Apt.:

8/25/1995

1

45-Day Apt.:

-

12/7/1995)

NFR Date:

Reissued:

Recorded:

Reminder:

Intent to Void:

Rescission:

DLC

for Void:

Voided:

Alternative Technologies:

Transferred

(Date/Program):

Selected 45-Day Report:

C

Select Work Plan:

C

MTBE

40 ppb

in Groundwater:

C

Early Action Extended to:

L

Comments:

See

also #960723.

6 9~

9.~~3OOO

/

-

4/000

f//tv

~

/4c~0~

Wednesday, February 26, 2003

-

Page 1

of

3

8

---

Illinois Environmental Protection Agency

BOL

-

LUST Incident Tracking

(L.1T.)

Incident #

1951716

LPC #

0971906268

IEMA Date:

I

8/1 1/199Sf

Groundwater Use Restriction

lnd./Com.

Land Use Restriction

Engineered Barrier

Worken Caution

Soil Handling_____________________

Other

I________________________

institutional Controls:

C

Groundwater

Use

Restriction

C

Ordinance

C

ind./Com. Land Use Restriction

C

Worker

Caution

C

Other

_______________

Highway Authority Agreements:

General Events

Page2 of

4.

On-Site

TACO

Barriers:

Building/Structure

Pavement

Soil

C

C

C

C

Other

ELUC:

Off-Site

C

C

C

C

C

C

L

C

Highway Authority

C

Highway Authority MOA.

8/16/1 99SiNotice of Release Letter sent

-

12/6/1

999j~sceHaneous

Correspondence received

-

4/4/2002jMiscellaneous Correspondence received

6/12/2002IReview Letter sent

Title XVI

Events

DS

‘s

is

Apjvrwi top,f°p’~~

eot~’&

--

Site Classification Work

Plan Budget

1/8/1999

5/8/1 999 AOL

1/21/1 999

High

Priority Corrective Action

Plan Bu

2/28/2000

6/27/2000 DEN

5/23/2000

Site Classification Completion

Report

7/27/200O

11/24/2000 DEN

Corrective Action Plan

Budget

7/27/2000

11/24/2000 DEN

7/13/2000

11/15/2000

Corrective Action Plan

7/27/2000

1

1~?~?00o’DEN

11/15/2000

Site Classification Work

Plan Budget

12/11/2000 J~~9~20g~JAPj4/9/2001

Site

Classification Work

Plan

Site Classification Completion Report

12/11/2000

/2901AP19_

1/25/2001

5/25/2001j~!ft

4/9/2001

4/9/2001

High Priority Corrective Action

Plan

Bu

11/19/2001

3/19/2002~MOD

3/19/2002

High Priority Corrective Action Plan

jll/19/2001

High Priority Corrective Action

u

5/23/2002

High

Priority Corrective Action Plan

Bu

~11/1B/2002

3/19/200gJAPR

9/29~99~PR

3/18/2003~

3/19/2002 ~

7~77~~

~

Wednesday,

February 26,

2O03

8

---

illinois Environmental Protection Agency

BOL

-

LUST Incident Tracking

(L.I.T.)

Incident 4

951716

I

LPC

41

0971905268

J

IEMA Date:

L

8/11/19951

Violations

Wednesday,

February 26, 2003

-

Page 3 of3

-

10

---

MEMO

22

‘

064

S

5

38~173.7o

12’365.3/4

+

2’oOO.Oo

+

jg~,/fl~20

720’oo

/~,

/

+

850•o~

+

3’41600

+

~~‘90ooo

+

~

3’90o•oo

+

r/

~__—

1

~

5’726•o~

+

6’225-oo

158’2o8-as

*

/~óO

C

‘726

•

0

A

+

1

‘54•8o

+

ô’228•oo

+

j4’4~

Li

~,13~B088f~

*

~2

Iv”

11

---

Lust

Claims Tracking

System

IncIdent Number

Site:

SW1F-T FOODS

Owner:

SWIFT FOOD MARTS INC

Status:

ELG

Deductible

$10,000.00

Closure Date:

Request

Status

Received

Amount

Amount

Vouche

Deductible

Requested

Paid

r Date

Applied

1/8/1999

JRIE

$48,561.38

$0.00

$10,000.00

2/28/2000

DED

$20,037.00

$0.00

$0.00

2/28/2000

RIE

$247,089.06

$0.00

$0.00

11/18/2002

NFIE

$203,644.16

$0.00

$0.00

$519,331.60

$0.00

$10,000.00

Wednesday, February 26, 2003

IEPA Number:

EPNOSFM Approval:

OPT-IN Date:

12

---

-

QUEUE DATE TRACKING SHEET

LUST

CLAIMS UNIT

INCIDENT#

q~5

rl)L

QUEUE DATE

~\- \9~.~

r;~

120

DAY DATE

SITE NAME

OWNER/OPERATOR

TITLE 16 CODE

~u~-T-

£Ip..4

~

REQUESTEDAMOUNT

9o?~..

t9L1U.~6

BILLING PERIOD: BEGINNING

—

ENDING

-

CONSULTANT NAME

cç~

L11(0

~\O)OOO

CPcLZn~

-‘0,

~3CQcu~r~o

a~eJE-

vs

*

13

---

BUDGET AN)

BILLING FORM FOR

LEAKING UNDERGROUND STORAGE

TANK

SITES

A.

SITE

INFORMATION

-

SiteName:

S&,:1

T

F~A

/lar+

SiteAddress:

i/tO

(Selvidete&Ly:

hA,gke~

a..’-

~

(ooflS

Countr

Lake

tEPAGeneratOrNo.:

097190S)Ofr

IEMA Incident

No.:95i71b/4~W23

JEMA Notification Date:

$/fs/5J2J9eo

Date this Form was Prepared:

This form is being submitted as a:

-

-

Budget Proposal

Budget Amendment (Budget Amendments must inchide only the costs

over the previous budget.)

Amendment Number:_________

Billing Package thr costs incurredpursuant to 35 Illinois Administrative

Code

(LAC),

Part 732 C’new program’).

Name(s) of report(s) documenting the tosts requested:

CW4PL4CIS

/ldtoh

P/a

nJ&&

Jj

~

Date(s):

0/is/i’

I

This kmt is being submitted for the

Site Activities indicated below (check one):

Early Action

_____

Site Classification

____

Low Priority Corrective Action

V

High Priority Corrective Action

______

Other (indicate activities)

DO NOT SUBMIT“NEW PROGRAM” COSTS

AI’W

“01)

PROGRAM”

-

COSTS

AT

THE SAME TIME.

ON

THE SAME FORMS.

A-I

•

This

form must be submItted

to

duplicate.

The Agency is authorized to require this information under 415 ILCS 5/I.

Disclosure of this information is required.

Failure to do somay result in

the delay or denial of any budget or payment requested hereunder. This

form has been approved by the Pornis Management Center.

11.5322263

LIt 494

Rev. March 2000

....~•

-.

-

NOV

18

2UU2

‘~-—

,s.n”.

—

14

---

JIMA

If eligible for reimbursement, where should reimbursement checks

be sent?

Please note that only owners or operators

ofUSTs may be eligible for reimbursement.

Therefore, payment can only be made

to an owneror operator.

Pay to the order of:

Wi

Send in care of:

Sw;

c—

-r

Food

tlar+

Address:

3/1

S.

Leci; s

Ave.

Civ:_____________________

State

__________

zip:k~8S

Number ofPetroleum

USTs in Illinois presendy owned or

operated

by

the owner or opentor~any subsidiary, parent

or joint

stock company

of the owner or operator

and any

company

owned by any parent, subsidiary orjoint stock

company of the owner or

operator

Fewerthan

101:

________

lOt

ormore:

_________

Numberof TJSTs at the sire:

(Number ofIJSTs includes

IJSTs presently at the sire and

tISTs that have been

removed.)

Numberof incidents

renorted to aMA:

.L.......

,

,

Incident Numbers assi~ied

to the sire due to releases from lISTs:

V

I

-

Please list all tanks which have ever been located at the site and are presently located at the site.

Product Stored

Incident No.

LAn

______

No

9(aJ723

Q57Z~k

___________

________

___

No

o7~3

_______

_________

______

No

_______

__________

_______

No

________

__________

_______

No

IOo7~3

__________

_______

No

9607Q3

__________

_______

No

7&C7~3

________

Yes

No

________

Yes

No

A-2

This form must be submitted in duplicate.

Size

(gallons)

Did UST

have a release?

Type of

Release

Mhieaded

3,cvt

(J~iea~e~

3.DV&

LinleaAed

~1U0b

(A~1eaded

-

3,ott

Mn)~Jed

p,ow

O;epe(

•‘to~

kerosene

35o

No

0723

0

p

Yes

Yes

0

C

‘N,

15

---

IEMANo.

Te~o

723

C.

APPROVED BUDGETSUMMARY ANDBILLING SUMMARY

Amount

approved In the Budget

1.

investigation costs: $

3~

71t!

°

2.

Analysis Costs: $

(9,

VO. ~

3.

Personnelcosts:$

37.,

112.00

4.

Equipment

Costs: $

-

1,

.2 ?5

‘~

5.

FieldpurchasesandOtberCosts:$

22’7,

goo.

‘°

6.

tandlingCharges:$

TOTAL APPROVED IN ThE BUDGET

S..

~

‘~‘

~

__

4

2.

Amount Requested for Reimbursement

1.

Investigation Costs: $

—

2.

AnaysisCosts:$

-

9,150.00

3.

Personnel Costs: $

25,

8/0.

4.

Equipment Costs: $

$‘A2

00

,~

dat

~~___________

S.

FIeld Purchases

and Other

Costs: $______________________________________

6.

Handling Charges: $

-

£~2-7s7t

oaf

gt2-

~~i/1

6&o. /~

AMOUNT REQUESTED

FOR

REIMBURSEMENT

$

203

,

V./11

Z)

~

/

A budget for the

bills included

in

this billing package was approved by the Agency

on

~

4kb2.

I

This billing package

includes bills

which w6e included in the

Budget Amendment dated

n/ri/a

a

andapprovedhytheAgencyon

Pcn?k~~

Grc

Y~.J1Jman’s

&vie4.~’

_____

Neither a

budget

nor

a budget amendment was approved by the Agency

for the

bills included in this

package.

c-I

This form

must be submitted In duplicate.

16

---

IEMANo.

0723

D.

PAYMENT

CERTIFICATION

-

This certification must be

included

with

every

request

for

payment.

~,

~

~

--

the owner or operator of the LUST site thr which this claim is being

submitted, certi& that $

2031

~PVf.

16

is the amount

being sought in this

claim for reimbursement,

$

1,171.09

has already beenreimbursedfrom the Fund for this occurrence and

$

—

has been sent to the Agency for reimbursement for this occurrence but

has

not yet

been reimbursed.

I further certiI~’

that the number ofpetroleum lISTs in Illinois presently owned or

operated by

the

owneror operator, any subsidiary, patent orjoint stock company ofthe owneror operator, and any

company owned by any parent, subsidiary

orjoint stock company of the owneror operator is:

Fewerthan

10!:

_________

101 ormore:

_________

Except for claims associated with Early Action, I certi~’

that a plan for the wok included in this billin~

package

was approved by the. Agency

on

3/i

3/02

;

certil5’ that a budget for the work included in this

claim was approved by the Agency on_____________

cerfi~

that the amount sought for payment

was expended in conformance with the approved budget and approved plan.

I further certify that if the costs included in this claim for reimbursement are approved for payment, the

following limitations will not be exceôdéd:

-

1.

Payment of this claim will notresult in the

owiier or operator receiving reimbursementofcorrective action

costs or indemnification costs from the Fund for more than $1,000,000 per occurrence.

2.

Payment of this claim will not result in the owner or operator receiving reimbursement of corrective action

costs or indemnification costs from the Fund incurred during a calendaryear in excess of the following

amounts:

$1,000,000, if fewer than 101 tanks are owned or operated in Illinois.

$2,000,000, ff101

or

more tanks are owned or operated in Illinois.

Owner/Operator

:

54

60’

Title:

Own

&

r

Signature:____________________________

Date:

//-

07r

V

ii

/

toot..

Subscribed and sworn tobefore rue the

7

—

day of

7VOI/A’M

OC-t.

-_____

(This cemfication mgi

be notarized when the certification is signed)

-

-

-

_____________________________

Seal:

NOV

18

2Jb2

Dl

This form must be submitted in

17

---

Al

/

/

(1

/

IEMANO.0723

iuoJ-4piiecbiq

Yet

K

INVESTIGATION COSTS

Method I_____

Method II

Method UI_____

Not Applicable

DrillIng

Costs

-

This includes the costs

lbr drilling labor, drill rig usage, and other drilling equipment

Borings which are to be completed

as monitoring wells should be listed here.

Costs associated with

disposal of cuttings should notbe

included here.

An indication must be made as to why each boring is

being conducted (i.e., classification, monitoring wells, migrationpathways).

borings to

______

feet

=

__________

feet to be bored for

________________________

borings to

______

feet

_________

feet to be bored for

_______________________

boringsto

_____

feet

________

feettobeboredfor

____________________

boringsto

feett

feettobeboredfor______________

borings to

______

feet

__________

feet to be bored for

________________________

Total Feet to be Bored:

_________________

Borings:

_____________

feetx

$______________

per foot

$________________

(or)

Hours

____________

x$______________ perhour$

borings through

______

ft of bedrock

______

Ft bedrock to be

boted

borings through_____

ft of bedrock

_____Ft

bedrock to be bored

Total Feet bedrock

to

be Bored:

___________________

Borings:

________

Ft bedrock x

$_____________

per ft bedrock

$________________

(or)

_________

Hoursx$_________ perflour=$

_________#

ofMobilizations ~

$___________

per mobilization

$_____________

Number

Other Costs

of Units

UnitCost

Total Cost

E-1

This form must be submitted

IN

duplicate.

18

---

IEMA No.

‘11p0723

2.

Professional Services (e.g., ~L,

geologist)

-

These costs must be listed in Section!, the Personnel

section of the forms.

3.

MonitorIng Well Installation Materials

-

Costs listed here

must be costh associated

with well casing,

well screens, filter pack, annular seal, surface seal, well covers, etc.

List the items below ina time and

materials format

Number

Material

of Units

Unit Cost

Total Cost

4.

Disposal Costs

-

This includes the costs for disposing of boring cuttings and any water generated while

performing borings or Staffing wells.

DisposalofCuttings:

_______

drumsx$

-

perdrum’$

Disposal of Water

_________

gallonsx$

pergallon$

Transportation Costs:

$____________________

Describe how the

water/soil will be

disposed:

Total Investigation Costs:

$________________________________

E-2

This form must be submitted In duplicate.

18

---

JEMANo.

740723

F.

ANALYSIS COSTS

PhysIcal

Soil Analysts

-

This must only include

a4.stc

costs for classification of soil types at the site.

_____

Moisture Content samples

x

$____________________

per sample

=

$_________________

_____

Soil Classification samples a

$_____________________

per sample

$__________________

Indicate method to be performed:

_____

Soil Particle Size

samples a

$_______________

per sample

=

$______________________

____Ex-situ Hydraulic Conductivity/Permeability

samples

per sample

=

$_______

Indicate the method to be performed:

____

Rock Hydraulic Conductivity/Permeability samples

persample.$

_____

NaturalOrganic Carbon Fraction (foc) samples

persample$.

Indicate the ASTM or SW-846 method to be performed:

saniplesx$

persample=$._

samples a

$____________

per sample

samplesx$

persample=$.........

samples a

$___________

per sample

samples a

$____________

per sample

2.

Soil Analysis Costs

-

This must be for laboratory

an a!ysh

only.

a

e

I O~a

SC

BTEX samples x

$

0

per sample

=

$

~

~

,t1

Ida

2OCflCV

Li.

PNA

samples a $

‘7

~

per sample

=

$

‘1

W

_____

LUST Pollutants samples a $

per sample

$____________

F-I

This form must be submitted In

duplicate.

20

---

JEMANo.

?foO

723

pHSamplesx$

persamplea$

______

Paint Filter samples a

$____________

per sample

=

$______________

_____TCLP Lead samples a

$___________

per sample

=

$____________

_____

Flash Point samples a $

per sample

=

$_____________

_____

Lab and/or Field Bank samples a $

-

per sample

=

$____________

samples a

$____________

per sample

$________

samples a $

per sample

=

$________

samplesa$

persample-.$

samples a

$

per sample

$________

samples a

$_____________

per sample

=

$_________

3.

Groundwater Analysis Costs

-

This must be for laboratory

analysis

only.

_____

BTEX samples a

$________

per sample

=

$______________

PNA.samples a

$_________

per sample

$______________

_____

LUST Pollutants samples a

$____________

per sample

=

$_____________

pl-ISamplesx$

persample=$

_____

Lab and/or Field Blanksamples a

$____________

per sample

=

$_____________

_____

Flash Point samples a

$___________

per sample

$_____________

samples a

$____________

Per sample

=

$________

samplesx$

Persample~$

samples a

$____________

Per sample

=

$________

samples a L

Per sample

=

$_________

samples a

$____________

Per sample

=

$_________

samplesx$

Persample$

TOTAL ANALYSIS COSTS

=

$

~

Lsc.

~‘

F-2

This form must be submitted In duplicate.

21

---

.

U

•

nesnriai

~Fax

(414) 652-5902

-

______

u~uEnvtronrnEntal

s?rvices

-

-

-

e.

~

L

£

C

£.~

1’

Environmental

&

Consulting Services

~58O3

52nd Street

-

--

*flfl***fl;McI&**

I

N-

V 0

I

C

E

Document

Ntnnber:

010863

-

Document

Date:

04/29/96

-

For Professional Services

Rendered:

Page:

1

4,

Sold

AES

CONSULTANTS.

LTD

-

Ship

AES

WNSULTANTS.

LTD

To;

10300

WEST

LINCOUJ

-

-.

To:

10300

WEST

LIjth)LN

WEST

ALLIS.

WI

WEST

ALLIS. ~I

53227

-

-

53227

-

-

~uat

I.D

-AES

Ship

Via.:

-

P.O.

Number./

-

Ship

Date:

04/29/96

/

P.O. Date

-

04/29/96

-

~.e

Date.:

05/29/96

Job/Order

No.:

Terms-:...:

NFl’

30

1

-

Salesperaon.:

MJ

-

Item

t.D./Desc.

Ordered

\

Ship~d

Unit

Price

Net

TX

REPJRT

4052

22.00

22M0

225.0000

4950.00

E

PNA/BTEX

PNA

$140/PER

SAMPLS

STEX

-

$85/PER

SAMPLE

-

-

-

PLEASE

REMIT

TO

Subtotal:

49500C)

GABRIEL

ENVIROMIENTAL

SERVICES

Tax

-

0.00

5803

52ND

STREET

Total...:

4950.00

•KENOSHA.

WISCONSIN

~1-+S

monthly service charge will be added

to

a))

invoices past due.

22

---

!EMANo.072.3

PERSONNEL

All personnel costs that are not included elsewhere in the budget/billing form must be listed here.

Costs must

be listed per task, not personnel type.

The following are some examples of tasks:

Drafting, data collection,

plan, report, or budget preparation lot

______

(i.e., site classification work plan, 45 day report, or high priority

corrective action budget),

sampling, field oversite for

_________

(i.e.. drilling/well installation, coirective

action, or earlyaction), of maintenance

of

.

The above list is not inclusive of all possible tasks.

____________

30

hoursx$

perhour$

Z550°°

~le)

Task tobe performed for the

abovehours:

CAP

Prep.

P. E.

: _____hoursx$

/00

per hour$

000.

°°

(Title)

Task to be performed for the

above hours:

CAP

PC ep.

&v;rcn

st6nt

I

Tech..

1/0

hours a

$_5Q...,_

per hour

$___________

(Title)

Task to be performed for the above hours:

CAP

Prep

________________

?

hoursa$_15.perhour=$

340.00

(Title)

Task to be performed

for the above hours:

C1QP

73,,*e, C~py,

Via; I,

Es

,L~

Yya~eo

aolop;ct

:

hoC)

lioursa$

$5

perhour=$

131,~00

4e)

Task to be performed for the

abovehours:

5~~b

?&ydâ.gs

~~4/e.

ii

P. E.

:

/8

hoursa$

/00

perhour$

1800.

(Title)

Task to be performed for the

abovehours:

S h’~

(2wd;k.J~k~~/C~

ii.

~4per4cio~

~

Thth.

:

/20

hoursx$

50

perhour$

t9!~0

(Title)

Task to be performed for the above hours:

£2

c:~e

cc~~,o~J

S.tri~’t~

C.

4.

_________________________

_______

hoursx$

perhour$

•

(Title)

Task to be

performed for the above hours: _______________________________________________________

C-I

This form must be submItted In duplicate.

23

---

JEMANo._____

hoursx$

perhour=S

(Title)

Task to be performed for the above hours: ________________________________________

_______________________

_______

hoursx$__________

perhour=$..

(Title)

Task to be performed for

the above hours:

_______________________________

________________________

_______

hoursx$

perhour=$_

(Title)

Task to be performed for

the above hours: ________________________________________

•

hoursx$___________ perhour’~$.

(Title)

Task to be performed for the

above hours:

_____________________________________

__________________________

________

hoursx$___________ perhour=$_

(Title)

Task to be performed for the above hours:

_____________________________________

________________________

_______hoursx$

perbour=$_

(Title)

Task to be performed for the

above hours:

______________________________________

________________________

_______

hoursx$

perhour=$_

(Title)

Task to be performed for the above hours:

______________________________________

__________________________

________

hoursx$___________

perhour=$........

(Title)

Tasktobe performed for the above hours:

___________________________________

__________________________

________

hoursx$

perhour=$.._..

(Title)

Task to be performed for the above hours:

___________________________________

________________________

_______

hoursx$___________ perhour=$_

(Title)

Task to be performed for the above hours:

______________________________________

TOTAL

PERSONNEL

COSTS: $

LEa

~i0.

°°

•

•~

--•

-

-•

G.~2

This form must he submitted In duplIcate.

24

---

for Corrective Action Work (12/1/95 to

11/20/01)

Personnel Summary

Hydrogeologist

BOihours

c~

85$/how

$

2,55000

Corrective

Action Plan

(Preparation)

PEE

tOhours@100$/hour

$i,00000

Corrective

Action Plan

(Preparation)

Environmental Tech IDrafter ID hours

@

50$/hour.

$

500 00

Corrective

Action Plan (Preparation)J

Administration

8 hours

@

45$/hour

$

36(3

00

Corrective

Action Plan (type, copy, edit, mail))

Rydrogeotogist

160 hours

@

85$/hour

$13,600 00

(Subcontractor

Coordination, CA Supervision, Soil Analysis, Soil

Sampjing)

PRl8hours@100$/ljour

,

(Subcontractor

Coordination, CA Supervision)

Ens’

Tech

forafter 120 hours

@

50$/hour

$ 6,000 00

On-Site

Support

during C A

Total of Personnel Time

$

Materials/Equipment Expenditures Summary

Photo

ionization

Detector (PID)

8 days

®

$1 00/day

$

800 00

Total ø1’Matenals

$

80000

Total

Amount Due to

AES

Consultants, Ltd

..

,

..

$26,610.00

A~ES

CONSULTANTS,

•

Lfl)

Swtf-TFood Mart

Mr.

Isarn

Saed,

1100

Belvidere

Rd

Waukegan,

IL60085

•

RE:

Bilthigsümniary

Invoice Summary

1009

Washington

Street

•

Grafton

Wisconsin

5302

362-375-7500

U

1-800-580-6700

U

FAX 26Z-375-835

C.

•

It

0..

0

1:

25

---

LEMANo.

‘/1.0723

0.

EQUIPMENT COSTS

All equipment used must be listed below ina time and materials format.

Handling charges should not be added

here;use Section J.

Own

or

Total

Equipment

Rent?

Time Used

Unit Rate

Cost/item

P1 ü

?

$/cvso

ir

cuv,eO

Subtotal Page

B-I

UVLA

H-I

ThIs form must be submitted Ii

duplicate.

26

---

IIEMANo.

960723

Own

or

Total

Equipment

Rent?

Time Used

Unit

Rate

Cost/Item

0-2

This form

must be

submitted in duplicate.

Subtotal

Page H-?

Total(Pagesi-i-I and

11-2)

27

---

JEMANo.

lt.o

723

L

FIELD PURCHASESAND OTHER COSTS

All field purchases must be

listed below in a time and materials format.

Handling charges

must

not be added

here; use Section

J,

Handling Charges, to calculate the handling charges.

Field

Purchases

Quantity

Price/item

Total Cost

Do Handling

Charges

Apply?

Pe+erS

Har+mann

£~A

•

•

.

1sS,2og.z~

-

Pes

-r,vy

5gryic~s,

me.

4~~s

-

Pes

tldytr

t144’er;gl

Co.

.

‘402Z63

Yes

Subtotal Page

1-1

163,

gpgqf

Other

Costs

-

A

listing and

description of all other costs which will be/were incurred and are not specifically

listed on this

form

should

be

attached.

The listg

should include a cost breakdown in a time and materials

format

See

£neJose~rnvo;ces

7

I-i

This form must be submitted lii duplicate.

28

---

JEMA No.

9/~O7Z3

TOTAL OTHER COSTS

$_____________________

Subtotal

Page 1-2

Total (Pages I-I and

1-2)

1-2

This form must be submitted in duplicate.

29

---

•

JEMA No. 960723

This

page is attached to Peter

5

Hartmann

Co.

invoice

number

96120372.

The following invoice,

number 96120372,

from Peter J

Hartmann

Co.

depicts

ineligible

costs

related to

the UST removal at the

site;

therefore, these costs were removed and the

total

eligible

amount

is

handwritten

onthe

bottom

ofthe invoice.

3D

---

U

Ir

,‘.4

•~,

4

I.

W

IW

‘*n__

-fl*

JUSTOMER:

PETER

r. MARL’vIANN COMPANY

AIC’ZA ERflISES/MARATHCN/MCBIL

314

S.

Lz~ws

AVENJE

WAL~GAN,

IL

60085

:440

South

Waif

Road

De~

P~aines.

tiUncis

~0018

rQs~aee.~

NO: 96 t20312

JuLY19,

1996

OUR

Jos #9985

Sw~-T

FciPiun

66

DESCRiPTION

SUCHDRAW ON

Th4STALLCCN OF NEW

UNDERGROUND

TANKS

EXTRA-

3rd

~41vtOUNT

ThRJD

ADDmCNBITIING

FOR WORK

CO!v1PLET~

AS THE ABOVE SiTE.

REMOVE OLD CURBa~~G

ThISTALL 26 FT OP CURVING

@321.00/ PaIr.

FURNSH LABOR AND MATERIAL

TO

INSTALL

FIVE (5)15 GALLON

BE.OW GRADE MANHOLES

EXTRA-

4th

FOURTh ADD~ON

BILLThTG FOR WORK COlv~L~

iEi)

AT nE

ABOVE Silt

5

300.00

3

546.00

I

S

2,ø~0.00

/\

FURNISH AND INSTALL

5113

ADDITION SQUARE ~r

OF CONCRETE

@

34J51

PER yr.

GRAND TOTAL FOR THIS INVOICE

HARTMANN JOB ~

9985

S8MCE

3

SWIF-T FCCD(PE~SL3S

66

DATE

7/19/96

,-~

~

I

t~C

.1

31

---

PETER

J.

1-IARTMANN

COMPANY

24~0

South Wolf

Road

Des

P?aines. Illinois

60018

708-298-31-fl

NO: 96120224

5/23/96

FAX:

705-298-3149

DE5CRWTION~

AMOUNT

ADDmONAL. CEANGES:

FOR

RE~1OVAL.

OF

CONTAMThTATED SCES~

SEWER.REPAIRS’ &

BAC~ULING

SEVSS PLU1~ThIG

••

•

S*JWyt53~(~38465)

IvIEYE1tMIRL

INVC ICE•

SS~L&1~7?~—15~

(S~2747I).~

VULcAN

ThW0I~

S~2,3T4L9t~i5~.

(fl4725).

LTh4DAHL INVOICE

•

S

1,430.Q0!~—

t5

(S 214~50

LThDAEL.ThWOICE.

•

$1047Z2~-I5

(51,585184):

LThIDAHL INVOICE.

•

ST5J27.3~tF5~($Z269.

Ii)

LmIDAa. Th4VOICE:

TOTAL.

BIlE. FOB..TKISINVOICE

HARTMANNJCBN~3251.

SITELOCATION:

PHU.LIPS

66k

1100

BaV~~z

ROAD

WAJ~GAN, 1TJJNOL5

5

2,94t95

S~:.

5~939A&

3’

2,662.22.

~

1,644.50

S1Z.158. 13

S17~396~50

21~I5o.0~—

S43,399.76

USTOMER:

AE.S.. CONSULTANTS,. LiD

10300

W

LINCOLN

AV’E~UE

WEST ~4t

r

TS,.WI 52337

DATE

5/23/96

32

---

-

!~N1P~P4

C.

ee~

~

e r

~s

~‘

in

S

S

I

E’JSflS,

I NC

-

1 .StH

Street

IL_

tO4-02

Cc~P1ERcIAL

**

Plumbing

& Sewerage Contractors Since 1919

4*

INDUSTRI,~L

/

TOM

c3A~E/FETER J

HcARTMANI’4

CO

DEE

~L.~INEE

IL.

áOOiB

N:,zmcerff

~er~ai

Date

0S/iOJ’~

gws

INVOICE

~‘

Time:

i0~4O

‘._cc.~~tion

::r!~’tdert_

Road

“~-r-•tr

.-~“t-

Torn

L3bor

datss~

S/I

nee~ed to

cLeitncut.

-~rorn water

Ecui2m~flt,.

na-~-r±~.ianc

Labor

as

repair

nn:

tar’:

~

•

nstal i~d

new

Repaired

watr

~er’;~c~,

:CLas~nsd oarticle~

meter

to

~

.parz:cj~

‘:aused

by

the

nP?

___

3 ~

1082.

5

co

.r

V,’CL

Fi’:z:nc~

..

•Jcin~-

C~:pper

hr.

~i1

~

S9..0O

per

hr.

ZC2t~ CT

L11LnC~’~

.~P,LjS TAX

tnciuded

on

ALL

nater:.aL•3

B

~‘

uau;ce~ar.,

IL

buz I dino

ii

r o

ken

L

cnprc’i~

.17

~

—

1-lcd’

I

7

33

---

r~

jjçç

~15i

MATERIAL

U

~j~

COMPANY

bLF

RCAO.

P.O.

BOX

129,

OES

PLAINES. IL 60016-3138

,kONES;

AREA CODE

708-824-4111

OR

312-831-4033

1100

BELVIDERE

e6—4723~44,

7_OG

26—47244t

46,

4@i

26—47269!

48,600

26—47fl6~

44~100

26—473fl

45,800

25—4fl71~ 45,100

26—473741

43,800

2S—4~80I 48,000

26—47388( 45,700

26—4739E~46.100

2&—4744t7f

~4,

ado

26—47457)

49.400

26—474S9j

47,200

2~S—4746~

44,200

26—47469! 46,~00

26—41S19~

44,500

26—4752? 45,S00

26—41329

48,900

26—4751

43,600

26—475341

46,200

26—47576! 43,000

26—475771

47,200

26—475331

49,700

26—47592i

44,000

26—47594

46,

100

UNION.

PEA

.5

PEA

.5

PEA

-.9

.3

44

..B

#4

-.3

44

..31

*4

-3

44

2

*4

:3

4

3

*4

2

*4

9 *4

*4

2

*4

~_3.*4

~_3 *4

44

LB.

.2

9

RD

~3

9

RD

-~

9

RD

-8.

9

RD

-3

9

RD

JOB

INVOICZ

NCTE:

PAY FROM THIS INVOICE.

STATEMENTS WILL NOT BE

RENDERED.

H3030

b—12—96

________

___

TERMS:

NET

~

~

76

STATION

Ft LL—’RAVEL

F

ILL—iRAVEL

FILL—CRAVEL

*4

ROAD

STONE—CA—I

R CAD

ROAD

ROAD

ROAD

ROAD

Rt3

AD

R’OAd

ROAD

.RC

AD

ROAD

ROAD

ROAD

ROAD

ROAD

ROAD

•~*4 ROAD

STONE—CA—

I

STONE—CA--i

STONE—CA—I

STONE—CA—

¶

STONE—CA—i

StONE—CA-

I

STONE-tA—i

STONE—CA—i

STONE—CA—i

STONE—CA—I

$7

ONE—CA—i

STONE—CA—I

STONE—CA—

I

STONE—CA—I

STONE-CA—i

STONE-CA—6—-TY

B

STONE-CA—S—fl

B

STONE-

CA—S—I?

B

-Si

ONE

-~—6—T? B

9.25

9.25

9.25

11.46

II

.46

11

.46

Il

.46

11.46

II

.46

11

.46.

•h.

11

.46

ii

U46

11

.46

11

.46

11

.46

11

.46

ii

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ii

.46

11.46

12.46

12.46

I2.46~.

12.46

I

2.46

Nj

TN!

IN

IN’

n.E

14

N

N

N

N

N

N

NI

RN

jTN

RN

I

t

N

Ic

PAY

THIS

AMOUNT

WAUREG

—

I-.

Jr

206.

214.

224J

ti/tA2

27!-J

I

~

~

270.-’

as:.

26~

25~.:

260

290

249

-

26~.

267

294...

309.

274.:

287

HART$ANN

S

4.

COMP~NY,

PETER

J

/

-

K

N

\

-

U.—

p

-

1—0

-11-6

-

2-6

-

2-6

-1

2-6

-

2-6

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-

-.

2—6

-12-6

-‘2—6

-

2—S

-12-6

-

12-6

-12--

6

-

2-6

-

2-6

-ia--

-

2-6’

-l-’~-

6

1

08

1-09

1

08

1

08

1 08

108

1

08

1

08

1

08

1 08

1

08

108

108

108

I

OS

1 08

108

1 08

108

108

1

08

1 08

1

08

1

08

108

READY

MIX

CONCRETE. BUILDING MAIERIAt.S- EXCAVA1ING ‘CONCRETE

PUMPING

34

---

-

.r

-&..-~

~.I..,!

..~St

S~’~

~

MATERIAL

-

~JCB1NXO~CE

t

____

COMPANY

NC1t~ PAIFROM ThI&LNVOICE. i?

~-‘

--

.1Jr

~

-

,o,p.c

-,~,

‘

STATEMENTS WILL

NOT

SE

RENDERED.

.:~

OLC ROAD

P0

BOX

129

OES

PL&INES

L 60016-3136

-

~

-~

-

~

‘HONES:

AREA CODE

708-824-4111

OR 312-631-4033

.

-

.

-

..

~

~:.-

“.‘.“~

,“-~‘

•.

..

..

-

.

‘

______-

_______

______

___

HARThANN

S COMPANY,

PETER

S

-

H300

4—12—96

M303070

3

ç~J~

-S..

~

1

F

-

/

T~S?~

_-___

PRODUCT

389 .30

115.00

07

•Q.

a.

I

~,

-

-,

.--.

I

-:-

~-~:a~’~

RECAP

-

~

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9

RD

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PEA

FILC~GRAVEL

U

~—‘~~$,,4J~r’:-,.’t.

:~.2~-~-

-

.._

,,

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—

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t-_

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r

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.

I.

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-

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.

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~

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PAY

TillS

A

nflflV

MIX

CONCflETE

-

BUILDING MATEMALS

-

EXCAVA1ING

-

CONCRETE PUMPING

35

‘-I

L,..

a

I

.4.-

/

I

---

S

-..

•.•.

•.-,

-.•-

.

________

LF

ROAD. RU.

BOX

129.

DES

PLAINES.

IL 60016-3138

PHONES:

AREA

CODE

708-824-4111

OR

312-631-4033

HARTMANN

&

COMPANY,

PETER,!J

:i

/~:

~vL

7-1

JOB

INVOICE

NOTE:

PAY FROM

THIS

INVOICE.

STATEMENTS WILL NOT BE

RENbERED.

4t~a~1

~5?~J

U

‘7’

.

-~-~

-

JL

WAUKEG

214.’

265,:

~./a2o.

217.:

203.

229

-‘

209

-~

215.’

219..

225;

206

.~

216.’

21~~

h

226.

213.;

L.

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20-3

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211

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1100

EELVIDERE

UINION

76

STATION

hi—s

toe

26—4724~

46,400

LBj

PEA

FILL—GRAVEL

—12—6

108

a6—4737q 46,300

~S

*4 ROAD STONE—CA—I

~—5

10$

26—4749~ 46,400

*4

ROAD

STONE—CA—I

ha—a

108

25—4755-4

46,400

LB

*4

ROAD

STONE—CA—I

2—4

~08

26—476I~ 46,300

~3

9

RD

STQNE—CA—6—T?

~

6—6

108

26—479Th

47,600

UI

PEA

FILL—GRAVEL

&—6~

108

26—479~ 47,100

~3I

PEA

FILL-GRAVEL

6—4

108

25—47938

45,000

~3I

PEA

FILL—GRAVEL

6—6

103

26—479511

49,500

L~

PEA

FILL—GRAVEL

6—6

•

108 26—4800~

45,300

Ls

PEA FILL—GRAVEL

6—6

108

26—430011

46,700

~2fPEA

‘FILL-—GRAVEL

.

6—6

108 26—4800~ 47,400

~

PEA

FILL—GRAVEL

6—6

1-08 26—480O~48,800

Ls PEA FILL—GRAVEL

6—6

108 26—4809~44,600

LB

PEA

FILL—GRAVEL.

6—6

108 26—430r

46,900

131

PEA

FILL—GRAVEL

6—6

108 26—4810E 47,100

Is

PEA FILL—GRAVEL

6—6

103 26—48111

49,000

~3 PEA FILL—GRAVEL

6—6

108 26—4811E 46,100

U

PEA FILL—GRAVEL

6—6

108 26—4812d 45,900

LB PEA FILL—GRAVEL

6—6

08 as—48-Ia~45,200

LB PEA FILL—4RAVEL

7—6

lOS 26—481!~45,700

12

PEA FILL—GRAVEL

7—6

108 26—481611 46,600

25A rILL—GRAVEL

7—j

708 26—48I6~44,400

PEA FILL—GRAVEL

7-4

108 26—48231j 46,500

PEA FILL—GRAVEL

7—4

108 26—4823~ 46,600

U

PEA FILL—GRAVEL

.

4

9.28

Th

11 .46

TM

17,46

rNj.

11.46

~IN~

12.46

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9.25

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9.25

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~Z

‘“‘

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IdArtflIAI

e

-

VrA~IAflIJfl

-

rriIJr~c-,--s

c,uuauijn

36

---

4—17—4

FILL—GRAVEL

I:

MATERIAL

J06

INVOICI

c~

1

(

‘

COMPANY

NOTE;

PAY

FROM

THIS

INVOICE.

NOTING,

STATEMENTS

WILL

NOT

BE

RENDERED.

580

WCLF’AOAD.

P.O.

SOX

129,

DES

PLAINES,

L

60016-3118

‘PHONES: AREA

CODE

708-824-4111

OR 312-6314033

HARTMAMN&COMPANY,

PETER,

3

~

I

~

I

L

:‘~

‘~

‘

L

•1

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___________

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4SJ00

LBI

PEA

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e~y’~r;

69.35

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—

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MIX

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BUILDING MATERIALS

EXCAVAflNG

.

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37

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---

MATERIAL

COMPANY

NOT

INC.

WOLF

P040.

RU.

SOX

129.

DES

PLA~NES.

IL

60016-3136

PHONES~AREA

CODE

ä~X~1~i~4033

I

847—824—4771

OR

312—631—40i3

HART?IANN

&

COMPANY,

PETER

J

.

~.‘

,.~-

JOB

INVOICE

NOTE:

PAY

FROM

THIS

INVOICE.

STATEMENTS

WILL

NOT

BE.

RENDERED.

fl3030

I

4—30—96

-

TERMS:

NET

-

~~t.~’JQ3tcti1Oft~DQRESgZ

.r3S.~,.

rW~&-~’F~r

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103

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03

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1

08

1

02

1

03

03

03

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48,000

a5—~78~E1

48,400

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26—479521

47,300

25—46007j46,700

26—480081 46,300

26—48097

47,400

La

~3

La

La

LB

LB

.3

2&—4S1~2 46:,&00

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25—48163)

46,500

25—481651

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