~15~1/~R~

\

fi

RECEIVED

UI4II1IMJ4UI4UTION

CONTROL BOARD

CLERK’S

OFFICE

~

JUL

182003

DALEE OIL COMPANY,

)

STATE

OF

(LUNOIS

Petitioner,

)

Polluflon

Control

Board

v.

)

PCBNo.03-118

ILLINOIS

ENVIRONMENTAL

)

(UST Appeal)

PROTECTION AGENCY,

)

Respondent.

)

NOTICE

Dorothy M.

Gunn, Clerk

Curtis W. Martin

Illinois Pollution Control Board

Shaw & Martin, P.C.

James R.

Thompson Center

123

South Tenth Street

100

West Randolph Street

Suite 302

Suite 11-500

P.O.

Box 1789

Chicago,

IL

60601

Mt. Vernon, IL 62864

Carol Sudman, Hearing Officer

Illinois Pollution Control Board

600 South Second Street

Suite 402

Chicago,

IL 62704

PLEASE

TAKE NOTICE

that

I

have

today

filed with

the

office of the

Clerk

of the

Pollution

Control

Board a MOTION FOR LEAVE

TO

FILE INSTANTER THE

ADMINISTRATIVE

RECORD

and ADMINISTRATIVE RECORD, copies of which are herewith served upon you.

Respectfully submitted,

ILLINOIS ENVIRONMENTAL PROTECTION AGENCY,

Respondent

John~

Assistant Counsel

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: July 17, 2003

---

BOARIP-ERK’s

OFFICE

JUL

1

8

2003

DALEE OIL COMPA.

STATE

OF

On

Conty0,n

)

PCBNo.03-118

ILLINOIS ENVIRONMENTAL

)

(UST Appeal)

PROTECTION AGENCY,

Respondent.

)

MOTION FOR

LEAVE

TO

FILE

INSTANTER THE ADMINISTRATIVE RECORD

NOW COMES

the Respondent, the Illinois

Environmental Protection Agency

(“Illinois

EPA”),

by

one of its

attorneys,

John J.

Kim,

Assistant

Counsel

and

Special

Assistant

Attorney

General, and,

pursuant to

35

111.

Adm.

Code

101.500, hereby requests that the Illinois

Pollution

Control Board (“Board”) grant the Illinois

EPA leave to file instanter the Administrative Record

for this matter.

In support ofthis motion, the Illinois EPA states as follows:

1.

The Petitioner,

DaLee

Oil

Company,

filed its

appeal

on

or

about

May 8,

2003.

The

Illinois

EPA received notice of the Petitioner’s

filing on

May 9,

2003.

Pursuant

to

35

Ill.

Adm.

Code

105.116,

the Administrative

Record

(“record”)

is

to

be

filed with

the Board

within

thirty

(30) days after the filing ofthe petition.

Accordingly, the record was due to be

filed on or

before June 7,

2003.

That date was a Saturday, and the following business day was June 9, 2003.

2.

This

appeal

is

linked

to

a

number

of

other

appeals

involving

a

common

environmental consultant

retained by the respective -owners

or operators that have filed petitions.

3.

The

Petitioner

and

the

Illinois

EPA

have

been

in

discussions

regarding

the

resolution of this and all

other related actions.

Further, the parties have been in

contact with the

Hearing Officer assigned by the Board.

4.

Following

extensive

discussions

between the parties,

the progress of which

has

been consistently and

periodically provided to the Hearing Officer, the parties have agreed that a

v.

)

1

---

number of other related appeals can be considered as either settled or not

in need of a hearing at

this time.

Specifically, of 10 appeals involving the common

consultant originally set

for hearing

in July,

six have since been either resolved or will be stayed pending further efforts to resolve

the

underlying issues.

5.

The time

spent negotiating the resolution ofthese appeals has delayed

submission

of the Administrative

Record,

although the end results were certainly worth the effort expended.

The

Illinois

EPA nonetheless regrets the delay,

and

hopes that

the

Board

will

accept this

late

filing.

WHEREFORE,

for

the

reasons

stated

above,

the

Illinois

EPA

hereby

respectfully

requests that the Board grantthe Illinois EPA leave to file instanter the Administrative Record.

Respectfully submitted,

ILLINOIS ENVIRONMENTAL PROTECTION AGENCY,

Re

nent

Jo

.Kim

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: July

17, 2003

This filing submitted on recycled paper.

2

---

CERTIFICATE OF SERVICE

I, the undersigned attorney at

law,

hereby certify that on July

17,

2003,

I served true

and

correct copies

of a

MOTION FOR

LEAVE

TO FILE

INSTANTER

THE

ADMINISTRATIVE

RECORD

and

ADMINISTRATIVE RECORD,

by

placing

true

and

correct

copies in

properly

sealed and

addressed

envelopes and

by sending via overnight mail

delivery, upon

the following

named persons:

Dorothy M. Gunn, Clerk

Illinois Pollution Control Board

James R. Thompson Center

100 West Randolph Street

Suite

11-500

Chicago, IL 60601

Carol Sudman, Hearing Officer

Illinois Pollution Control Board

600 South Second Street

Suite

402

Curtis W. Martin

Shaw & Martin, P.C.

123

South Tenth Street

Suite 302

P.O.

Box

1789

Mt.

Vernon, IL

62864

Chicago, IL

62704

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

Assistant Couns~l

217/782-9143 (TDD)

---

RECEIVED

CLERK’S

OFFICE

JUL

1

8

2003

STATE

OF

IWNOIS

Pollution

Control

Administrative Record

---

ILLINOIS

ENVIRONMENTAL

PROTECTION

AGENCY

1021

NORTH

GRAND’AvENUE

EAST,

P.O.

Box

19276,

SPRINGFIELD,

ILLINOIS

62794-9276

JAMES

It

THOMPSON

CENTER,

100

WEST RANDOLPH,

SUITE

11-300,

CHICAGO, IL

60601

GEORGE

H.

RYAN, GOVERNOR

RENEE

CIPRIANO,

DIRECTOR

217/782-6762

CERTIFIED MAIL

7c~9O3ctcO’

167qaq5q

JAN

0

3

2003

DaLee Oil

Company

Attention: Ronald ICruep

201

Hanover Street

Okawville, Illinois

62271

Re:

LPC #1898115003

--

WashingtonCounty

Okawville/Kruep-Rocky’s 66-DaLee Oil

Company

Rt

177

West

LUST Incident #923466

LUST FISCAL FILE

Dear Mr. Kruep:

The Agency has completed the review ofthç,request for reimbursement of corrective action costs

from the Illinois Underground Storage Tank Fund for the above-referenced facility.

The invoices

reviewed covered the period from

September

1,2001

to November 30, 2001.

The amount

requested was $14,788.85.

The deductible amount

for this

claim

is $15,000.00, which was previously deducted from

the

Invoice Voucher dated January

3,

1997.

Listed

in Attachment A are the costs

which are not being

reimbursed from

this request and

the reasons these costs are not being reimbursed.

On January

16, 2002,

the Agency received your complete request for payment for this claim.

As

a

result ofthe Agency’s review ofthis

claim, a voucher for $12,193.03

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 claim.

Subsequent claims

that have beenlare submitted will

be processed based

upon the date complete subsequent billings

requests are received by the Agency.

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

An underground

storage tank owner or operator may appeal

this final decision to

the Illinois Pollution

Control

Board (Board)

pursuant to

Section

22.1 Sb(g) and

Section 40 ofthe

Act by filing a 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 of time not to

exceed 90 days by written notice from the

RocicroRo —4302 North

Main Street, Rocklord,

IL 61103 —(815) 967-7760

•

Ors

PLMNES

—

9511

W.

Harrison

St.,

Des Flames, IL 600)6 —(847) 294-4000

5 South Stale,

Elgmn,

IL 60123 -.1847) 608~3131

•

PEoRIA

—5415

N.

University

St.,

Peoria,

IL 61614 —(309) 693-5463

BUREAU

or

LAN

620 N, University

St..

Peoria, 1161614— (309) 693-5462

•

CHAMPAIGN

—2125 South First Street,

Champaign,

161820

~.

1217) 278-5800

SPRINGFIELD

—4500S.

Sixth

Street Rd., Springfield,

IL 62706—1217) 756-6892

•

C0wNSvILLE —2009 MalI

Street,

Collinsville,

IL 62234.4hi

-5120

MARION

—2309W. Main St., Suite) 16, Marion,

IL 62959—618) 993~7200

PRINTED

ON

RECYCLED

PAPER

---

Page 2

owner or operatorand 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 ofthe

date the final decision was received, along with a copy ofthis decision, must be

sent to

the Illinois

EPA as soon as possible.

Far 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,

Illinois 60601

312/814-3620

For information regarding the filing of an

extension, please contact:

Illinois

Environmental Protection Agency

Division ofLegal

Counsel

1021

North Grand Avenue East

Springfield, Illinois 62794-9276

217/782-5544

If you

have any questions, please contact Nancy Moore of my staff at 217/782-6762.

~cY.a~

D

uo

s

E.

Oakley, Manager

LUST Claims

Vnit

Planning &

Reporting Section

Bureau of Land

DEO:NM:kgg\020041 .doc

Attachment

cc:

United Science Industries

bcc:

Division

File

Nancy Moore

Brian

Bauer

0002

---

Attachment A

Accounting Deductions

Re:

LPC #1898115003--Washington County

Okawville/Kruep-Rockys 66-DaLee Oil Company

Rt

177 West.

-

LUST Incident No. 923466

LUST FISCAL FILE

Item #

Description ofDeductions

I.

$10.44, deduction in costs that the owner/operatot failed to demonstrate were

reasonable (Section 22.1 Sb(d)(4)(C) ofthe Environmental Protection Act).

The delayed payment charge on the Illinois Power bill with

a due date ofNovember 15,

2001

is ineligible.

This is billed on United Science Industries Invoice #18-8929 dated

December

10, 2001

($9.32

+

$1.12 handling

charge).

NM:kgg\020042.doc

‘P0003

tr:M

---

Attachment A

Technical Deductions

Re:

LPC #1898115003

--

Washington County

Okaville

I

Rocky’s 66 (DaLee Oil Co.)

Route

177 West

LUST Incident

No. 923466

LUST FISCAL FILE

Item#

Descriptionof Deductions

1.

$2,585.38,

deduction in costs that the owner/operator failed

to demonstrate were

reasonable (Section 22.1 8b(d)(4)(C) of the Environmental Protection

Act).

2.

The fllinois EPA has reviewed the lease agreement for equipment being used at the

above-referenced site and has determined that a maximum of 16 month(s) of additional

lease payments at a rate of$2,457.31

would be eligible for reimbursement.

Any

requests for reimbursement oflease fees beyond 36 month(s) will not be eligible for

reimbursement.

The illinois EPA considers these costs unreasonable (Section

22.18b(d)(4)(C) of the Environmental Protection Act).

BPB\

CflflU

.

---

OLD PROGRAM

PAYMENT SUMMARY

Reviewer:

Nancy Moore

Incident:

#

923466

Review

Date:

2/5/02

Queue:

1/16/02

Billing Period:

9/1/01

to

11/30/01

Site Name:

OkawvilleIKmep-Rockls 66-DaLee Oil Company

PM:

Bauer/Hale

Amount Requested:

$14,788.85

SUB TOTAL:

$14,788.85

Less:

STAM)ARD DEDUCTIBLE:

MET

Less:

DEDUCTIONS:

18

(10.44)

18

(Technical)

(2,585.38)

#________________

____________

SUMMARY DATE:

1/2/03

ORIGINAL Q-DATE:

Total Amount Due:

$12,193.03

Payee:

FYI

Facility:

_____________

Address:

Address:

City:

_________________________

City:

___________

0005

County:

_______________________________

County:

______________

---

OLD PROGRAM (Section 731)

TO:

Doug

Oakley

Review Date:

2/5/02

FROM:

Nancy Moore

ProjectManager: Bauer/Hale

Sent to Tech:

2/5/02

LPC

#

& County:

18981 15003/Washington

Site City &

Name:

Okawville/Kruep-Rocky’s

66-DaLee Oil

Company

Site Address:

Rt

177 West

LUST Incident #

923466

LUST / FISCAL FILE

The above referencedfacility’s consultants/contractors submission

regarding invoices and billings has been

reviewed.

The consultant/contractor in this billing package is:

United Science Industries

Queue:

1/16/02

JEMA:

12/4/92

OSFM:

9/15/94

Revised

Q:

_________________

Tank Pull:

10/5/94

Planned:

____________

Not Planned:

XX

Elig(ble Tanks:

1-6700 Gasoline; 2-4000 Gasoline &

1-1000 Gasoline

The

Billing Period for this claim covers:

9/1/01

to

11/30/01

The Amount Requested

in this billing package

is:

$14,788.85

The Deductible Applied to this billing package is:

MET

MANDATORY DOCUMENTS:

1.

Owner / Operator Billing

Certification

2.

Professional Engineers Certification

3.

Proof of Payment of Deductible Amount

X

4.

Minority / Women’s Business Enterprise Form

X

5.

FederaL Taxpayer Identification Number Form.

X

6.

Private Insurance Coverage Forms.

The costs

have

been deemed reasonable based upon established standards, practices and procedures with the

following

exceptions:

The $15,000.00 deductible

was

met--Invoice 1/3/97.

The

2-4K

and

1-6700 Gasoline tanks

were

pulled

10/5/94.

Accounting Deductions:

#18--Cut

$10.44 ($9.32

+

$1.12 handling charge)

for the Delayed Payment

Charge on

the Illinois Power

bill with a due date

of

11/15/01.

Total Accounting

Deductions

$10.44

Total to

Pay

$14,778.41

This

review

does

not take into consi4eration the following

issues:

/3

The legitimacy or

validity

of the

site reniediation

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. ISb(d)(4)(F) of the En ~ironmentalProtection Act; 3) If there are any

reports, technical data, or inform4~J

port of this

claim.

---

Illinois

Environmental

Protection

Agency

Federal Taxpayer Identification Number

and

Legal

Status Disclosure Certification Requirements

823466

In

order to comply with

requirements

mandated

by

Internal

Revenue Service Rules and Regulations, the

tank

ownerloperator must complete thesection entitled TAXPAYER IDENTIFICATION

NUMBER

AND

LEGAL STATUS DISCLOSURE CERTIFICATION below.

Enter your taxpayer

identification

number (TIN) in the appropriate space.

For

individuals

and sole

proprietors,this

is your social security number.

For other ei~tities,

it is your employer identification

number.

Federal Employer Identification Numbers (FEINs) must not be used for~sole

proprietor-

ships.

-

If you do not have a

TIN,

apply for one immediately.

To apply, get Form

SS-5,

Application

for a

Social Security Number Card (for

individuals)

from your local office of the SocialSecurity admini-

stration. or Form 55-4. Application for Employer Identification Number (for businesses and all other

entities), from your local Internal

Revenue

Service office.

To conplete the certification if you do not have a TIN, till out the certification indicating that a TItá

has been applied for, sign and date the form, and return it to this Agency.

As

soon as you receive

your TIN,

118 out anothersuch form Including your TIN, sign and date the form, and send it to

this

Agency.

If you fail to fumish your correct TIN to this Agency, you are subject to an IRS penaltyof$50.00 for

each such failure unless your failure is due to reasonable cause and not to willful neglect.

WiLLFULLY FALSIFYING

CERTIFICATIONS OR AFFIRMATIONS

MAY

SUBJECT

YOUTO

CRIMINAL

PENALTIES

INCLUDING FINES

ANDIOR

IMPRISONMENT.

Please return

the

completed form to the Bureau of Land,

Remedial

Projects. Accounting & Procurement

Unit. P.O.

Box

19276, Springfield, illinois 62794-9276.

TAXPAYER

IDENTIFICATION

NUMBER

AND LEGAL STATUS DtSCLOSURE CERTIFICATION.

Underpenalties of perjury,

I

certify that

the

FEIN

or

SocialSecurity Number indicated

below ismy correct

Federal Taxpayer Identification Number.

I am doing business as a (please check one):

Individual

-

Partnership

X.

Corporation

Trust

or Estate

DaLee Oil

Comp~ny,Ipj~_

Name of Fiim (Please print or type)

—

Sole Proprietorship

Governmental Entity

—

Tax

Exempt Organization

(IRC 501i

—

Real Estate Agent

—

Not-for-Profit

Corp.

—.

Medical

& Health Care

Services

Provider Corp.

e3-o7-

sr

Date

Nate: Odginalsignature required.

532

1887

367

Rev. Mar—93

lit

Aqeacy

k sittucifrId

Ic

rnq,sa Its ki4onvclon

widet V.

*cà

Enyfroanwfll

PMdion

Ad.

ItS

LIZ

Si

e(aq. ~om.dyI

RIvStS

Cli

ill

112.

tool .t

..q4. Oisdotw.cie.k Wocwaioah c~*.d.

Panic

ptcpfl

conçS.

thh

Ion,

kit.

.ntketym.y

ma

lath.

de4ay ordS.J ci say

n.r~w~

m.quw.d

heesuMer.

at

baIt

has

been SOQtwed by

it,.

Foat~M.p.g.ccte*

~

o’o’P7

Taxpayer Identification

Number

---

DATE TRACKING SHEET

To:

From:

Victoria Mckinnon

Nancy

Moore

Queue:

Amount Requested:

LPC it &

County:

Site Name;

Site Address:

LUST Incident It

LUST

I

FISCAL FILE

/~9g,i)

O~?~twt.tZL.c~

/

j~

~_

o~’c-~-

I

~

123 4’(~.(

Pulled Claim

Initial Review

Called or Faxed Consultant

Letter Out to Consultant

Received Reply From Consultant

Called or E-Mailed Technical

Received Reply

From Technical

Sent to Technical

Received Back

From Technical

Review Completed

Sent to Word Processing

Received Back from Word Processing

Sent to be Mailed

Dates

2/Slot

/~2//3/O~2

/2//3/AL

a.

$79.

~zr

Comments:

---

LUST Claims

Unit (LCU)

LPC# & County:

18981 15003/Washington

Date sent to LUST:

2/5102

Site Name:

Okawville/Kruep-Roclcy’s 66-DaLee Oil Corn

LCU Due Date:

ASAP

Incident #:

923466

LCU Project Manager:

Nancy Moore

Amount Requested:

$14,788.85

LUST ProjectManager:

Baiter/I-Tale

Technical Review Requested for:

(_1$30K

-

-

X

*Ongoing incurred costs (e.g.

Pump & Treat, Groundwater Monitoring)

Amount:

Frequency:

____________

Length ofTime;

10 years

X

tSpeciiic issue (e.g. specific early action costs, multiple deductibles, etc.):

(Identify/explain specific issues below)

1. This package contains monthly charges for the groundwater system.

Brian Bauer has the file for this site, and

is working on approving an amount for the operation ofthe system. There is another package in the file that has not

beenreviewed that will need to be returned to me for an accounting review when a determination

is

made.

Are thecharges in this package for the monthly operating costs ofthe system reasonable?

LUST Section

Reviewed by:

3

~

M

Date Sent to LCU:

______________

)

*Approved

*Dethed (Citations from Attachment A and reasons for denial)

4Partial

approval (List deductions and r

ason):

Comments:

-.

I

I

pgp~

Unit Manager Initials:

~

b

---

OLD PROGRAM

(Section

731)

TO:

Doug Oakley

Review Date:

2/5/02

FROM:

Nancy Moore

Project Manager; Bauer/Hale

Sent to Tech:

2/5/02

LPC

# &

County:

18981 15003/Washington

Site

City & Name:

Okawville/Kruep-Rockys 66-DaLee Oil Company

Site

Address:

Rt

177 West

LUST Incident It

923466

LUST/FISCAL FILE

-

-

The above

referencedfacility’s consultants/contractors submission regarding invoices and billings has been reviewed.

The consultant/contractor in this billing package

is:

United Science Industries

Queue;

1/16/02

IEMA:

12/4/92

OSFM:

9/15/94

RevisedQ:

_____________

Tank Pull:

10/5/94

Planned:

____________

Not Planned:

XX

Eligible Tanks:

1-6700 Gasoline; 2-4000 Gasoline & 1-1000 Gasoline

The Billing Period

for this claim covers:

9/1/01

to

11/30/01

The Amount Requested in this billing package is:

$14,788.85

The Deductible Applied

to this billing package is:

MET

MANDATORY

DOCUMENTS:

X

1.

Owner / Operator Billing Certification

X

2.

Professional Engineer’s Certification

3.

Proof ofPayment ofDeductible

Amount

X

4.

Minority

I

Women’s Business Enterprise Form

X

5.

Federal Taxpayer Identification Number Form.

X

6.

Private Insurance Coverage Forms.

The

costs have been deemed reasonable based upon established standards, practices and procedures with the

following exceptions:

The $15,000.00 deductible was met--Invoice 1/3/97.

The 2-4K and

1-6700

Gasoline tanks were putted

10/5/94.

Accounting Deductions:

#18--Cut $10.44 ($9.32

+

$1.12 handling

charge) for the Delayed Payment Charge on

the Illinois

Power

bill

with a due date of 11/15/01.

Total Accounting Deductions

$10.44

Total to Pay

$14,778.41

This

review

does

nor

take into

consideration

thefollowing issues: I) The

legitimacy or

validity

of the

site remediation activities;

2)

Whether

or

not plansfor corrective action

were submitted or approved

by

the

Agencypursuant to

Sections 22.18b(dX4)(E)

and

22.

18b(d)(4)(F)

of

the

Environmental

Protection

Act;

3) If there are any reports, technical data, orinformation

r

6uJJpOrt

ofthis claim.

---

Attachment A

Technical Deductions

Re:

LPC #1898115003--Washington County

Okaville / Rocky’s 66

(DaLee

Oil

Co.)

Route

177-West

-

LUST Incident No. 923466

LUST

FISCAL

Item#

Description of Deductions

1.

$2,585.38, deduction in costs that

the owner/operator failed to demonstrate were

reasonable (Section 22.18b(d)(4)(C) oftheEnvironmental Protection Act).

2.

The illinois EPA has

reviewed the lease

agreement for equipment being used at the

above-referenced site and has determined that

a maximum

of 16 month(s) of

additional

lease payments at a rate of $2,457.31

would be eligible

for

reimbursement.

Any

requests for reimbursement oflease fees beyond 36 month(s) will not be eligible for

reimbursement.

The illinois EPA considers these costs unreasonable (Section

22.18b(d)(4)(C) of the Environmental Protection Act).

BPB\

0011

---

0.00

~

10,037-91

÷UtLJ~

tATE

raacx:NG

~

A~ti

~

LUST

ctzncs

t2aT

0-cl

-

~10-44

÷~

.

..

~~,~J—1~,788.35

~

-

_______________

—as

—__________

DC

.~s.sz.

£t$11t.

‘~‘

I

~

-

________________________________________

OWNER/OPERATOR

-4C1fl4ü1

.

b

tLtc_.

O.J

REQVESTW

AMOVNT_

78 ~T.

TITLE

16

CODE______________________

91L::Nc

PERIOD:SEGINNING

flDING__________

1~

0012

---

Incident #:

923466

IEPA (LPC)

if:

1898115003

County:

Wasrungton

Region:

o

Dalee

Oil

Co.

Rt.

177 West

Qkawville

62271

Dales

Oil

Co.

Ronald

Kruep

201 Hanover

St.

Okawville

IL

62271

PRP Phone:

Consultant:

United

Science industries

Product:

A

A-Gas;

B-Unleaded;

C-Diesel; D-Fuel Oil;

E-Jet;

F-Used

(Waste) Oil; G-Non-Petroleum

Product;

P-Petroleum

IEMA:

12/04/1992

Non-LUST Ltr:

57.5(g)

Ltr:

NFNNFR

Ltr:

Site Class:

PM:

Hale

Transferred:

NFR ltr voided:

Reclassifed:

Alternative

Technology Used:

OCS/CORE:

Comments

INCIDENT REPORT

LISTED SITE

& PRP

AS FLORA DETERINO.

CHANGED TO DALEE OIL ON 95/11/26.

Pt. 5/08/2003 appro’ded p~ot

study.

General

Nntinp of

RAIPaSA I

nflpr spot

20 flay

Rannd

rnnpivpci

Rovinw I nttnr

sont

45

flay PRnnrt rnnpivprl

Ppviow I c.ttpr

sant

RAviAw I nttnr snnt

flpuipw I

RtIAT snot

Rnvipw

I

nttgr

snnt

Cnrrpr.t,vn

Action Cnn,nlptinn

Pnnnrt rpr.niugd

flnrrnr.tivq

Ar.tinn Plan rpr.pivnil

Ppvipw

Inttnr

snnt

Pnuiqw I

nttpr sont

Raviaw

I

nitar snnt

Rnvinw

I

pttnr snnt

Misr.nrlansni is Cnrrnsnnndpnrip

rpr.nivpd

Miscpllanpni is Cnrrasnnndsnnp

rpr.pivmd

(‘.nrror.tivp

Action

Plan

rec.piund

Miscnllanpniis

flnrrnsnnnrlpncp

rnr.pivpri

I

nttpr

sPnt

M~qcniianpniisflnrrpqnnnrlpnnn rprpivprl

M~scpliannr,i

is

flnrrnqnonrlnncp

rnr,niypcl

12/1

fl/I

99:fl

A/in/Inns

P/OR/I 994

fl/IA/I

qp.c

fl/I A/I 995

fl/i

7/I

995

7/inn

nps

1/17/1997

fl/flfl/1 999

S/CS/i 992

I/I

I /2Cnn

fl/i

5/2000

.c/nfl/200n

S/n

R/2

non

lrilOut of

Compliance

AOL: Approved without

Review

APR: Approved

DEN:

Denied

DOt.: Deniedw

Ut Review

MOD:

ltn~oj!9th

Modifications

Corrective action

proceeding under 35

tAG

Part

732 and

Section

57 (Title

XVI):

No

Date PRP elected to proceed under Title XVI

for release reported

prior to

9/13/93:

Title XVI:

Selected for review:

Title

XVI 45 Day Report

selected for review:

Title XVI plan

selected

for review:

yes

No

Mandatory

Qptionar

Enforcement/Compliance

12/15/1992

Cnrnnliannn Innijin, I nttnr sant

A12fl/199fl

I

2fl1/1992

PrpFnfnrr.empnt Cnnfnrnnctn

I attnr snot

R/29/1994

fl/Oh/lflgfl

Pnsnnnsn Inni,lrv

I nttnr

spot

4/2V199R

A/2fl/199R

Cnmnlianr.p

Innujin,

I

nttnr snnt

S/17/1995

7/07/I

99fl

Cnn,nliannp lnnu in,

I nttnr snnt

12/flA/l295

7/1412000

TACO

InstItutIonal Controls and Engineered

Barriers

4/19/20Th

.

.

Title XVI

Received

Response

Due

Review

Decision

Mailed

Recorded NFR

letter received:

---

OLD PROGRAM

(Section 731j

Doug

Oakley

Review Date:

2/5/02

FROM:

Nancy Moore

Project Manager: Bauer/Hale

Sent

to

Tech:

2/5/02

LPC #

& County:

1898115003/Washington

Site City

& Name:

Okawville/Kruep-Rocky’s

66-DaLee Oil

Company

Site Address:

Rt

177 West

LUST Incident #

923466

LUST / FISCAL FILE

-~

-

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

The consultant/contractor

in this billing package is:

United Science Industries

Queue:

1/16/02

IEMA:

12/4/92

OSFM:

9/15194

Revised

Q:

________________

Tank Pull:

10/5/94

Plarmed:

____________

Not Planned:

XX

Eligible Tanks:

1-6700

Gasoline; 2-4000 Gasoline &

1-1000

Gasoline

The

Billing

Period for this claim

covers:

9/1/01

to

11/30/01

The Amount Requested in this

billing

package is:

$14,788.85

The

Deductible

Applied

to this

billing package is:

MET

MAP/PATORYDOCUMENTS:

X

1.

Owner/ Operator Billing Certification

X

2.

Professional Engineer’s Certification

3.

Proof of Payment of Deductible Amount

X

4.

Minority / Wonlenhs Business Enterprise Form

5.

Federal Taxpayer Identification Number

Form.

X

6.

Private

Insurance Coverage

Forms.

The costs have been deemed reasonable based upon established standards, practices and procedures with the

following exceptions:

The $15,000.00 deductible

was

met--Invoice 1/3/97.

The 2-4K and 1-6700 Gasoline tanks werepulled 10/5/94.

Accounting Deductions:

#18--Cut $10.44 ($9.32

+

$1.12

handling charge) for the

Delayed Payment Charge on the Illinois Power

bill with a due date of 11/15/01.

Total Accounting Deductions

$10.44

Total to

Pay

$14,778.41

This review

does not take

into

consideration thefollowing issues:

1) The legitimacy or validity of the

site

renzediation activities;

2)

Whether or not plansfor corrective action

were submitted or approved

by the Agency pursuant to SectifffJt~.4b(dX4XE)

and

22.

18b(d)(4)(F)

of the Environmental Protection Act; 3) If there

are

any reports, technical

data, or information

in support of this claim.

---

Phone: (618) 735-2411

Fax: (618) 735-2907

E-Mail:

unltedscience@unitedscience.com

January

15,

2002

Mr. Doug Oakley

Illinois Environmental Protection Agency

L.U.&T.

Reimbursement Section

#24

1021 North

Grand Avenue East

P.O.

Box

19276

Springfield, IL

62794-9276

U.S.I.

Project

No. 1894176

4.

‘iso

I.~p

6~*

Ifs

0~

RE:

LUST

Reimbursement Package

—

Kruep-Rocky’s 66.

!a9’~j~*’S

Incident Number

923466.

Site Number

1898115003:

sa~n:

200

rlltoagh

Dear Mr. Oakley:

Please

find

enclosed

one

reimbursement

package

with

engineering

certifications,

owner/operator

billing

certification,

insurance

forms,

taxpayer

identification

forms,

personnel/equipment

breakdown

and

the

IEPA

letters

showing

the

deductible

determination and approval

ofthe

work for the above referenced

site.

Should you have any questions, please

do not hesitate to call

ouroffice

at (618) 735-2411.

Sincerely,

UNITED SCIENCE INDUSTRiES, INC.

.Q,r~

9r’a~0&

‘&.

151

Project Coordinator

Enclosures

I

~

~

~

EPA

Date Received

in

RPAPLJ:

QUEUEDate:

PU

//(~

/2~

p

RECEI7ED

JAN

1

7

2:i!Y

a’

P.O. Box 360

6295 East

Illinois Highway 15

Woodlawn, Illinois

62696-0360

UNITED SCIENCE INDUSTRIES

0

QI1ISP.AJRthL.

---

____

Illinois Environmental Protection Agency

923466

UNDERGROUND

STORAGE

TANK PROGRAM

PROFESSIONAL ENGINEER CERTIFICATION FORM

I

(USE WHERE WORK

PLAN

APPROVED BY IEPA)

The work associated with the attached

claim(s) for Payment of

Corrective

Action Costs was per-

formed in accordance

with a work plan approved by the Illinois EPA.

I

certify under penalties

of law,

based on my inquiry of the person or persons who gathered the information or managed the systems for

gathering the information, that the information submitted

is, to the

best

of my knowledge and belief, true

accurate, and complete.

I am aware that there are significant penalties

for submitting false information,

Including

the possibility of fine and imprisonment for knowing violations.

1

Kniep-ffockv’s

66 S14.788.85

Date

Received

in

RPAPU:

____________

This

certification applies to work conducted,

as represented by the attachel

claim(s).

from

9/0112001

through

11/30/2001

.

QUEUE Date:

I

(c~

/23fl2

.~s

fL4

—

cc

e~,

10/

62-042135

•~.~

5’)

ReG~sTER~~

~

PROFES$lON~

:

t

.~

ENGINE~

:

S

••

qp

Note:

Original signature

and sea! required.

This

agency

Is authorized to request this Information

under the

Illinois Environmental

ProtectIon Act.

41

ILCS

5/let seq.

(formerly Ill

Rev.

Stat Ch

111

1/2,

1001

Cl

seq.).

Dlecloeure of this lnltm,ation

is

requl

Failure to properly complet, this ton, In its

entirety

may result

In the delay or

denialof any pay,nenl

requested

hereunder,

TWa

form has

been epproved b~~ia

Management Center.

tifre

P.E. SEAL

IL 532

1889

LPC

368

Rev.

Mar-93

Name:

IL.

Reg. #

Date:

Ooe

RECEIVED

0016

JAN

1

7

?0f12

(Signature)

062-42135

Joseph M. Kelly

(Please Print)

L.E.P.A.JB.O.L.

---

Illinois Environmental

Protection Agency

923466

UNDERGROUND STORAGE TANK FUND

OWNER OR OPERATOR BILLING

CERTIFICATION

I. Ron Krueo. the Owner, Operator, or duly authorized representative thereof,

of Kruen-Rocky’s

66 Leaking

Underground Storage Tank site, do herby

certify

under

penalty of law,

that the bills and the supporting

documentation attached

hereto for the sum of

of SI 4.788,85 for the work performed at

said

Leaking Underground

Storage Tank site for the

period

.9101(2001 through 1113012001 further certify that this billing

and

all attachments

thereto were prepared under my direction or supervision in accordance with

a system designed to assure

that qualified personnel properly gathered and evaluated the information submitted therein.

I affirm that

the information

is, to the best of my knowledge and

belief,

true,

accurate

and complete

and the costs for

remediating said

Leaking Underground

Storage Tank site are correct and reasonable.

Such affirmation

is

made under penalty of perjury as defined

in Section

32.2

of the Criminal Code of

1961,

Ill.

Rev.

Stat.

1991,

ch.

38, par. 32.2.

I am aware that there

are significant penalties for submitting false information,

including the

possibility of fine and imprisonment for knowingly committing violations.

~fl~$~!~ttAC7

r20’

c,

Date

Received

in

RPAPIJ:

___________

QUEUE

Date:

I//c

~2~’2

This agency is authorized to requestthis information under the Iltnole Errrlronrnental Protection

ACt.

415

II.CS

5/1 etseg. (formerly It Rev. Stat Chili

1(2,1001 etseq4.

Olaciosur,otthls IntolTnstton Is required.

Failure to property complete thIs

form

in fts

entirety may

result in the delayor denial ofany pe~ment

requested

hereunder.

ThIs

form

has

been

epØroved by the Forms Management Center,

IL

532

2099

LPC

463

Rev.

Mar-93

RE CEFYED

JAN

1

7

?flf~

~itiflj~~~

~

not?

---

Illinois

Environmental

Protection

Agency

9234

PRIVATE INSURANCE AFFJDAVIT

I.

Ronald J.

Kruep

Daj.ee

01.

company,

11w.

(owner/operator

or

firm’s name)

a

duly

authorized representative

of

• hereby certify

that

DaLee

Oil

Company,

Inc.

(owner/operator or

firm’s

name)

—

does,

X

does not have

pdvate insurance coverage

for all or part of

the

costs related to

claim

forpayment

of

DaLee

Oil

Ccznpapy1r

ThC.

‘~

.(ownerorfinn’sname)

study

and/or

remediation.costs

ocwodc perfomied at

Killion’

S

66.

(site name)

ElM

S~ireet,

:th:~

:;;t~*~*~14~e

Date:

P1-C?-

~

.l~

4’~

-

•

.‘~dju

S

Sub

edand’

“tobe*i4~’

his~

~daâf~fl~~’r4i

19.9S

~‘

‘A.

(NotaryPu)

$4&t~

I

.,tr

~-

-W

Mycornmission expires

.

‘~‘

~

-

£..‘t

;t9’~”

Note:

oñginalsignatures aMNOLaJyPublic seal required

5

JACOUEUNE M. HALL

~

!‘!QTARY

PUOLI( SlATE

OF ILLINOIS

5

IL

532

2008

Ut

Aq.acy

wMc.~.dm

eequ.dttO ItirCl~

the Macin C

‘lid Psedon

Aa,415

I.~M

teqjIorme4IR...SISO~

Iii

1/2.

ICOI

tan).

Oiu,dthSS..&,.bflq~*et

FeLge to ~fl

~..nu.la

at

inn,i

in

t.4*d~.mq

r.sca in the dSe~’

ardentS .1

5A~peIlw(

nqu.n,dh.n.,t.

itt

iontn his

b.en~cpnwd

by11w Fom. Ue,age’twatCS.

located

certify

~Mt

deductbte

.rc

LPC

419

Rev.

Mar—93

---

Illinois

Environmental

Protection

Agency

323466—

UNDERGROUND STORAGE TANK PROGRAM

Private

insurance

Coverage

Questionnaire and Affidavit

This form

must

be completed

in full

by afi

owners~operator~

or their authorized representatives, that have

a claim for payment from

the

State

of

Illinois Leaking Underground Storage

Tank

(LUST)

progrEm,

for the

labor,

materials,

overhead

and

profit costs related

to the study and/or remediation

or

a LIJST.site..

1.

Name and address of the LUST site:

ICillion’

S

66,

203

Elm

Street,

Okawville,

IL

62271

2.

Name of

insurance

company providing

coverage

for

this LUST site:

No

LUST

Coverage’

3.

Amount of coverage provided:

$

N/A

4.

Have you or your

firm

filed a claim against

your insurance

company

for this LUST site?

/

Yes

cfl~)

a.

If yes, how much

is the claim for?

b.

If no, explain why.

No

EXIST

Coverage

S.

Have you or yourfirm received payment for a claim against

your

insurance company for

this

LUST site?

Yes

a.

lfyes,howmuchandwhen? $

______________________________________

Date

—___________________________

b.

If

no, explain why.

No

LUST

Coveraae

6.

Are you going to file a claim against your

insurance

policy?

Yes

a.

If yes, how

much

and

when?

$

_______-________________________________________

Date

__________________________________

b.

If no. explain why.

No

LUST

Coverag~

________________________________________

ThIS

Aency h anhodzedto r.quesi tat Woematba .a,d.qths

Vmc~Emto.miernaf

Piotection Aa.

415

IL

532

1817

CS

sit

.n~

(lormect

WRev.Sta Ot III

1/2,

lOOt

tteeq4..Diclosw,

oat

Wc.m.IC¼rIt,t

FalluNlopope4.coapin(. itt

tarn

in ti

entiretymay ~eot

Inlb. delay ordenial cliny pJ114J

j

LPC

324

Rev.

Mar-93

reiuen.dbe,.at.

~

---

Illinois

Environmental

Protection

Agency

923466

Legal

Status

Disclosure Certification Requirements

In order to comply with requirements mandated by Internal

Revenue

Service

Rules and Regulations,

the

tank owner/operator must complete the section entilled

TAXPAYER IDENTIFICATION NUMBER

AND

LEGAL STATUS DISCLOSURE CERTIFICATION

below.

.

Enter

your taxpayer identification

number

(TIN)

inthe

appropriate space.

For individuals

and sole

proprietors,

this is

your

social

security

number.

For other

tities. ft is your employer identification

number.

Federal

Employer Identification Numbers

(FEINs) mustnotbeusedforsole proprietor-

ships.

It you do not

have a

TIN,

apply

for

one

immediately.

To apply, get Form

88-5,

Application

for a

Social

Security Number Card (for individuals)

from

your

local

office of the

Social

Security admini-

stration. orForm 55-4, ApplicationforEmployer IdentificationNumber

(for

businesses and all

other

entities), fromyour local InternalRevenue Service office.

To

complete

the

cettification if youdo nothavea TiN, till out the ceitification indicating

that a Tll4

has

been applied

for,

sign

and

date thefoam

andreturn it

to

this Agency. Assoonas you receive

your

uN,

fill

outanothersuchform includingyour TIN, ‘signand

date the

form, and send it

to

this

Agency.

If

you fall

to

furnishyour correct TIN

to

thisAgency.you are subject

to an

IRS penalty of

$50.00 for

each such failure

unless your(attireis

due to reasonable

cause and not to

willful neglect.

WILLFULLY FALSIFYING

CER11FICA11ONS OR AFFIRMATIONS MAYSUBJECT YOU TO

CRIMINAL

PENALTIES

INCLUDING RNES

ANOe’OR

IMPRISONMENT.

Please

return

the

completedform

to the Bureau of Land,

Remedial Projects,Accounting & Procurement

Unit,

P.O.

Box 19276, Springfield, Illinois 62794-9276.

TAXPAYER IDENTIFICATION NUMBER

AND

LEGAL STATUS DISCLOSURE CERTIFICATION.

Underpenalties of

perjury,

I

certifythat

the

FEIN orSocial Security

Number

indicatedbelow is

my correct

Federal

Taxpayer

Identification Number.

I am doing business as a (please check one):

Individual

—

Sole Proprietorship

Real

Estate Agent

-

..

Partnership

—

Governmental Entity

—_

Not-for-Profit Corp.

.X~

Corporation

Tax

Exempt Organization

Medical &

Health Care

Trust

or

Estate

(IRCSOt

Services Provider Corp.

31-08jfl__-

______

X

Taxpayer Identification t4umber

Date

Datee Oil

Con~ny,

I

____________

Nameof Firm (Please print or

type)

Note: On’ginalsignature

requiced.

-.

~‘

Thin ~qencyIS aod,or~dd

to requeclit

kdoontlon under the I~noin

Envkom,.entajPmwalo,. ~a,Al5

tCSSft

e(seg(lØrmedy

U R.vSWCI,

1111/2, loOt

ci

.eqj. DISdosureottatin Worn’.ition

IS reed.

Fteto

prcgsfr~

thin lam In te entirelymay rew* I, the delay

or

denial ci lay payment

requeeed

he,e.md.i.

Thi bail hasbeen icpcond bythe Foms Management CecW.t’.

L

532

1587

0020

PC

367

Rev.

Mar—93

---

a.’s~ illinois

Environmental

Protection

Mency~_____

9ZO400

UNDERGROUND STORAGE TANK PROGRAM

Illinois Environmental Protection Agency

The

IEPA

is required to report State

and

Federal funds paid to Women’s Business Enterprises (WBE)

and

to Minority Business

Enterprises (MBE).

Therefore, please provide the required information for

all

Prime Consultants/Contractors and Subcontractors

used to perform the work for this billing:

Name of

LUST site:

Kruep-Rocky’s 66

The work for this billing was performed from:

9./01/2001

Incident

No

To

923466

11/30/2001

Prime Consultants and/or

Contractors:

FIRM’S NAME,

ADDRESS, AND

TELEPHONE NO.

IS

THIS FIRM

A WBE/MBE?

IF YES, WHAT

IS THEIR STATE

OF ILLINOIS

VENDOR NUMBER?

AMOUNT PAID

OR DUE

THIS BILLING

United Science

Industries, Inc.

P0

Box 360

Woodlawn.

IL

62898

No

$

14,788.85

Billing

Subtotal

$

14,788.85

Subcontractors:

Ship

&

Hand

$$

14,788.85

•*WBE(MBE

If the 1km Is a WBE, place the

term

WBE in the

space

provided.

If

the firm is a MBE,

place the term MBE

in the space

provided.

If

the firm

is neither a WBE nor MBE,

place the word NO in the space provided.

NOTE:

This

form may

be reproducedif space is not sufficient to include all Subcontractors usedon

this billing.

Thin agency

is

authorized

to requeat thin Information under the Illinois EnvironmentalProtection Act.

415

ILCS 5/1 etseq. (bitterly

Ill Rev.

Stat Chill

1/2,1001 at seq.).

Disclosure ofthin

InformatIon

in

requfred.

Failure to properlycomplete

this torn,

in Its

entIrety

may

result

in the

delayor

denial

ofany

payment

requested hereunder.

Thin

torn.

has

been

approved

by

the Forms

Management Center.

ft

0 2

1

It.

532

2167

LPC

481

Mar-93

---

Illinois Environmental Protection Agency

UNDERGROUND STORAGE TANK

PROGRAM

Request for Payment of

UST Corrective Action Costs

Summary

Sheet for All Charges in this Billing Package

Incident No:

923466

The owner/operator or their representative shall complete this form and place

it

in the front of the

billing

package.

All charges in this billing package shall be summarized on this form.

PAYMENT ITEM

TOTAL PAYMENT REQUESTED

PERSONNEL

$

3r421.50

EQUIPMENT

MATERIALS

& EXPENDASLES

(In

Stock Items)

MATERIALS

& EXPENDABLES

(Field Purchases)

SUBCONTRACTORS

TOTAL PAYMENT REQUESTED

2,

566.07

—

0. 00

10, 037.57

-T

This

Agency

is authorized

to request

this information under the Illinois Environmental Protection Act, 415

ILCS

5/1

et

seq.

(formerly

III Rev. Stat Ch 1111/2,

1001

et seq.)

Disclosure ofthis information is required.

Failure to

properly

complete this form in its entirety may result

in the

lot any payment

requested hereunder.

This

form has been

approved by

the

Forms

M

enter.

4,050.00

—

0.

00

$

IL 532 2166

LPC 462

Mar-93

---

United Science Industries, Inc.

6295 E

Illinois

Hwy

15

Woodlawn, IL 62898

Phone: (618) 735-2411

Fax:

INVOICE

Task:

Monthly Groundwater Treatment

Unit

& Soil

Vapor Extraction

Rental & Operation & Maintenance;

Pump Removal

&

Maintenance; Prepare

~9A

Paperwork; Groundwater

&

Effluent Sampling

&

Analysis; Project

Administration1

~-k~,g~.jp

&&ciR.tc*t.. ‘Ic Rto—t0

DaLee Oil Company

206 North

Hanover

Okawviile

AnN:

BiD Parr

IL

62271

Reference:

Kruep

-

Rocky’s 66

Work Period:

9101/2001

to

Personnel Charges

$

Equipment Charges

$

Stock Item Charges

$

Field Purchases

:

$

2,566.07~.

Subcontractor Charges

$

0.00

(Subcontractor

&

Field

Expenses

pending

race/pt

by US!

are

not

included

on this

invoice and

are

subject

to future

billing.)

Payment Terms:

Category 3/DM

Customer

P.O. Number:

Please make checks

payable to:

United Science industries, Inc.

6295

E Illinois

Hwy

15

Woodlawn,

IL 62898

0023

---

Illinois

Environmental Protection Agency

UNDERGROUND STORAGE TANK PROGRAM

REQUEST FOR PAYMENT OF

UST CORRECTIVE ACTION COSTS

PERSONNEL SUMMARY SHEET

Incident No:

923466

Job Name:

Kruep

-

Rocky’s

66

For Usage instructions, see reverse.

BILLING

PERIOD

from:

4:01/2001

Hertel

Johnson

*

Use

Time and Materials Rate

LABORER

PROJECT

MANAGER

15.00

1.501—

Total Personnel

6~50J

45.00

675.00

95.00

142.50

I

34Zl.50~_-

This

Agency is authorized to request this Information

under

the

Illinois Environmental Protection Act, 415

ItS

5)1

ci seq. (formerly

III Rev.

Stat

Ch

111

1)2,

1001

ci seq.)

Disclosure

of this Information

Is

required.

Failure to

properly complete this form in its entirety may result in the delay or denial of any payment

requested hereunder.

This form has

been approved by

the Forms Management Center.

IL

532 1~1B

LPC

325

Rev.

Mar-93

fl024

Contractor:

United

Science Industries,

Inc.

to:

10(31/2001

Employee

Work Classification

ST/OT

Rate

Total

1-lertel

ENVIRONMENTAL TECHNICIAN

8.50

—

53.00

450.50

Richards

PROJECT MANAGER

4.50

95.00

427.50

Sanders

LABORER

9.sof_

45.00

427.50

Weatherford

.

SENIOR

ENVIRO TECH

24.501._

53.00

1298.50

---

Illinois Environmental

Protection Agency

UNDERGROUND STORAGE TANK PROGRAM

Request for Payment of UST Corrective Action Costs

Incident

No:

For usage instructions, see

reverse

WEEKLY WORKSHEET

Personnel

Job:

Fanning

OH

Co.

Billing

Period:

from:

09/30/20

to:

10/06/2001

Contractor

United Science Industries,

Inc.

2

SUN

MON

TUES

WED

THURS

FRI

SAT

TOTAL HOURS

in

ot

in

ot

in

ot

in

ot

in

ot

in

ot

in

ot

Employee

Type of Work Performed

st

ot

st

ot

st

ot

st

ot

st

ot

st

ot

st

ot

st

ot

King

PROJECT MANAGER

11.45

1ZOO

IL 532

1822

LPC

329

Rev. Mar-93

Page:

1

0.25

0.25

Total Hours

O.25j

ThIs

Agency is authorized to request this information

under the

Illinois Environmental

Protection

Act, 415

lLcss/1

etseg,

(tomie.lyIllRev. StatCh

111

1/2.1001

etseq.)

Disclosureotthisinformationisreguired.

Failure

to

properly

complete this

form

in its entirety may

result

in

the

delay

or denial

of any

payment

requested hereunder.

This

form has been

approved by the

Forms

Management Center.

0

0

t~

C,’

---

Illinois Environmental Protection Agency

UNDERGROUND STORAGE TANK PROGRAM

Request

for Payment of UST Corrective

Action Costs

For usage instructions,

seereverse

WEEKLY WORKSHEET

Personnel

Incident No:923466

This Agency

is

authorized to request

this

information

under the Illinois

Environmental Protection Ad,

415

ILCS

5/1

et seq.

(formerly

III

Rev. Stat Chill

1(2.

1001 et

seq.)

Disclosure

o(

this Information is required.

Failure to

property

complete this

form

in its

entirety may

result in the delay

or

denial

of any

payment

requested hereunder.

This

form

has been approved by the

Forms Management Center.

Job:

Kruep

-

Rocky’s 66

Contractor:

United Science Industries,

Inc.

Billing

Period:

from:

09/30/20

to:

10/0612001

5-

SUN

MON

TUES

WED

THURS

FRI

SAT

TOTAL HOURS

in

ot

in

ot

in

ot

in

ot

in

ot

in

ot

in

cM

Employee

Type

of Work Performed

st

ot

st

ot

st

ot

st

ot

st

ot

st

ot

st

ot

st

ot

Hertel

LABORER

07.00

13.00

.

6.00

6.00,......

Richards

PROJECT MANAGER

08.15

08.30

0.25

0.25

—

Richards

PROJECT MANAGER

11.30

12.00

.

0.50

a.so

—

Weatherford

SENIOR ENVIRO TECH

07.00

1,50

1.50

Weatherford

SENIOR ENVIRO TECH

08.30

13.30

5.00

5.00

—

IL 532

1822

LPC 329

Rev. Mar-93

0

0

U’,

0)

Page:

1

Total Hours

13.25j

---

Illinois Environmental Protection Agency

____

UNDERGROUND STORAGE TANK

PROGRAM

Request for Payment of UST Corrective Action Costs

Incident No: 923466

For

usage

instructions, see reverse

WEEKLY WORKSHEET

Personnel

Job:

Kruep

-

Rocky’s

66

Billing

Period:

from:

10/07/20

to:

10/13/2001

Contractor:

United

Science

Industries,

Inc.

/

SUN

MON

TUES

WED

ThURS

FRI

SAT

TOTAL HOURS

in

at

in

ot

in

ot

in

ot

in

ot

in

ot

in

ot

Type of Work Performed

st

ot

st

ot

st

ot

at

ot

st

at

at

ot

at

ot

at

ot

PROJECT MANAGER

.

.

‘

08.45

0.50

og.is

0.50

—

SENIOR

ENVIRO TECH

08.00

0.50

0.50

IL 532

1822

Total Hours

1.00!

LPC

329

Rev. Mar-93

This Agency is authorized to request

this

information under the

Illinois Environmental

Protection Act,

415

IIGS

5/1 et seq.

(formerly lii

Rev. Stat Gb 111

1/2,

iooia

seq.)

Disdosure of thts information Is required.

Failure to property complete this form

in its entirety nay result In the delayerdenial of any payment

Page.’

1

requested hereunder.

This form has been approved by Itte Forms Management Center.

0

0

(‘3

---

Illinois

Environmental Protection Agency

UNDERGROUND STORAGE TANK PROGRAM

Billing Period:

from:

10/14/20

to:

10/20/2001

Job:

Kruep

-

Rocky’s

66

Contractor:

United Science Industries,

Inc.

Request for Payment

of UST

Corrective

Action Costs

Incident No:923466

For usage instructions,

see ieverse

WEEKLY WORKSHEET

Personnel

/5

/7

SUN

MON

TUES

WED

THURS

FRI

SAT

TOTAL HOURS

in

at

in

ot

in

ot

in

ot

in

of,

in

ot

in

at

Employee

Type of Work Performed

at

ot

at

ôt

st

at

at

at

st

at

st

at

St

at

at

at

Johnson

PROJECT MANAGER

15.30

17.00

.

1.50

1.50

—

Richards

PROJECT MANAGER

13.30

0.50

14.00

14.30

1.50

16.00

—

2.00

‘-“

Page:

1

IL

532

1622

LPC

329

Rev.

Mar-93

0

to

Total

Hours

3.50j

This Agency is authorized to request this

information under the Illinois Environmental

Protection Act~

415

ILCS

5(1 et seq.

(formerly

III

Rev. Stat

Ch

111

1/2,

1001

et

seq.)

Disclosure

of this information

Is

required.

Failure to properly complete

this

torn,

In its entirety

may

result In

the delay or denial ofany

payment

requested hereunder.

This form

has been approved by the Forms Management Center.

---

UNDERGROUND STORAGE TANK PROGRAM

Request for Payment of UST Corrective

Action Costs

Incident

No:923466

For usage instructions, see

reverse

WEEKLY WORKSHEET

Personnel

Job:

Kruep

-

Rocky’s 66

Billing

Period:

from:

10/21/20

to:

10/27/2001

Contractor:

United Science

Industries, Inc.

SUN

MON

TUES

WED

THURS

FRI

SAT

TOTAL HOURS

in

at

in

at

in

at

in

at

‘in

ot

‘in

ot

in

at

Employee

Type

of Work Performed

at

ot

st

ot

at

at

St

at

st

ot

St

at

st

at

st

at

Hertel

ENVIRONMENTAL TECHNICIAN

07.00

15.30

.

8.50

8.50

‘—

Richards

PROJECT MANAGER

10.30

11.30

1.00

—

1.00

—

Weatherford

SENIOR ENVIRO TECH

07.00

15.00

.

—

8.00

8.00

Total Ho

IL 532

1822

urs

11.50j

LPC 329

Rev. Mar-93

This

Agency

is

authorized

to request this

Information

under

the

illinois Environmental

Protection Act 415

tICS 511 el

seq.

(formerly Ill Rev. Stat ChilI

112, 1001 et seq.)

Disclosure of this information is required.

Failure to

property complete

this

formIn its entirety

may result In

the

delay ordenial

of any payment

Page: 1

requested hereunder.

This

form

has

been

approved by

the Forms Management Center.

0

(‘3

Co

---

Illinois

Environmental Protection Agency

Contractor:

United Science Industries, Inc.

IL 532

1822

LPC

329

Rev.

Mar-OS

0

0

a

Job:

Kruep

-

Rocky’s 66

For usage instructions,

see reverse

WEEKLY WORKSHEET

Personnel

UNDERGROUND STORAGE TANK PROGRAM

Request for Payment of UST Corrective Action

Costs

Incident

Na: 923466

Billing

Period:

from:

10/28/20

to:

10/31/2001

.

SUN

MON

TOES

WED

TH(JRS

FRI

SAT

TOTAL HOURS

in

at

in

ot

in

ot

in

ot

in

at

in

ot

in

at

Employee

Type of Work Performed

st

at

at

ot

ot

at

ot

at

at

st

at

at

at

at

at

Hertel

LABORER

07.00

16.00

.

9.00

9.00

Richards

PROJECT MANAGER

ii.oo

0.25

11.15

.

0.25

—

Sanders

LABORER

07.00

16.30

9.50

9.50

.

Weathertord

~

SENIOR

ENVIRO TECH

07.00

9.50

16.30

9.50

—

Page:

1

Total

Hours

28.25

This

Agency

Is authorized to request this information under

the

Illinois Environmental

Protection Act, 415

ILCS 5/1

etseq. (formeily Ill Rev. Stat

Chill

1l2,

1001

et seq.)

Disclosure of

this

information

is

required.

Failure to properly complete this

form

in Its entirety may

result in the

delay

ordenial ofany

payment

requested hereunder.

This

torn, has been approved by the Forms Management center.

---

‘

Illinois

Environmental Protection Agency

IncidentNo:923466

UNDERGROUND STORAGE TANK PROGRAM

REQUEST FOR

PAYMENT OF UST CORRECTIVE ACTION COSTS

For usage

instructions, see reverse.

EQUIPMENT

Note:

Include

cost of

operator in the unit rates.

Job Name:

Kruep

-

Rocky’s

65

Contractor:

United Science Industries,

Inc.

UTILITY

VEHICLE

*

Use

Time and Materials Rates

5.00 DAY—

Billing

Period

From:

10/01(2001

To:

10/31/2001

60.00

300.01

—

Total Equipment Cost

IL 532 1819

LPC

326

Rev. Mar-93

This

Agency Is authorized to request this information

under the

Illinois Environmental Protection Act, 4~

lLcs

5/I

et

seq. (formerley Ill Rev.

Stat

Ch III

1/2,

1001

et

seq.)

Disclosure of

this

information is reqL

Failure to

properly

complete this

form

in its

entirety may result

in

the

delay

or

denial of any

payment

requested

hereunder.

‘This form has been

approved by the

Forms Management

Center.

Equipment

Used

Time

Used

*ynit

Rate

Total Cost

LROCKYS GROUNDWATER

1.00 MONTH

-

3750.00

3,750.0(

---

This

A9ency

is

authorized

to

request this

Information

under the

Illinois Environmental

Protection Act

415

~

Illinois

Environmental

Protection

Agency

IICS

5/1 et

seq.

(formerly

III

Rev.

Stat Ch lii

1/2,

1001

et seq.)

Disclosure

of this

information

is

required.

Failure to

property complete this

form in its entirety may result in the delay

ordenial of any payment

requested hereunder.

This form

has been approved

by

the Forms Management Center.

EQUIPMENT

Incident

No:

923466

Job:

Kruep

-

Rock

Vs 66

Contractor:

United Science

Industries,

Inc.

0

0

Ce)

Billing

Period:

from:

09/30/2001

Contractors Authorized Representative:

Date:

Date:

UTILITY VEHICLE

0.00

MON

.s~

JEQUIPMENT

SUN

ThURS

FRI

j

SAT

TUES

0.00

+

0.00

+

WED

0.00

-I-

to:

10/06/2001

0.00

l000AY

-H

0.00

IUIAL

Hrs.

or Days

1.OWAY

IL 532

1540

LPC

248

Rev. Mar-93

---

This Agency

is authorized to request

this

information under

the Illinois

Environmental

Protection Act

415

ILCS

5/1 et

seq. (formerly Ill Rev. Stat Chill

1)2,

1001

et

seq.)

Disclosure of this

information

is required.

Failure to properly complete this form in Its entirety may

result rn the delay or

denial of any payment

Illinois

Environmental

Protection

Agency

requested

hereunder.

Ths form

has been

approved by the Forms Management Center.

WEEKLY WORK SHEET

EQUIPMENT

Incident No:

923466

Job:

Kruep

-

Rocky’s 66

Contractor:

United

Science Industries, Inc.

Billing Period:

from:

10/21/2001

to:

10/27/2001

Contractors Authorized Representative:

IL

532

1540

LPC 248 Rev. Mar-93

UTILITY

VEHICLE

2.000AY

I

tOtAL

EQUIPMENT

SUN

MON

TUES

WED

j

THURS

FRI

j

SAT

)Hrs.orDays

j

0.00

.1

0.00

0.00

0.00

2.OU3AY

‘S

0

0

(‘3

Ca)

Date:

Date:

---

This Agency

is authorized

to request this

information

under the Illinois

Environmental

Protection

ACt. 415

~

Illinois

Environmental

Protection

Agency

ILCS 5/let seq.

(formerly

III

Rev.

Stat Chill

1/2,1001

et seq.)

Disclosure ofthis information

is required.

Failure to properly complete this form

in

its entirety

may

resutt in the

delay or denial of any payment

requested hereunder.

This form has been appcoved by the Forms Management Center.

WEEKLY WORK SHEET

EQUIPMENT

Incident No:

923466

Job:

Kruep

-

Rocky’s 66

Contractor

Unfted Science

Industries,

Inc.

~EQUIPMENT

UTILITY VEHICLE

LROCK~S

GROUNDWATER

TREATMENT

coo

0

0

Ca)

Jo

3/

Billing

Period:

from:

10/28/2001

Contractors Authorized Representative:

IL 532 1540

LPC 248

Rev. Mar-93

0.00

to:

10/31/2001

Date:

Date:

---

•

-

Illinois

UNDERGROUND STORAGE TANK PROGRAM

REQUEST FOR PAYMENT OF UST CORRECTIVE ACTION COSTS

Incident

No: 923466

FIELD PURCHASES

billing Period

Job Name:

Kruep

-

Rocky s

66

From:

t

/01/2001

Contractor:

United

Science

Industries, Inc.

To:

10/31/2001

Field Purchases

Quantity

Price/Item

Total Costs/Item

GWT Electricity

1.00

621.13 /

621.13

Sample Analysis

1.00

1530.00/ EACH

1530~00

Sample Analysis

1.00

100,00/ EACH

100.00.

Trencher

Rental

1.00

40.00 / EACH

40.OQ.

*

Note:

Copies of invoices orbillings mustbe attached.

Subtotal

2291.13

Some subcontractor invoices and billings may require

,

-

fun’her time and matedal itemization.

~

Handling Charge

$274.94

Total

Subcontract Cost

2566.07

Handling Charges

are

eligible forpayment only if they are equal to or less

than the following amounts:

Subcontract of Field

Eligible Handling Charges

Purchase cost

as a

Percentage of cost

$1-$5,000

$12

$5,001

-

$15,000

$600+10

of arnt.

over $5,000

$15,001

-

$50,000

$1

600+8

of amt.

over $15,000

$50,001

-

$100,000

$4,400+5

of amt.

over

$50,000

$100,000- $1,000,000

$6,900+2

of amt.

over $100,000

This

Agency

is authorlied

to

request

this

information

under the

Illinois Environmental

Protection

Act.

415

II

c’~’1 4

~

ILCS 5/let

seq.

(formerly

Ill

Rev. Stat Chill

1/2,1001

et seq.)

Disclosure

of

this

information is

required.

IL.

JOL

I

OLO

Failure

to

properly complete this

form in

its

entirety may

resutt

in

the delay

or

denial

of any payment

LPC

330

Rev.

Mar-93

requested hereunder,

This

form

has

been approved by the

Forms Management center.

fl035•

---

BIUJNO

SUMMARY

Account

Number:

6761308174

If

you

have

any

questions

abeut

your

bill,

pt.a$

call

1-e00-3636806.

Pins,

mall

general

correspondence

to

our

Company

headquart.rs’

Illinois

Power~

P0

Box

511

Decatur,

II.

62525

YOUR

ENERGY

USE

flC~r,t

OCJ~

-

8~g~

By

Comm~1aLElecfrIc-SeQylce

(Totdl

Current Ch,~p~)

~~~~‘piov1&is

Balance

Payment Posted

0941.01

Balance Brought Forward

DUE by 10-11-01

TOTAL AMOUNT DUE after 10-17-01

ILLINOIS POWER

haul

tha Dmww P*qfun,anaInn

UNITED

SCIENCE

INDUSTRIES

203

W

ELM

ST

R

OKAWVILLE

IL

62271

$

396.63

-396.63

$

$

6Z1-13~_

621.13

$

630.45

.00

$

E~E~TRIC~kwh

-

usag. last

13

months

AVERAGES

FOR

TN/S

3I1.LING

PERIOD

YEAR

10,845

e

11~thIih

ON

0

J

F

MAM

4

.J

AS

OAVG

BULLETIN

BOARD

cr1

it

LAST

YEAR

TEMPERATURE

67

69

EUcJkwh

per

Day

244

0

cost

per

Day

$18.04

$0.00

Costperkwtt

$0.07

$0.00

Dollar

usounts

*aod

on

prstlz

flqur.s.

AMOUNT

PAID:

~

—

and~tsar

en perforation .t dott.d’linsl

S

ILLINOIS POWER

DUE DATE:

DUE

NOW:

AFTER

DUE

DATE:

October

17,

2001

$621.13

$630.45

ACCOUNT *:

6761308174

EILL DATE:

—October

03.

*BWNGRNG

flAUTO*N

5-DiGIT

62898

UNITED

SCIENCE

INDUSTRIES

79

P0

BOX

360

WOODLAWN

IL

62898-0360

P.O.

Box

2522

Decatur,

I.

62525-2522

0036

1

04

FRi

•

-

actual

g

-

estimated

-

current

month

*

-

current

month

last year

The

Instrument

Funding

charge

is owned by the Grantee (Illinois

Power

Securitization Limited Liability Company)

or

any

assignee

thereof

and

not

Illinois Power.

Illinois Power Gift Certificates

-

Send a useful gift

to friends

and relatives

for

birthdays

and holidays or

to help someone you

care about

at any time

of year.

Orders can be placed by calling

1-877-770-4438 or

at www.illinoispower.com.

Thank

you

for

your

prompt

payments.

We

appreciate customers like

you.

I

1110111111111.1.1111111111111111110111

I

IlIllIlIll

11111 111111

Return

this

portion

with

your

payment

---

/

~dJ7~r.~2065ttt~ttb00tth

1

—iC

(615)

758-5858

~‘~O

•,

~

~

f

1-800-767-5859

Fax

(615)

758-5859

Tax

I.D.

62-0814289

~-

Accounts BeYonySs

Are Subj~ ç

Monthlw-?serva

Please

Retum

One

Copy

with

Payment

Page 1

(Visa/MC/I.lac

Accepteâ)

10/09/01 15,57 HA~RIS_D

Acct Date

10/11/01

0037

~~-E1’JVXRONMENTAL

~--Qa~ORP.

¶c-

64~~

C2

‘1

NOV

82001

Invoice

No.

Invoice Date 09-OCT-Cl

137225

Eat.

1970

—

Bill To:

Mr.

Duane Doty

United Science Industries

6295 East Illinois Highway 15

Woodlawn, IL 62898-

-

99-UNSOO1

Repotte~To:

Puflbae Order Number

Mr. Duane Doty

14219

floject Numha~

-

‘terms

..vwAfl4t7

Net 180

Site ID*

PsVCurLt Due

t)NSCIM0-1894176

$

1530.00

—Th

Sample

Numbers,

1.55494-01, L5S494-02,

L55494—03,

1.55494-04,

1.55494—05,

1.55494—06,

1.55494-07,

1.55494-08,

1.55494—09,

1.55494—10,

1.55494—11,

1.55494—12,

L55494-13,

t55494-14,

1.55494-15, L55494-16,

L55494-17, LS5494-l8,

1.55494-19,

1.55494-20,

1.55494-21,

1.55494-22,

1.55494-23,

1.55494-24,

1.55494-25,

1.55494-26,

1.55494-27

~~±~t?

25-SEP-01

Sample IDa:

MW-i,

MW-2,

MW-3,

1*1-6,

MW—7,

MW-B,

MW-9,

MW

10,

MW-12,

MW-13,

MW-14,

MW-iS,

MW-16,

MW-17,

RW-2,

P11-3,

RW-4,

RW-5,

RW-7,

RW-8,

RW-9,

RT~-10,

RW-

11,

RW-13.

RW-14,

RW-i5,

EFFLUENT

PS

.

Qty

Natri,f

Description

Ruat

Unit Price

Mount

Icruep

-

Rockys

27

GW

8921

BTEX

1

GW

Oil

&

Grease

Jdls

~ttoQfry

t&~R&

‘~‘jwi

$

55.00

$

45.00

$

1485.00—

$

45.00—

.

-r~

---

Kruep

-

Rockys

1

GW

89fl BTEX

1

GW

Oil

&

Grease

/1

-~SZ~

-

~ENvIRONMENTAL

~

ScIENCE

Coap.

i””

“‘““

R

r

-

Tax

I.E.

62-0014289

-

~-

-

Invoice

No.

138014

an.

tno

OCT

j,q

Invoice Date 16-OCT-01

Mr.

Duane ooty

BY.

______________

United

Science

Industries

6295

flat

Illinois

loigbway

15

Mocciawn,

IL

SIese

T?.54~

Places

Return

One

copy

with

Pa)lment

(Visa/MC/flC

~eceptad)

-

ionthr~~rvtckqb~~

Page

1

lq’/17/01

1313

EMRISfi

,Acct

Date

10/11/01

--

neaR

---

CCiMPLETE LAWN & GARDEN

,,.CENTER

Lawn !~iment and

Service

Seeds, Shrubs

and Plants

Fertilizers

and Insecticides

Decorative

&

Driveway flock

a

Concrete Products

RENTEDISOLO TO

ancnoni

P.O. BOX)

1701 PERKINS

MT. VERNON, ILLINOIS 62864

PHONE 618-244-0884

DELIVERY INFORMATION

~l/

~

~

jr-cOMPLETE

RENTAL

~

CENTER

•

Homeowner Tools

•

-

Contractor Equipment

•

Wedding and Party Equipment

•

Concession Machines

Costume R~~I

CONTRACTINFORMATION

7352411

ftP)

Orthflate:10/30/01

.—.~

~ECEIVtD

/

-

ROUTEIBOX2O7

~

It~DLPMl

IL

62898-

618—735—2411

FhX

:618—735—2907

CCT31ZOZ1

flf.

c---

t•

1DQ/c/j?~

.

ALJUICIIZ8d

By~4~

Delvery Dale:,

•

P.

0. No.:

PIck tIp Date:

.

RXIES

‘~~‘1

—

I

IAMAGE

WAIVER CHARGE (DWC)

IF

RENTAL

CHARGE.

RENTER

MAY,

BY

(NI-

IALS HEREON,

DECLINE

BENEFITS

OF PARA-

IRAPH

~7,

DAMAGE

WAIVER,

ON

REVERSE

IDE OF THIS

CONTRACT.

_________

WC IS NOT INSURANCE.

DECLINES

x

ITEMS RENTED

ANDIOR SOLD

GARDEN

-&

RENTAL CENTER,

INC.

.nwnc.n

AV~

4

/

Sri

tUe

Type

Oty

U~tit

Cant’.

No.

245941

Inv.

wo.

245941

DalammeoutilE

10/30/0!

4l:0~1*1

Date/IlrneDuej4Efl

10/31/01

11:00

PM

DatefTkne

In:

RE

lOflO/0t

03:21

PM

Tin

IJsed—)Days

:0

Hours:

4:21

Wdtten By:

Checked In

By:011

CL~EO

C(R~TRnCT

Nuber

Detail

Price/Rate-

H

1.00

TROQIOI

Trencher,

E—z

5

Hp

Mod.j1000

40.00

Serial

*

901090

--

34CC’-~

L~

inI~.IAI

_______________________

Rental

Sut’

Total

Total

Qeount

if

IS

HERESY WARRANTED AND

REPRESENTED

THAT ThE INDI-

VIDUAL SIGNING

THIS AGREEMENT

IS AUThORIZED

TO

DOSO ON

BEHALF

OF

ThE

CUSTOMER

BE

IT

A

CORPORATION,

PARTNER.

SHIP, OROTHER

ENTITY,

IT IS

FURTHER

UNDERSTOOD

THAT

THE

RISK

OF

LOSS

OF THE EQUIPMENT AS WELL AS

ANY

LIABILITIES

WHICH

MAY

STEM

THEREFROM

AS

IT

MAY

PERTAIN

TO

THE

LESSOR

OR THE CUSTOMER DURING

THE

TIME THAT

THE CUS-

TOMER HAS P0SSES~I0NOF ThE

EQUIPMENT

STATED

HEREIN,

SAID RISK OF LOSS

SHALL

BE THAT OF ThE CUSTOMER.

40. O’Z

Pdvance

Paysent

Atcnrnt

Tendered

~.

qte

00

De

I

have

road

and

understand

the

terms and

conditions on

both

sides

of

this

agreement

and certIfy

that

those prInted

on the other

sIde

sre

sgreed

te as

If prInted above my

signature.

There are

no

oral

or

other

representations

not

included

herein.

Unless

declined.

I

also

agree

to

the

damage

waiver charges.

I have

received a

copy

of

this

agreement.

Pa

tent

A

~

This

is

a

final

invoice

0039

10/30/0!

03:30:0-9

PM

Renter’s Signature:

X_

/

V

---

fihinois Environmental Protection Agency

UNDERGROUND STORAGE TANK PROGRAM

Request for Payment

of

liST Corrective Action Costs

Summary Sheet for All Charges

in this Billing Package

Incident No:

923466

The owner/operator or their representative shall

complete this form

and place

it

in the front

of

the billing

package.

All

charges in

this

bilhng package shall be summarized on

this form.

PAYMENT ITEM

TOTAL PAYMENT REQUESTED

PERSONNEL

EQUIPMENT

$

364.SO~

3,780.00—

Y9C.3~

-eo-r~t

0.00

4

,

7

Cl, 2 3

This Agency

is authorized to request this information under

the

Ulinois

Environmental

Protection

Act, 415

iLCS

5(1

et seq.

(formerly

Iii

Rev. Stat

ChilI

1/2,

1001

et seq.)

Disclosure ot this intormation

is

required.

Failure to properly complete this form

in

its entirety

may

result

in

the d~y

d

i

of any payment

requested hereunder.

This

form

has

been

approved by the Forms MaR~

ter.

0.00

$

MATERIALS &

EXPENDABLES

(In Stock Items)

MATERIALS &

EXPENDABLES

(Field

Purchases)

SUBCONTRACTORS

TOTAL PAYMENT REQUESTED

IL

532 2168

LPC 482

Mar-93

---

United Science Industries,

Inc.

6295

E Illinois

Hwy

15

Woodlawn, IL 62898

Phone: (618) 735-2411

INVOICE

DaLee

Oil

Company

206

North

Hanover

Okawvllle

IL

62271

ATtN

BtU Parr

•

-

IncidentNo:

923466

Contract No

18/94176

Invoice No

18-8929

JnypictDate

12/10/2001

Customer No

-

LAcatIo~1

Okawville

IL

4roJj~amrKruep

-

Rocky’s 66

-ct~.

‘~aflager

“Richarts

Task:

Groundwater Treatment

Unit Monthly Rental; Soil Vapor Extr~ction

Unit Rental;

National Pollution

Discharge Elimination System Sampling

& Analysis; Treatment Unit Maintenance

Reference:

Kruep

-

Rocky’s 66

Work Period:

,j’/01/2001

to

Personnel Charges

$

364.50

Equipment Charges

$

3,780.00

—

Stock Item Charges

$

0.00

Field Purchases

$

.6O&-?8-c,C.?

Y

Subcontractor Charges

.

$

0.00

(Subcontractor

&

Field

Expenses pending receipt by LlSl

am

not included

on this invoice and are subject to future billing.)

Net Due This Invoice

-.

.

.

Category 3/DM

Customer P.O. Number:

Please maKe checks payable

to:

United Science Industries, Inc.

6295 E

IllinoisHwy 15

Woodlawn, IL62898

_a

_____________

-

UNITED SCIENCE INDUSTRIESI

4,761.28

---

Illinois

Environmental Protection Agency

UNDERGROUND STORAGE TANK PROGRAM

REQUEST FOR PAYMENT OF liST CORRECTIVE ACTION COSTS

PERSONNEL SUMMARY SHEET

For Usage instructions,

see reverse.

BILLING PERIOD

Incident No:

923466

Job

Name:

Kruep

-

Rocky’s 66

Contractor:

United Science

Industries, Inc.

from:

0/01/2001

to:

11/30/2001

•

6.251

This Agency

is authorized to request this intormation under the Illinois

Environmental

Protection Act, 415

It_CS

5/1

el

seq.

(formerly Ill Rev.

Stat

Ch

1111/2,

1001

et seq.)

Disclosure of this information is required.

Failure to property comptete this form

in its entirety may result in

the delay

or

denial of any payment

requested hereunder.

This

form

has

been

approved Dy the

Forms Management center.

IL

532

1818

LPC

325

Rev. Mar-93

0042

Employee

Work Classification

ST/OT

*Rate

Total

Echols

PROJECT COORDINATOR

0.25.

-

50.00

12.50

Hertel

LABORER

1.O0i._~

45.00

45.00

Richards

PROJECT MANAGER

1.00

f.~

95.00

95.00

Weatherford

SENIOR

ENVIRO TECH

4.OOf.

53.00

212.00

*

Use

Time and Materials

Rate

Total Personnel

364.501—

---

Illinois Environmental Protection

UNDERGROUND STORAGE TANK PROGRAM

Request for Payment

of UST Corrective

Action Costs

For

usage

instrucf

ions,

see reverse

WEEKLY WORKSHEET

Personnel

Incident No: 923466

Job:

Kruep

-

Rocky’s 66

Billing Period:

from:

10)28)20

to:

11103/2001

Contractor:

United Science

Industries, Inc.

0

0

Ce)

IL

532

1822

LPC

329

Rev. Mar-93

This

Agency

is authorized to request this information under

the

Illinois Environmental Protection Act.

415

ILCS

5/1

et seq.

(formerly Ill

Rev.

Stat Ch

1111/2,

1001

et

seq•)

Disclosure

of

this

information is required.

Failure

to

properly complete this

form in its entirety may

result in the

delay or denial of any payment

Page:

1

requested hereunder.

This

form

has been

approved by

the Forms Management Center.

---

Illinois

Environmental Protection Agency

UNDERGROUND

STORAGE TANK PROGRAM

Request for Payment

of

UST Corrective Action Costs

Incident

No 923466

Far usage

instructions,

see mverse

WEEKLY WORKSHEET

Personnel

Job:

Kruep- Rockys66

Billing

Period:

from:

11/04/20

to:

11/10/2001

Contractor:

United Science Industries, Inc.

SUN

MON

TUES

WED

THURS

FRI

SAT

1DTA

HOURS

in

ot

in

ot

in

ot

in

ot

in

ot

in

ot

in

ot

Employee

Type of Work Performed

st

ot

st

ot

st

ot

st

ot

st

at

st

ot

st

ot

st

at

Richards

PROJECT MANAGER

07.30

08.00

.

0.50

0.50

—

Weatherford

SENIOR

ENVIRO TECH

visa

is.so

4.00

4.00

—

IL

532 1822

Total Hours

450J

LPC

329

Rev. Mar-93

This

Agency

is

authorized to request

this information under the Illinois Environmental Protection Act,

415

tICS 5/1 et seq. (formerly

Ill

Rev.

Stat Chill

1/2,

1001 et seq.)

Disclosure of this

information is required.

Failure to

property complete this form

in its

entirety

may

result in

the

delay

or denial of any payment

Page:

1

requested hereunder. This form has

been

approved by

the Forms Management Center

C

C

---

Illinois Environmental Protection Agency

UNDERGROUND STORAGE TANK PROGRAM

Request for Payment

of UST Corrective Action

Costs

For

usage

instructions,

see

reverse

WEEKLY WORKSHEET

Personnel

Incident No: 923466

Job:

Kruep

-

Rocky’s 66

Billing

Period:

from:

11/18/20

to:

11/24/2001

Contractor:

United Science

Industries, Inc.

IL 532

1822

LPC

329

Rev.

Mar-93

Total

Hours

—

—

This

Agency

is

authorized to request this information under the Illinois Environmental Protection Act,

415

tICS

5/1

et

seq.

(formerly

ill Rev.

Stat

Ch

1111/2,

1001

et

seq)

Disclosure of this information is

required.

Failure to

properly complete this form in

its entirety

may

result

in

the delay or

denialofany

payment

requested hereunder.

This

form has

been

approved by

the

Forms Management

center

.

SUN

MON

TUES

WED

THURS

FRI

SAT

TOTAL HOURS

I

•

in

at

in

ot

in

ot

in

ot

in

ot

in

ot

in

ot

Employee

Type of Work Performed

st

at

st

ot

st

ot

st

ot

st

at

st

ot

st

at

st

ot

Richards

PROJECT MANAGER

09.00

09.30

.

0.50

0.50

~—

Page:

1

(Si’

---

Illinois

Environmental Protection Agency

UNDERGROUND STORAGE TANK PROGRAM

Request for Payment

of UST

Corrective

Action Costs

Incident No:

923466

For usage instructions,

see

mverse

WEEKLY WORKSHEET

Personnel

Job:

Kruep

-

Rocky’s

66

Billing Period:

from:

11/25/20

to:

11/30/2001

Contractor:

United Science

Industries. Inc.

SUN

MON

TUES

WED

THURS

FRI

SAT

TOTAL HOURS

in

ot

in

ot

in

at

in

ot

in

ot

in

ot

in

ot

Employee

Type of Work Performed

st

at

st

at

st

ot

st

ot

st

ot

st

at

st

at

st

at