1. PETITIONER’S MOTION FOR SUMMARY JUDGMENT
  1. PETITIONER’S EXHIBIT “1”
  2. BUDGET AN) BILLING FORM FORLEAKING UNDERGROUND STORAGE
      1. C. APPROVED BUDGET SUMMARY AND BILLING SUMMARY
      2. E. INVESTIGATION COSTS
      3. This form must be submitted in duplicate.
    1. UNDERGROUND STORAGE TANK PROGRAM
      1. Office of the Illinois
  3. HDC ENGINEERING
    1. P.O. BOX. 140
    2. CHAMPAIGN, IL 61824-0140
    3. (217) 352-6976
    4. TOTAL THIS INVOICE $ 520.00
  4. HDC ENGINEERING
    1. 201 W. SPRINGFIELD, 3rd FLOOR
    2. S P.O. BOXI4O
    3. S (217) 352-6976
    4. TOTAL THIS INVOICE $ 2,405.00
  5. S HDC ENGINEERING
      1. 201 W. SPRINGFIELD, 3rd FLOOR
    1. P.O. BOX 140
    2. CHAMPAIGN, IL 61824-0140
    3. (217) 352-6976
  6. S HDC ENGINEERING
    1. 201 W. SPRINGFIELD, 3rd FLOOR
    2. S P. 0. 80X140CHAMPAIGN, IL 61824-0140
  7. HOC ENGINEERING
    1. TOTAL THIS INVOICE $160.50
    2. HDC ENGINEERING201 W. SPRINGFIELD, 3rd FLOOR
    3. (217) 352-6976
    4. CHAMPAIGN, IL 61824-0140
    5. (217) 352-6976
      1. Thank you,
      2. HDC ENGINEERING201 W. SPRINGFIELD, 3rd FLOOR
      3. P. 0. BOX 140
      4. CHAMPAIGN, IL 61824-0140
      5. (217) 352-6976
      6. EQUIPMENT:
      7. SUBTOTAL $2,457.00
      8. TOTAL THIS INVOICE $ 12,612.69
  8. HDC ENGINEERING
      1. 201 W. SPRINGFIELD, 3rd FLOOR
      2. CHAMPAIGN, IL 81824-0140
      3. (217) 352-6976
      4. 201 W. SPRINGFIELD, 3rd FLOOR
      5. (217) 352-6976
  9. ;.~I~UGREAT
  10. ~I ANALYTICALLAKES
  11. INVOICE
      1. Remit To:
      2. 01380
  12. ~ LAKES
      1. 02/26/04
      2. Terms
  13. HOC ENGINEERING
  14. GREAT
  15. ~ ANALYTICAL
  16. iNVOICE
      1. Remit To:
      2. P0 Number Received
      3. Prolect Manager
      4. GreatLakes Analytical--Buffalo Grove
      5. Protect
  17. iNVOICE
  18. Invoice
  19. LXI’ BILL~~
  20. Western
  21. Materials
  22. InVOlce
      1. I~,~iii
      2. (3)REMOVAL OF TANKS:
      1. ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
      2. DEC 102004
      3. Page 2
      4. Illinois Pollution Control BoardState ofIllinois Center
      5. DEO :NW:bjh\04323 .doc
  23. PETITIONER’S EXHIBIT “3”
      1. Niki Weller
      2. Rankin/Karlock, Richard
      3. 522 South Main StreetLUST Incident # 20021180LUST FISCAL FILE
      4. If you have any questions, please call myself or Kevin Saylor at (217) 352-6976.
      5. Regards,
      6. HDC ENGINEERING
      7. Bill Walsh
      8. Environmental Professional
      9. ru~ru
      10. Owner/Operator and Professional Engineer Billing Certification Form for

BEFORE THE ILLINOIS POLLUTION CONTROL BOA
WE
C
E
~V E D
CLERK’S OFFICE
RICHARD KARLOCK,
)
)
MAY022005
Petitioner,
)
STATE
OF ILLINOIS
)
PCB No. 05-127
Pollution Control Board
vs.
)
(USTAppeal)
)
ILLINOIS ENVIRONMENTAL
)
PROTECTION AGENCY,
)
)
Respondent.
)
PETITIONER’S MOTION FOR SUMMARY JUDGMENT
NOW COMES Petitioner, Richard Karlock (hereinafter “Petitioner”), by
his attorneys, Harrington & Tock, and, pursuant to Title 35 Illinois
Administrative Code, Section 101.516, respectfully moves the Pollution Control
Board to enter summary judgment in favor of Richard Karlock and against the
Illinois Environmental Protection Agency in this matter and, in support thereof,
states as follows:
1. By cover letter dated September 14,2004, an Application for
Reimbursement of Site Investigation Activities was filed with the
Respondent. The site investigation activities were in response to a
confirmed release as described in the Application. That cover letter along
with the Application is attached hereto and made a part hereof as
Petitioner’s Exhibit 1. The cover letter and Application were received by
the Respondent on September 16, 2004.
~1

2. By letter dated December 10, 2004, Petitioner was notified by Respondent
that the Respondent had received the Petitioner’s complete Application
for Reimbursement of Site Investigation Activities, but the application was
denied. The reasons given in Attachment A to that December 10, 2004
letter were that an approved site investigation completion report had not
been submitted as required by Section 57.7(a)(5) and that the Application
for Reimbursement was missing the Owner/Operator Billing Certification
Form. The Respondent’s letter of December 10, 2004 is attached hereto
and made a part hereof as Petitioner’s Exhibit 2. (This exhibit is also
attached to Petitioner’s Petition as Exhibit “A”.)
3. By cover letter dated January 4, 2005 from Petitioner to Respondent,
Petitioner submitted to the Respondent the requested Billing Certification
Form for the Application for Reimbursement. That cover letter along with
the completed Billing Certification is attached hereto and made a part
hereof as Petitioner’s Exhibit 3. (This exhibit is also attached to the
Petitioner’s Petition as Exhibit “B”.)
4. Once the Petitioner submitted to the Respondent the requested Billing
Certification Form, the only reason left for the Respondent to not approve
the Application for Reimbursement was the lack of an approved site
investigation completion report.
5. Respondent cited Section 57.7(a)(5) of the Illinois Environmental
Protection Act (415 ILCS 57.7(a)(5)) as requiring that Petitioner submit an
2

approved site investigation completion report before the Agency could
approve an Application for Reimbursement of Site Investigation
Activities. Section 57.7(a)(5) states as follows: “Within thirty days after
completing the site investigation, the owner or operator shall submit to
the Agency for approval a site investigation completion report.”
6. Petitioner acknowledges that Petitioner did not submit a site investigation
completion report in support of Petitioner’s Application for
Reimbursement of Site Investigation Activities, but denies that a site
investigation completion report is required by either statute or regulation
when a request is made for partial payment pursuant to 415 ILCS 5/57.8.
(Petitioner did submit to the Respondent by cover letter dated June 16,
2004 a site investigation status report for this project that reported the
work done to date for which reimbursement was then sought by the
Application for Reimbursement of Site Investigation Activities.)
7. 415 ILCS 5/57.8 states, in part, as follows: “The owner or operator may
submit a complete application for final or partial payment to the Agency
for activities taken in response to a confirmed release.”
8. 415 ILCS 5/57.8(a)(6) states as follows: “For purposes of this Section, a
complete application shall consist of:
(A) a certification from a Licensed Professional Engineer as
required under this Title and acknowledged by the owner or
operator
3

(B) a statement of the amounts approved in the budget and the
amounts actually sought for payment along with a certified
statement by the owner or operator that the amounts so sought
were expended in conformance with the approved budget.
(C) a copy of the office of the state fire marshal’s eligibility and
deductibility determination.
(D) proof that approval of the payment requested will not result in
the limitations set forth in subsection (G) of this section being
exceeded.
(E) a federal taxpayer identification number and legal status
disclosure certification on a form prescribed and provided by the
Agency.”
Paragraph (g) of Section 57.8 pertains to cost of corrective actions
not exceeding $1,500,000.00 per occurrence. The Application for
Reimbursement of Site Investigation Activities submitted by the
Petitioner states on page D-1 that reimbursements of corrective
action costs will not exceed $1,000,000.00.
9. Respondent acknowledged in its letter of December 10, 2004 that
Petitioner’s application was complete.
10. The Application for Reimbursement of Site Investigation Activities
originally submitted by the Petitioner and as amended with the
addition of the Owner/Operator And Professional Engineer Billing
4

Certification form that was submitted to the Respondent by cover
letter dated January 4, 2005 and as shown as Petitioner’s Exhibit 3. The
Petitioner’s Application was complete as defined by Section 57.8(a)(6).
The Petitioner’s Application contained all of the requirements for a
completed application as set forth in that section.
11. There is no statute and no regulation that has been adopted by the
Illinois Pollution Control Board that supports the Respondent’s failure
and refusal to make partial payment to the Petitioner on Petitioner’s
Application for Reimbursement of Site Investigation Activities.
12. The Respondent’s lack of authority to reject a request for partial
payment that is a complete Application in compliance with 415 ILCS
57.8(a)(6) should not be confused with the Agency’s authority under 35
Illinois Administrative Code Section 732.601(h). Pursuant to that
Section, “Applications for payment of costs associated with site
classification may not be submitted prior to approval or modification
of the Site Classification Completion Report.” The Petitioner herein is
seeking partial reimbursement for site investigation, not site
classification. There is no authority pursuant to the Illinois
Administrative Code or pursuant to any Illinois statute for the
Respondent to deny the Petitioner’s complete Application for Partial
Payment for Site Investigation pursuant to 415 ILCS 5/57.8.
5

13. There is no factual dispute. The only dispute is the interpretation of
415 ILCS 5/57.8. The statute clearly authorizes owners to apply for
partial payment for activities taken in response to a confirmed release.
Petitioner is entitled to payment of its Application for Reimbursement
of Site Investigation Activities.
WHEREFORE, Petitioner prays that the Pollution Control Board enter
summary judgment in Petitioner’s favor and against Respondent and order the
Respondent to make payment immediately in the requested amount of
$26,245.05.
RICHARD KARLOCK,
Petitioner,
By:____
Jf
Tock
Dated: April 29, 2005
Jeffrey W. Tock
Harrington & Tock
201 W. Springfield Ave., Suite 601
P.O. Box 1550
Champaign, Illinois 61824-1550
Telephone: (217) 352-4167
vlb/Complain.jef/HDC/Karlock-MtnsumniJdgmt
6

Back to top


PETITIONER’S EXHIBIT “1”

Illinois Environmental Protection Agency
Leaking Underground Storage Tank Program
_____________________
Application for Reimbursement
E N G I N E E R I N G
Of Site Investigation Activities
Site Location
Karlock
Service
Station/Farney’s Garage
522 S. Main Street
Rankin, Illinois 60960
Vermilion County
JEMA Incident No. 20021180
Prepared For
Richard Karlock
119 West Patton Street
Paxton, Illinois 60957
Prepared by
HDC Engineering
201 West Springfield, Suite 300
Champaign, Illinois 61820
Phone: 217.352.6976
Fax: 217.356.0570
HDC Project No. 01380
August24, 200(
ENGINEERS ‘SURVEYORS.
PLANNERS . ENVIRONMENTAL

LIST OF CONTENTS
Site Information
Approved Budget Summary and Billing Summary
Payment Certification
Investigation Costs
Analysis Costs
Personnel Costs
Equipment Costs
Field Purchases and Other Costs
Handling Charges
Signature Authorization Letter
Owner/Operator and Professional Engineer Billing Certification Form
Private Insurance Coverage Questionnaire
Private Insurance Affidavit
Federal Taxpayer Identification Form
Women and Minority Business Enterprises Form
Eligibility and Deductibility Determination
Tabulation of Invoices/Copies of Invoices and Receipts
OSFM UST Removal Permit

Back to top


BUDGET AN) BILLING FORM FOR
LEAKING UNDERGROUND STORAGE
TANK
SITES
A. SITE INFORMATION
Site Name: Karlock Service Station/Farney’s
Garage
Site Address: 522 South Main Street
City: Rankin
Zip: 60960
County: Vermilion
JEPA GeneratorNo.: 1830705004
IEMA Incident No.: 20021180
IEMA Notification Date: 8/20/02
Date this Form was Prepared: August24. 2004
This form is being submitted as a:
Budget Proposal
BudgetAmendment (Budget Amendments must include onlythe costs
over the previous budget.)
Amendment Number:__________
X
Billing Package forcosts incurred pursuant to 35 illinois Administrative
Code (JAC), Part 732 (“new program”).
This form is being submitted forthe Site Activities indicated below (check one):
_____
EarlyAction
_____
Site Classification
_____
Low Priority Corrective Action
_____
High Priority Corrective Action
X
Other (indicate activities) Site Investigation Plan
DO NOT
SUBMIT “NEW PROGRA1W’
COSTS
AND
“OLD PROGRAIW’
COSTS AT THE
SAME ~FIME,
ON THE
SAME
FORMS.
~
This form must be submitted in duplicate.

IEMANo.2002118()
Ifeligible 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 owner or operator.
Pay to the order of:
Richard Karlock
Send in care of: HDC Engineering
Address: 201 W. Springfield
Avenue.
Suite
300
City: Champaign
State: Illinois
Zip: 61820
Number of Petroleum USTs.in
Illinois
presently
owned
or operated by the owner or operator; any subsidiary,
parent or joint stock company of the owner or operator; and any company owned by any parent,subsidiary or
joint stock company of the owner or operator:
Fewer
than
101:
X
101 or more:__________
Number ofUSTs at the site:
5
(Number ofUSTs includes USTs presently at the site
and
USTs that have been
removed.)
Number of incidents reported to IEMA:
1
Incident Numbers assigned to the site due
to
releases from USTs: 20021180
Please list all tanks which have ever been located at the site and
are
presently located at the site.
Size
Did UST
Type of
ProductStored
(gallons)
have a release?
Incident No.
Release
Gasoline
2.000
No
20021180
leak. overspill
Gasoline
2.000
(~~) No
20021180
leak. overspill
Used 011
560
No
20021180
leak.
overspill
Heating Oil
1.000
(~)
No
20021180
leak.
overspifi
Gasoline
1.000
(3~j)
No
20021180
leak. overspill
______________
__________
Yes
No
__________
_________
______________
__________
Yes
No
__________
_________
______________
__________
Yes
No
__________
_________
______________
__________
Yes
No
__________
_________
______________
__________
Yes
No
__________
_________
A-2
This form must be submitted in duplicate.

IEMA No. 20021130
C. APPROVED BUDGET SUMMARY AND BILLING SUMMARY
1.
Amount approved in the Budget
1.
Investigation Costs:
$
6,568.00
2;
Analysis Costs:
$
4,359.41
3.
Personnel Costs:
$
14,972.00
4.
Equipment Costs:
$
684.00
_____
5.
Field Purchases and Other Costs:
$
602.00
6.
Handling Charges: $
1,168.48
TOTAL APPROVED IN TILE
BUDGET
=
$
28,353.89
2.
Actual Amount Spent
1.
Investigation Costs:
$
5,493.90
2.
Analysis Costs:
$
4,106.23
3.
Personnel Costs:
$ 14,966.00
4.
Equipment Costs: $ 672.77
5.
Field Purchases and Other Costs:
$
601.73
6.
Handling Charges: $404.42
TOTAL
AMOUNT SPENT
=
$
26,245.05
_____A budget for the bills included in this billingpackage
was
approved by the Agency on__________________
X
This
billingpackage includes
bills
which were included in the Budget Amendment dated October 9. 2003
and approvedby the Agency
on
January 2. 2004
_____Neither abudget nor abudget amendment were
approved by
the Agency forthe bills included in this package.
C-i•
This form must besubmitted in duplicate.

LEMANo. 20021180
D. PAYMENT
CERTIFICATION
-
This certification must be included with everyrequestfor
payment.
I, Richard Karlock
the owner or operator of the LUST site forwhich this claim is being
submitted, certify that
$
26,245.05
is the amount being sought in this claim forreimbursement,
$ 79,373.27
has already been reimbursed from the Fund forthis occurrence and
$
0.00
has been sent to the Agency forreimbursement forthis occurrence but has not yet
been reimbursed. I further certify that the number ofpetroleum USTs in Illinois presently owned or operated
by the owner or operator, any subsidiary, parent orjoint stock company ofthe owner or operator, and any
company owned by anyparent, subsidiary orjoint stock company ofthe owner or operator is:
Fewer than 101:
X
101 or more:___________
Except for claims associated with EarlyAction, I certify that a planfor the work includedin this billing
package was approved by the Agency on October 9. 2003
certifythat abudget for the work includedin
this claim was approved by the Agency on January2. 2004
certify that the amount sought forpaymentwas
expended in conformance with the approved budgetand approvedplan.
I further certify that if the costs includedin this claim forreimbursement are approved forpayment, the
following limitations will not be exceeded:
1.
Payment ofthis claim will not result in the owner or operator receivingreimbursement ofcorrective
action costs or indemnification costs from the Fund formore than $1,000,000 per occurrence.
2.
Payment ofthis claim will not result in the owner or operator receiving reimbursement ofcorrective
action costs or indemnification costs from the Fund incurred during a calendar year in excess of the
following amounts:
$1,000,000,
if
fewer than 101 tanks are owned or operatedin Illinois.
$2,OQO,000, if 101 or more tanks are owned or operated in Illinois.
.~ .—
~J
,$I
1i~C
Ja.i4~
Pr
ñi~7~i~iI
4~’~”
‘~
Owner/Operator: Richard Kar
Title: Owner
SignatureL
Date: ~
‘V
~2V’~.V
Subscribedand sworn to before me the
I
‘~1
day of
-
-~
.200
(This
certification must be notarized when the certification is
signed)
__________________________________
Seal:
D-1
This form must be submitted in duplicate.

IEMANo. 20021181)
E. INVESTIGATION COSTS
Method I_____
Method II
Method ifi_____
Not Applicable X
1.
Drilling Costs
-
This includes the costs fordrilling 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 not be included here. An indication must be madeas to whyeach boring is
being conducted (i.e., classification, monitoringwells, migration pathways).
_____
7 borings to
_______
12
feet
=
_________
84
feet to be bored forMigration Pathways
I borings to
6
feet
=
6
feet to be bored forUsed Oil Tank
5
borings to
15
feet
=
75
feet to be bored forMonitoring Wells
borings to
_______
feet
= _________
feet to be bored for_______________
_____borings to
_______
feet
= _________
feet to be bored for_______________
Total Feet to be Bored:
165
Borings:
165
feet x
$
12.50
per foot
=
$
2.062.50
Hours:______________ x
$
per hour
= $_________
borings through________ ft ofbedrock
=___________
Ft bedrock to be bored
_____borings through________ ft of bedrock
=___________
Ft bedrock to be bored
Total Feet bedrock to be Bored:___________________
Borings:________ Ft bedrock x
$_____________
per ft bedrock
= $___________________
(or)
_______Hoursx$
perHour=$
-
1
# ofMobilizations
@
$250.00
per mobilization
=
$250.00
Other Costs
Number
ofUnits
Unit Cost
Total Cost
Decontamination Equipment (per day)
2
190.00
380.00
Decontamination/Drwnming Labor (per
hour/man)
5
38.00
190.00
Per Diem (3 Man Crew)
3
85.00
255.00
Monitoring Well Installation
Rig (per~iour)
3
75.00
225.00
Monitoring Well Installation
Labor
5
76.00
J
380.00
(or~
This form must be submitted in duplicate.

IEMANo. 20021180
.
Other Costs (contmued)
Number
.
ofUnits
Unit Cost
Total Cost
Geoprobe Utilization
I day
$400.00/day
$400.00
Lowe’s (fittings)
1
$16.40
$16.40
UnitedRentals (core drill)
I day
$ 100.00/day
$100.00
2.
Professional Services (e.g., P.E., geologist)
-
These costs must be listedin Section 1, the Personnel
sectionofthe forms.
3.
Monitoring Well Installation Materials
-
Costs listed here must be costs associated with well casing,
well screens, filter pack, annularseal,surfhce seal, wellcovers, etc. Listthe items below in a time and
materials format.
Number
ofUnits
Unit Cost
Total Cost
5
35.00
$175.00
5
15.60
$78.00
5
8.00
.
$40.00
5
17.60
$88.00
5
82.00
$410.00
35
8.00
-
$280.00
8
12.00
$96.00
lb.)
8
8.50
$68.00
Subtotal
$1,235.00
4.
Disposal Costs
-
This includes the costs for disposing of boring cuttings and any water generated while
performing borings or installing wells.
Disposal of Cuttings:________ drums x $
per drum
= $________________
Disposal ofWater:__________ gallons x
$__________
per gallon
= $_________________
Transportation Costs:
$___________________
Describe how the water/soil will be disposed:
.-
-
E-2
This
form must be submitted in duplicate.

IEMA No. 20021 180
Total Investigation Costs: $5,493.90
E-2
This form must be submitted in duplicate.

IEMANo. 20021180
F.
ANALYSIS
COSTS
1.
Physical Soil Analysis
-
This must only include
analysis
costs forclassification of soil types atthe site.
_____Moisture Content samples x
$
.
per sample
= $_____________________
_____Soil Classification samples x
$
per sample
= $_____________________
Indicate method to be performed:
______Soil Particle Size samples x
$____________________
per sample
=
$______________________
_____Ex-situ HydraulicConductivity/Permeability samples
x$____________________ per sample=$......
Indicate the method to be performed:
_____Rock Hydraulic Conductivity/Permeability samples
-
....____________________
per sample=$_
_____Natural Organic Carbon Fraction (fcc) samples
x
$______________________
per sample
=
Indicate the ASTM or SW-846 method to be performed:
_____
_______________________samples x
$______________
per sample
=
- -
samples x
$______________
per sample
= $_
______
_______________________samples x
$______________
per sample
= $_
_____
samples x
$______________
per sample
= $_
_____
_______________________ samples x
$______________
per sample
= $_
2.
Soil Analysis Costs
-
This must be forlaboratory
analysis
only.
_____BTEX samples x
$_________
per sample
= $__________
_____PNA samples x
$__________
per sample
= $__________
_____LUST Pollutants samples x $
per sample
= $__________
F-i
This form must be submitted in duplicate.

IEMANo. 20021180
pH Samples x
$
per sample
= $__________
_____Paint Filtersamples x
$____________
per sample
= $___________
12 TCLP Lead samples x
$
69.53
per sample
=
$
834.36
_____Flash Point samples x
$___________
per sample
= $___________
_____Lab and/or Field Bank samples x
$
per sample
= $___________
12
Total Lead
samples x $ 13.33
persample
=
$
159.96
1
Volatiles
samples x
$
153.00
per sample
=
$
153.00
1
Base Neutral & Acids
samples x $253.12
per sample
=
$253.12
7
BTEXM/PNA
samples x
$
162.23
per sample
=
$
1,135.61
5
BTEXM/PNA
samples x
$
153.23
per sample
=
$
766.15
3.
Groundwater Analysis Costs
-
This must be for laboratory
analysis
only.
1 BTEXM samples x $46.58
per sample
=
$
46.58
_____PNA samples x
$__________
per sample
= $__________
_____LUST Pollutants samples x
$___________
per sample
= $__________
pH Samples x
$____________
per sample
= $___________
_____Lab and/or Field Bank samples x
$___________
per sample
= $___________
_____Flash Point samples x $
per sample
= $__________
5
Total Lead
samples x $ 13.33
per sample
=
$
66.65
5
BTEXM/PNA
samples x $ 138.16
per sample
=
$
690.80
samples x
$______________
per sample
= $______
_____
samples x
$______________
per sample
= $______
_____
______________________
samples x
$______________
per sample
= $______
samples x
$______________
per sample
= $______
TOTAL ANALYSIS COSTS
=
$ 4,1O6.23~
F-2
This
form must be submitted in duplicate.

IEMANo. 20021180
G.
PERSONNEL
All personnel costs that are not includedelsewhere in the budget/billing form must be listedhere. Costs must
be listed per task, not personnel type. The following are some examples oftasks: Drafting, data collection,
plan, report, or budgetpreparation for
_______
(i.e., site classification work plan, 45 day report, or high
priority corrective action budget), sampling, field oversite for__________ (i.e., drilling/well installation,
corrective action, or early action), ofmaintenance of~
.
The above list is not inclusive of all
possible tasks.
Professional Engineer
: 2.75
hours x
$
82.00
per hour
=
$225.50
(Title)
Professional Enalneer
: 0.25
hours x
$
75.00
per hour
=
$
18.75
(Title)
-
Task to be performed forthe above hours: project supervision and review
Project Manager
:
23.25
hours x
$95.00
per hour= $2,208.75
(Title)
Task to be performed forthe above hours: Project management and oversight, planning. schednling.& review
Environmental Professional ifi
: 10.25
hours x $ 75.00
per hour
=
$ 768.75
(Title)
Environmental Professional ifi
: 80.25
hours x
$
72.00
per hour
=
$
5,778.00
(Title)
Task to be performed forthe above hours: workplan design, health and safety plan. soil borina logs, soil and
groundwater sampling, site survey, hydraulic conductivity testing. data analysis and reporting
Environmental Professional II
: 78.50
hours x $
65.00
per hour
=
$ 5,102.50
(Title)
Environmental Professional II
:
8.5
hours x
$
55.00
per hour
=
$467.50
(Title)
Environmental Professional I
: 4
hours x $40.00
per hour
=
$ 160.00
(Title)
Task to be performed forthe above hours: drillinaand soil/groundwater sampling
Draftsperson
:
_________
hours x $ 45.00
per hour
=
$ 168.75
(Title)
L~1~LI~R~LJULL
:
_____
hours x $ 50.00
per hour
=
$
12.50
(Title)
Task
to be performed forthe above hours: site plans. groundwater flow maps, site cross-sections
G-2
This form must be submitted in duplicate.

IEMA No. 20021180
Drafisperson
: I
hours x
$
55.00
per hour
=
$ 55.00
(Title)
Task to be performedfor the above hours: site plans, groundwater flow maps, site cross-sections
TOTAL PERSONNEL COSTS: $ 14~966.OO
G-2
This
form must be submitted in duplicate.

IEMANo. 20021180
H.
EQUIPMENT
COSTS
All equipment used must be listedbelowin atime and materials-format.
Handling charges should not be
added here;
use
Section J.
Equipment
Own or
Rent?
Time Used
Unit Rate
Total
-
Cost/Item
Photoionization Detector(PH))
Own
2 days
100.00/day
$200.00
Water Level Indicator
.
Own
2 days
30.00/day
$60.00
Survey Equipment
Own
I day
50.00/day
$50.00
Pump
Own
2day
40.00/day
$80.00
Data logger and pressure transducer (hydr. cond.)*
Rent
3 days
93.09/day
$279.27
Other Costs
.
Own
1 print
1.00/print
$1.00
Other Costs
-
Own
1 print
2.50/print
$2.50
Subtotal Page H-i: $672.77
*HgndJlug Fee Applies
H-i
This form must be submitted in duplicate.

IEMANo. 20021180
Equipment
Own or
Rent?
Time Used
Unit Rate
Total
Cost/Item
Subtotal Page H-2
0.00
Total (Pages H-I and H-2) $672.77
11-2
This form must be submitted in duplicate.

I.
FIELD PURCHASES
AND OTHER COSTS
IEMA No. 20021180
All field purchases must be listedbelow in atime 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?
Sampling Supplies (bailers, water, baggies, ice, etc.)
2
50.00
100.00
No
Mileage
-
806
0.375/mile
302.25
No
Mileage
68
0.36/mile
24.48
No
Drums
5
35.00
175.00
No
SubtotalPagel-l: $601.73
I-i
This
form must be submitted in duplicate.

rEMANo. 20021180
Other Costs
-
A listing and description ofall other costs which will be/were incurred and are not specifically
listedon this form should be attached. The listing should include a cost breakdownin a time and materials
format.
TOTAL OTHER COSTS
=
1-2
This form must be submitted in duplicate.
Subtotal Page 1-2
-
0.00
Total Pages I-i and 1-2 601.73

J.
HANDLING CHARGES
IEMANo. 2002118C)
Handling charges are eligible for paymenton subcontractor billings and/or field purchases only ifthey are
equal to or less thanthe amounts determined by the following table:
Subcontractor or Field
Purchase Cost
$1
-
$5,000
$5,001 -$15,000
$15,001
-
$50,000
$50,001
-
$100,000
$100,001 -$1,000,000
A.
Subcontractor Charges
Eligible Handling Charges as a
Percentage of Cost
12
$600 + 10 ofamt. Over $5,000
$1,600 +
8 of
amt. Over$15,000
$4,400
+5
of aint. Over$50,000
$6,900 + 2 of anit. Over $100,000
S
Subcontractor
.
Section in these
Forms where
Cost is Listed
Subcontract Amount
Western Environmental Drilling
E
3,586.50
Great Lakes Analytical
F
4,106.23
I
Subtotal Page
J- 1: $7,692.73
J-1
This form must be submitted in duplicate.

IEMANo. 20021180
B. Field Purchase
Field Purchase
Field Purchase Amount
Lowe’s
$16.40
In-Situ Rentals
$279.27
UnitedRentals
$100.00
Subtotal Page J-2
$395.67
Total Pages J-1 and J-2
$8,088.40
Handling Charge*:
$404.42
*Use chart at top of Page M-l to calculate the allowable handling charge.
Copies of invoices forsubcontractor costs and receiRts for field purchases are required forbilling submissions.
-
J-2
This form must be submitted in duplicate.

E
N61NEE RI N6-
201 W. Springfield Ave., Suite 300
-
-
P.O.B0x140
-
S
Champaign. IllInois 61824—0140
S
BUS. (217) 252-6976
-
S
FAX (217) 356—0570
September5, 2002
-
-
S
S
-
To Whom It May Concern:
S
HDC Engineering is an authorized representative ofKarlock Service Station to sign
documents relating to the underground storagetank (lIST) removal and site remediation
activities located at 522 South Main Street, Rankin, IL 60960, commonly known as
Karlock Service Station/Farley’s Garage. The authorization extends to actions neceasary
to satisfy requirements from the Office ofthe Illinois State FireMarshal, Illinois
Environmental Protection Agency, landfill for soil disposal, laboratory for soillwater
analysis, and other ageiicfes and/or businesses concerning the above site for the work
-
stated.
S
~
Richard Karlock
Karlock Service Station
119 West
Patton
Paxton,
IL
60957

Illinois Environmental Protection Agency
Owner/Operator and Professional Engineer Budget Certification Form
for
Leaking Underground Storage Tanks Sites
In accordance with 415 ILCS
5/57,
ifan owner or operator intends to seek payment from the UST Fund, an
owner or operator must submit to the Agency, for the Agency’s approval or modification, abudgetwhich
includes an accounting
of
all costs associated with the implementation ofthe investigative,monitoring
and/or corrective action plans.
I herebycertify that
I
intend to seek payment from the USTFund for performing Site Investigation
____________________ activities
at
Karlock Service Station
LUST site. I further
certify that the costs set forth in this budget are necessary activities and are reasonable and accurate to the
best of my knowledge and belief. I also certify that the costs included in this budgetare not for corrective
action in excess ofthe minimum requirements of415 ILCS
5/57
and no costs are included in thisbudget
which are not described in the corrective action plan. I further certify that costs ineligible forpayment from
the Fund pursuant to 35 illinois Administrative Code Section 732.606 are not included in the budget
proposal or amendment. Such ineligible costs include but are not limited to:
S
Costs associated with ineligible tanks.
Costs associated with site restoration (e.g., pump islands, canopies).
Costs associated with utilityreplacement (e.g., sewers, electrical, telephone, etc.).
Costs incurred prior to IEMA notification.
Costs associated with planned tankpulls.
Legal defense costs.
Costs incurred prior to July 28, 1989.
Costs associated with installation ofnew USTs or the repair
of
existingUSTs.
~~i~ic)
Seal:
Owner/Operator
j~/~CJ~,4~
/4,-::S
~54
/s,4-X-~
Subscribed and sworn to before me the
I
~
dayof
(Budget Proposals andBudgetAmendments must be notarized
Title: Owner
Date:
20G4
Subscribed and sworn to before me the \‘4’~”~ day of~
(Budget Proposals
and
BudgetAmendments
must
be
notarized
when
the~
REG~TERED’
~OFES~ONM~
~
ENGUIEER
.
The Agency is authorized to require thisinformation under 415 ILCS
5/1.
required. Failure to do so may result inthe delay or denial
of
anybudgetor payment:
This form has been approved by the Forms Management Center.
11,5322273
SS
~55
~S
LPC 499 Rev. Mar-94
BB:jk\BUDCERT.WPD

UNDERGROUND STORAGE TANK PROGRAM
Private Insurance Coverage
Questionnaire and Affidavit
This form must be completed in full by all owners/operators or their authorized representatives, that have a
claim for paymentfrom the State ofillinois LeakingUnderground Storage Tank (LUST) program, forthe
labor, materials, overhead andprofit costs related to the study and/or remediatiol~f:aLSUSTsite.
1.
Name and addressof the LUST site: Karlock Service Station/Famey’s Garage
522 South Main Street
Rankin.. illinois 60960
2.
Name of insurance company providing coverage forthis LUST site: None
3.
Amount of coverage provided: $ 0
4.
Have you or your firm ified aclaim against your insurance company for this LUST site? Yes(~)
a.
If yes, how much is the claim for? $______________________________________________
b.
If no, explain why. Not covered.
5.
Have you or your
firm received pa
nt for a claim
againstyour insurance company for this LUST
site?
Yes
No
a.
If yes, how much and when? $___________________________________________
Date
S
b.
Ifno,
explain why. Not covered.
— -
6.
Are you going to file a
claim against yourinsurance policy?
Yes
a.
If yes, howmuch and
when?
$______________________________________________
Date
____________________
b.
Ifno,
explain why. Not covered.
IL 532 1817
This Agency is authorized to requestthis information under the Illinois
LPC 324 Rev. ian 98
Environmental Protection Act, 415 ILCS 5/1 etseq. (Formerly Ill. Rev. Stat. Ch 111-1/2,
1001 et seq.). Disclosure
of
this information is required. Failure to properly complete this
form in its entirety mayresult in the delayor denial of any paymentrequested hereunder.
This form has been approvedby the Forms Management Center.

PRIVATE INSURANCE
AFFIDAVIT
I,
Richard Karlock
a duly authorized representative ofthe Karlock Service Station/Famey’s Garage.
(owner/operator or firm’s name)
herebycertify that the Karlock Service Station
______
does,
X
does not have private
(owner/operator or firm’s name)
S
insurance coverage
for
all
or
part ofthe costs relatedto claim forpayment of Karlock Service Station
(owner
or
firm’s name)
study and/or remediation costs forwork performed at Karlock Service Station
located
(site name)
at Northwest corner ofRoutes 9 & 49. Rankin. Illinois 60960
S
(address)
I, Richard Karlock
,
Owner
of Karlock Service Station
(name)
(title)
(owner/operator or firm’s name)
certifythat as ofthis date, the above information is accurate and complete. Furthermore, I also agree to
reimbursement the Illinois EPA for any overpayment made by my private insurance companyin excess of
the deductible am
t for each site.
jm,~’?~
Jf4 ~
/4~’~11
44~~fe~~
Owner/Operator: Richard K~
Title: Owner
Signature:
Date:
SS
Subscribed and sworn
to before me the
t
day of
3p
~r?’1~.k_
,20
~g
(The
Private Insurance Affidavitmust be notarized
when the
affidavit
is
signed)
~ublic)
The Agencyis
aüthorizedlb require this information
under 415 1LCS 5/1. Disclosure
of
this information is
S
required. Failure to do so may result in the delay or
denial
of
anybudget or payment requested hereunder.
This form has been approved by the Forms
Management Center.
IL 532-2008
LPC419 Oct.93
BB:ct\Jnsurance.wpd

EEDERAL TAYPAYER IDENTJflCATION NUMBER AND
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 entitled TAXPAYER IDENTIFICATION NUMBERAND
LEGAL STATUS DISCLOSURE CERTIFICATION below.
Enter your taxpayer identification number (TIN)
in the appropriate
space. For individuals and sole
proprietors, this is your social securitynumber. For other entities, it is your employer identification
number. Federal Employer Identification Numbers(FEINs) must not be used for sole proprietorships.
Ifyou do not have a TIN, apply forone immediately. To apply, get Form SS-5, Application for a
Social SecurityNumber Card (for individuals) from your local office ofthe Social Security
administration, orForm SS-4, Applicationfor Employer Identification Number (for businesses and all
other entities), from yourlocal Internal Revenue Service office.
To complete the certification ifyou do not have a uN, fill out the certification including that a TIN
has been applied for, sign anddate the form, and return it to this Agency. As soon as you receive
your I’JN, fill out anothersuch form including your TiN, sign and date the form, and send it to this
Agency.
Ifyou fail to furnishyour correct uN to this Agency, you are subjectto an IRS penalty of$50.00 for
each such failure unless your failure is due to reasonable cause andnot to willful neglect.
WILLFULLY FALSIFYING CERTIFICATIONS OR AFFIRMA11ONS MAY SUBJECT YOUTO
CRIMINAL PENALTIES INCLUDING FINES AND/ORIMPRISONMENT.
Please return the completed form to the Bureau ofLand, Remedial Projects, Accounting & Procurement
Unit, Post Office Box 19276, Springfield, Illinois 62794-9276.
TAXPAYER IDENTIFICATION NUMBER ANDLEGAL STATUS DISCLOSURE CERTIFICATION.
Under penalties ofperjury, I certify that the FEIN or Social SecurityNumber indicated below is my correct
Federal Taxpayer Identification Number. Iam doing business as a (please check one):
_Individual
X Sole Proprietorship
_____RealEstate Agent
~_Partnership
____GovernmentalEntity
_____Not-for-Profit Corporation
__Corporation
___Tax Exempt Organization ____Medical & Health Care
____Trust or Estate
____(IRC 50 1(a) only)
_____
rv~
rovider Corporation
______
/
323-58-9456
f~’c.(~~.1
~A~/t
~
______________
Taxpayer Identification Number
Signed
Date
Karlock Service Station
Name ofFirm (Please print or type)
Note: Original signature reuqired.
This Agency is authorized to request this information under the Illinois
Environmental Protection Act, 415 ILCS
5/1
et seq. (Formerly ifi. Rev.
Stat. Ch 111-1/2, 1001 et seq.). Disclosure ofthis information is
requireLFailure to properly complete this form in its entirety may result
in the delayor denial ofany payment requestedhereunder. This form has
been approved by the Forms Management Center.
IL 532 1887
S
LPC
367
Rev~
Jan 98
.S
BB:ct\FedTaxllD.wpd

FIRM’S NAME, ADDRESS AND
TELEPHONE NUMBER
IS
THIS
FIRM A
WBE/
MBE?**
IF YES, WHAT
IS
THEIR STATE OF
ILLINOIS VENDOR
NUMBER?
AMOUNT
PAID
OR
DUE THIS
BILLING
HDC Engineering
201 W. Springfield Ave., Suite 300
Champaign, 1161824
(217)352-6976
No
$18,552.32
Billing Subtotal
$ 18,552.32
or(s):
S
S
Great
Lakes Analytical
No
$4,106.23
WesternEnvironmental Services, Inc.
No
$3,586.50
Billing Subtotal
$ 7.692.73
**17.JBE/M~BE
=
If the finn is aWBE,
place the
term WBE in the space provided, Ifthe firm is aMBE,
place
the
term MBE
in the
space provided.
Ifthe
firm is neither a WBE
nor
MBE, place
the
wordNO in the space provided.
NOTE:
This
form may
be reproduced
~f
space is not sufficient to include all Subcontractors usedon this
billing.
This
Agency is
authorized
to
request this information under the Illinois
Environmental Protection Act,
415
1LCS
5/1
et seq. (FormerlyIll. Rev. Stat. Ch
111-1/2, 1001 et seq.). Disclosure of
this information is required. Failureto
properlycomplete this form in
its entirety mayresult inthe delay or denial
of
any payment requested
hereunder.
This form
has been approved by the Forms
Management Center.
IL 5322167
LPC48I Jan.98
BB:ct\WBE_MBE.wpd
S
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) an.cl
to
Minority Business Enterprises (MBE).
Therefore,
please
provide the required
information
for all
Prinie
Consultants/Contractors and Subcontractors used
to
perform the work for this
billing:
Name
of LUST site:
Karlock Service Station/Farley’s Garage
Incident No.
20021180
The work forthis billing was performed
from:
February
1.2003
to:
August
18. 2004
Prime Consultants and/or Contractor(s):
Subcontract

ar’i~’”
.
Office of the Illinois
____
State
Marshal
S
CERTIFIED MLaJL
-
RECEIPT REQUESTED# 7001 2510 0002 3288 0443
February i9 2003
S
S
S
.
S
RECEIVED
Richard Karloolc
S
.
FEB 24
2003
lI9WPatton
S
S
flflf~
r&IPiilr
Paxton, IL
60957
5
.
S
Ii
U L’
L
110
I II
~ERIM6
S
~
~5S5
S
lii Ri:
Facility
No.. 4-040683
IEMAlncidentNo.02-1180
S
F’arney’s Garage / Karlock Servi~è
S
.
.
S22SMainSt
N.W.CornerRt.9&49
S
/
Ranldn, Vermilion
Co., IL
DearApplicant.
.
S
S
.
The Reimbursement Eligibility and Deductible Applicatio~ireceived
on J
uary
24, 2003for the
above
teferenced
occurrence has
been reviewed. The following det
t’on~have been made based upon this
review.
•S’
. .:..~.
.
••• ..
..
.~
-
•. •.-
..
S
It has been determined that you.are e~igib1eto seek payoient
of
costs in excess of$15,000. Th~costs must
be in response to the occurrence referenced
above
and associated with the following tanks:
Eligible Tanks
S
S
S
Tank 12,000-gallon Gasoline
.
S
S
Tank 2 2,000-gallon Gasoline
.
S
Tank 31,000-gallon Heating Oil
S
Tank 4500-gallon Used Oil
S
S
Tank 51,000-gallon Gasoline
S
S
You.must contact
the
flhinois Environmental Protection Agency to receive a packet
of
Agency.billingiorms
for
submitting yourrequest forpayment.
.
An owner
or
operator is eligible to access the Underground Storage Tank Fund
if
the eligibility~.
req
aresatisfied:
S
S
1.
Neither the
owner
nor
the operatoris the UnitedStates Government,
.
S
2
The ta~ik
dpes not
contaip fuel which js exempt from
the MotorFuel
Tax Law,
The costs were incurred asa result ofa confirmed release ofany
ofthe following
substances:
“FueI’~as defined m SBc~ic~n
119 ofthe Motor Fuel Tax Law
S..
-
S
S~
.
S
5
Aviation fuel
S
S ,•
Heatrng.od.
•~
S
1035 Stevenson Drive • Springfield, Illinois 62703-4259. (217) 785-0969
øn RcycJ.dF8p.,

I
.
Kerosene
S
S
Used oil, which has been refined from crude oil used in a motor vehicle, asdefined in
Section 1.3 ofthe Motor Fuel Tax Law.
S
-
4..
The owner oroperator registered the tank and paid all fees in accordance with the statutory and
regulatory requirements ofthe Gasoline Storage Act.
S
5.
The
owner
or operator
notified the illinois
Emergency Management Agency ofa confirmed
-
release, the costs weriincurred after the
notification
and the costs were a re~ultof a release ofa
substance listed in this Section. Costs ofcorrective action or indemnification incurred before
S
-
-
S
prQvidingthat not fication shall
not
be eligible forpaynent.
• •
S
S
6.
The costshave not already beei
paid to the
owner oroperator under a private insurance policy,
other written agreement, or court order.
S
7.
The costs were associated with “correctiveiction”.
S
S
ThIs constitutes the filial decision as it relates to your eligibilityand deductibility. We reserve the right to
changethe deductibledeterniination.shouid additional information that would change the determination
-
become available. An underground storage tank owner or operatormayappeal thedecision to the Illinois
Pollution Control Board (Board), pursuant to Section
57.9
(~)
(2). An
owner oroperatorwho
seeks
to
appeal the decision shall file apetition fora hearingbefore the Board within 35 days ofthe date ofmailing
ofthe final decision,
(35
Illinois Administrative Code 105.102(a) (2)).
S
For information.regardingthe filing ofan appeal, pleasecontact:
S
• Dorothy(~u~n,
Clerk
-
S
illinois Pollution Control Board
State
of
illinois Center
.
S
S
5
100
WestRandolph,Suite
11-500
5
5
5
5 5 5
S
Chicago, illinois 60601
.
S
5
5
(312)814-3620
5
5
S
If
you have any questions regarding the eligibility or deductibility determinations, please contact our Office
at (2
Li)
785-1020 or (217)
785-5878.
and ask
for
Vicki Cox-Fraase..
.
S
S
Sincerely,
5
Melvin H. Smith
Division Director
Division
of
Petroleum and Chemical Safety
MHS: vlOf
cc:
IEPA
Facility
File
HDC Engineering

Tabulation of Invoices
- Karlock Service Station/Farney’s Garage
Invoice
Invoice
Order
Company
Name
Invoice Number
Work Description
Amoun~
I
HDC
Engineering
12675
Site investigation
$
4,138.75
2
HDC Engineering
12974-2
Site investigation
$
520.00
3
HOC
Engineering
12990-1
Site investigation
$
2,405.00
4
HOC Engineering
13317-1
Site investigation
$
173.23
5
HOC Engineering
13722-2
Site Investigation
$
130.00
6
HDC Engineering
14136
Site Investigation
$
160.50
7
HOC Engineering
14236-2
Site investigation
$
893.00
8
HDC Engineering
14297-2
Site investigation
$ 1,808.00
9
HOC Engineering
14445-2
Site Investigation
$ 12,612.69
10
HDC Engineering
14577-2
Site investigation
$ 2,998.88
11
HDC Engineering
5
14810-2
Site Investigation
$
405.00
Subtotal $ 26,245.05
12
United Rentals
39111184-001
Core Drill
$
100.00
13
In-Situ Rentals
36537
Data Logger
$
279.27
14
Great Lakes Analytical
8402166-HDCE9 Sample Analysis
$
406.12
15
Great Lakes Analytical
B404033-HDCE9 Sample Analysis
$
804.03
16
Great Lakes Analytical
B403245-HDCE9 Sample Analysis
$ 1,715.63
17
Great Lakes Analytical
B403
I55-HDCEO Sample Analysis
$ 1,180.45
S
Subtotal
$
4,1O6.23’~
18
Western Environmental Services
04-5 14
Well installation
$ 3,586.50
19
1Lowe’s
008008397779
Fittings
$
16.40

tI
S
HDSC ENGINEERING
201
W. SPRINGFIELD, 3rd FLOOR
S
P. 0. BOXI4O
S
CRAMPAIGN, IL 61824-0140
5
(217) 352-6976
Mr.
Richard
Karlock
S
S
515
So. Johnson
Rankin, IL 60960
Invoice No.
12675
Date
03/31/03
Client Nb.
00884.01380
For
Farney’s Garage
S
PrOfessional services from February 1, 2003. thrOugh March 31, 2003
SITE iNVESTIGATION
S
S
Project Manager
-
Jones
5
23.25 hrs.
© $95.00/hr.
$2208.75
Site
plan and budget, reporting, mapping
S
S
Environmental Professional II
-
Laros
29.50 hrs. © $65.00/hr.
$1917.50
Site
investigation
work
plan and budget, site work,
mapping
S
Draft
S
5
.25
hrs.
©
$50.00/hr.
$12.50
TOTAL THIS INVOICE
$4138.75

Back to top


HDC ENGINEERING
201
W. SPRINGFIELD, 3rd FLOOR
P.O. BOX. 140
CHAMPAIGN, IL 61824-0140
(217) 352-6976
Mr. Richard.Karlock
S
S
515 So. Johnson
Rankin, IL 60960
Invoice No.
12974—2 Revised
S
Date
04/3012003
5
Client No.
00884.01380
-
S
For
Famey’s Garage
Site Investigati9n
S
S
Professional services through
April
1, 2003 through April 30, 2003
Site Investigation
S
Environmental Professional II
-
Laros
8.00 hrs. © $65.00/hr.
$ 520.00
Property access, mapping, reporting
S
TOTAL THIS INVOICE
$ 520.00
S
S~
5S’~

Back to top


HDC ENGINEERING
201 W. SPRINGFIELD, 3rd FLOOR
S P.O. BOXI4O
CHAMPAIGN,
IL 61824-0140
S
(217) 352-6976
Mr. Richard Karlock
S
515 So. Johnson
Rarikin, IL 60960
Invoice N~. 12990
I Revised
S
Date
05/31/03
Client No.
00884.01380
5 5
5
For
Famey’s Garage
Site Investigation
:
S
S
Professional services from May 1, 203 through May 31, 2003
55
5
Site Investigation
Environmental Professional II
-
Laros
24.00’hrs. © $65.00/hr
$ 1,560.00
SIWP & B preparation, property. access, mapping~reporting
S
Environmental Professional II Saylor
13.00 .hrs.. © $65.00/hr.
S S
•$ 845.00
Plan, design, mappIng, repárting
S
S
S
S
•S•5
L
TOTAL THIS INVOICE
$ 2,405.00

S
ISS
S

Back to top


S
HDC ENGINEERING
201 W. SPRINGFIELD, 3rd FLOOR
P.O. BOX 140
CHAMPAIGN, IL 61824-0140
(217) 352-6976
Mr. Richard Karlock
515 So. Johnson
Rankin, IL 60960
Invoice No.
13317— 1 Revised
S
Date
07/31/03
Client No.
00884.01380•
-.
S
For
Site Investigation
-
Farney’s Garage
S
Professional services from June 1, 2003 through July 31, 2003.
Site Investigation
5 5
5
5
Professional Engineer
Saylor
.25 hrs. © $75.00/hr.
$ 18.75
Reporting
S
S
Environmental Professional Il
-
Laros
2.00.hrs. © $65.00/hr.
$ 130.00
CAP
S
Mileage
S
68 miles @ $0.36/mile
$
24.48
TOTAL THiS INVOiCE
S
S
S
$ 173.23

5,
~

Back to top


S
HDC ENGINEERING
201 W. SPRINGFIELD, 3rd FLOOR
S
P. 0. 80X140
CHAMPAIGN, IL 61824-0140
5
5
5
(217) 352-6976
Mr. Richard Karlock
S
515 So. Johnson
Rarikin, IL 60960
Invoice No.
13722—2 Revised
S
Date
10/31/03
Client No.
008.84.01380
For
Site Investigation
-
Famey’s Garage
Professional services fromAugust 1, 2003 through October31,2003
Site Investigation
S
Environmental Professional II— Laros
2.00 hrs. © $65.00/hr.
$ 130.00
Reporting
S
TOTAL THIS INVOJCE
S
S
$130.00
S
Thank you,
S
HDC
Engineering
S
J. Mike
‘Jones, Principal

5,
(
(
5;
S

Back to top


HOC ENGINEERING
5
201 W. SPRINGFIELD~3rd FLOOR
S
•S
P.O.BOX 140
S
S CHAMPAIGN, IL 61824-0140
S
5
(217) 352-6976
Mr. Richard Karlock
S
515 So. Johnson
Rankin, IL 60960
Invoice No.
14136 Revised
Date
512/31/03
Client No.
00884.01380.
5
For
Site Investigation- Famey’s Garage
S
Professional services from November 1, 2003 through December 31, 2003
Site Investigation
S
Project Engineer
-
Saylor
.25 hrs.
©
$82;0O/hr.
$
20.50
Delineation
.
S
S
S
S
.Environfllental ProfeSsional Ill Laros
.
1.50
hrs. © $75,00/hr.
$ 112.50
Delineation
S
S
S
S
Environmental Professional II— Davis
.50 hrs. ~ $55.00/hr.
$ 27.50
Sitework
S
S
TOTAL THIS INVOICE
$160.50
Thank you,
S
HDC Engineering
S
S
J. Mike Jones, Principal
S

HDC ENGINEERING
201 W. SPRINGFIELD, 3rd FLOOR
S
P.O.BOXI4O
S
S
CHAMPAIGN, IL 61824-0140
(217) 352-6976
Mr. Richard Karlock
S
515So.Johnson
S
Rankiri, IL 60960
Invoice No. 14236-2 Revised
Date
01/31/04
5
Client No.
00884.01380
For
Site Investigation
-
Famey’s Garage
S
Professional services from January 1, 2004 through January 31, 2004
Site Investigation
S
Project Engineer
-
Saylor
2.00 hrs @ $82.00/hr.
$ 164.00
Report
55
S
5
5
5
Environmental Professional Ill
Laros
3.00 hrs. @ $75.00/hr.
•$
225.00
Report, budget
S
S
Environmental Professional Ill
Walsh
7.00 hrs. © $72.OOIhr.
$ 504.00
S
Budget
5
5
SS
TOTAL THIS INVOICE
S
$893.00
Thank you,
HDC Engineering
J.
Mikè”Jones, Principal

HDC ENGINEERING
201 W. SPRINGFIELD, 3rd FLOOR
P.O.
BOX 140
CHAMPAIGN, IL 61824-0140
(217) 352-6976
Mr. Richard Karlock~
515 So. Johnson
S
Rankin, IL 60960
Invoice No.
14297 -2 Revised
Date
02/29/04
Client
No.
00884.01380
For
Site Investigation
-
Farnèy’s Garage
Professionalservices.from February 1, 2004 through February
29, 2004
Site Investkiation
S
S
S
S
Environmental Professional Ill
-
Fish
.50hrs. © $72.00/hr.
S
$
36.00
Report
55S
5
5
5 5
Environmental Professional III
Walsh
18.50 hrs. © $72.00/hr.
$ 1,332.00
Drilling, sampling
S
Environmental Professional II— Davis
8.00 hrs.
@ $55.00/hr.
$ 440.00
Drilling
5
5
5
5
55 5
5
TOTAL THIS INVOICE
S
$1,808.00
Thank you,
HOC Engineering
J. Mik~’Jones,Principal

HDC ENGINEERING
201 W. SPRINGFIELD, 3rd FLOOR
P. 0. BOX 140
CHAMPAIGN, IL 61824-0140
(217) 352-6976
Mr. Richard Karlock
515 So. Johnson
Rankin, IL 60960
Invoice No. 14445
-
2 Revised
Date
03/31/04
Client No.
00884.01380
For
Site Investigation
-
Farney’s Garage
Professional services from MARCH 1, 2004 through MARCH 31, 2004
Site Investigation
PERSONNEL:
Professional Engineer- Saylor
.50 hrs. © $82.00/hr.
$
41.00
Report
S
S
Environmental Professional Ill
Laros
5.75 hrs. @ $75.00/hr.
$
431.25
Drilling, sampling
S
Environmental Professional Ill
Fish
4.25 hrs. @ $72.00/hr.
$
306.00
Reporting
Environmental Professional Ill —Walsh
50.00 hrs. @ $72.00/hr.
$ 3,600.00
Drilling
Drafting:
3.75 hrs. @ $45.00/hr
$
168.75
S
S
SUBTOTAL
$4,547.00
EQUIPMENT:
Drilling
90 ft.
©
$12.50/ft.
$ 1,125.00
Geoprobe
1 day © $400.00/day
$ 400.00
Sampling Supplies
2 days
©
$50.00/day
$
100.00
PlO
~days©$100.00/day
$ 200.00
Drum
5 © $35.00/each
$ 175.00
Water Level Indicator
2 days @ $30.00/day
$
60.00

(Equipment Continued)
S
Pump
2 days @ $40.00/day
$
80.00
Survey Equipment
I day ©
$50.00/day
$
50.00
Decontamination Equip
I
day © $190.00/day
$ 190.00
S
Decon/Drumming labor
2.00 hrs© $38.00/hr.
$
76.00
Prints
I print @
$1.00/each
$
1.00
SUBTOTAL
$2,457.00
SUBCONTRACTORS/FIELD
United Rentals
S
$
100.00
Great Lakes Analytical
S
$ 406.12
Great Lakes Analytical
$ 1,180.45
Western Environmental
S
$ 3,586.50
Lowe’s
$
16.40
S
SUBTOTAL
$5,289.47
HANDLING FEE
S
$ 264.47
Mileage
146 miles @
.375/mile
$
54.75
S
SUBTOTAL
S
$ 319.22,
TOTAL
THIS INVOICE
$ 12,612.69
Thank you,
HDC Engineering
J. Mike
Jones, Principal

5,
5,

Back to top


HDC ENGINEERING
201 W. SPRINGFIELD, 3rd FLOOR
S
P.O.BOXI4O
S
CHAMPAIGN, IL 81824-0140
(217) 352-6976
Mr. Richard Karlock
515 So. Johnson
Rankin, IL 60960
Invoice No.
14577
-
2 Revised
S
Date
04/30/04
Client No.
00884.0138&
S
S
For
Site Investigation
-
Famey’s Garage
Professional Services from April 1, 2004 through April 30, 2004
Site Investigation
S
Subcontractors:
S
Great Lakes
S 5
$2,519.66
In-Situ Rentals (data logger)
3 days @ $93.09/day
$ 279.27
Handling Fee
$ 139.95
Mileage
160 miles© .375/mile
$
60.00
TOTAL THIS INVOICE
S
S
$2,998.88
Thank you,
HOC Engineering
5”
5’ ‘5~
J. Mike Jones, Principal

5,
5,
‘5
S
HDC ENGINEERING
201 W. SPRINGFIELD, 3rd FLOOR
P. 0. BOXI4O
S
S
S
CHAMPAIGN, IL 61824-0140
(217) 352-6976
Mr. Richard Karlock
S
515 So. Johnson
Rankin, IL 60960
Invoice No.
14810
-
2
Revised
S
Date
05/31/04
Client No.
00884M1380
S
S
For
Site Investigation
-
Famey’s Garage
Professional services from May 1, 2004 through May 31, 2004
Site Investigation
S
S
Environmental Professional I
-
Garcia
4.00 hrs. @$40.00/hr.
$
160.00
S
Well Development, Site
Work
S
S
Prints
S
S
S
$
2.50
Mileage
5
500 miles © .375/mile
S
$
187.50
Drafting
1.00 hr ~ $55.00/hr.
S
$
55.00
S
TOTAL THIS INVOICE
S
$ 405.00
Thank you,
HDC Engineering
S
J. Mike
Jones, Principal

S
ui’iiwu.,.
S
Rentals
1
CORE DRILL MACHINE
RR1807000
1
DIAMOND CORE
BIT 4 IN
cHAMPAXGN,
II.
6i820
217-351-5820
50.00
35.00
55.00
45.00
RENTAL PROTECTION DECLINED
I~IIP’iL.
~
DNITED
RENTALS N0RTEWES~?. INC.
P0
BOX
503330
ST. LOUIS, MO 63150-3330
165.00
108.00
460.00
280.00
55
45,
Sub-total:
Total.
100.
100.
AND
CONDITIONS ~
/AILABLE
UPON
REQUEST.

1
5,
‘5
210 S.
Third
Street• P.O.
Box 907•
Laramle, WV 82073-0907 USd
S
~
Rieiatal1s
Tel~307.742.8213
888.880.4862
• lax:
307.721.7528
Internet: ½wwjn.sjtu.con
Brought toyou
by
S
Invoice No:
3653~
Date: G3I30/2O0~
INVOICE
Page 1
Bill To:
Ship To:
Bill Walsh
Bill Walsh
HOC ENGINEERING
IL
S
HD1~Engineering
S
201 WEST SPRINGFIELD
FedEx Hold
for
pickup
SUITE 300
2007 Federal Way
CHAMPAIGN,
IL 61821
Urbana, IL 61801
9~er No Account No
Salesperson
Order Date
Terms
Pay Method
Ship VIa
Customer PC
11357
005967
Jason Evans
03/23/2004
Net 30
P0
FedExPi
01380
Cust Ship Acct:
S
Memo:
S
S
Line #
Serial 1? Product Description
S
Billing Start Date Shipped
Returned
1mw From
mv Thrti
Dly/WkIy/Mmitly/Dly31 Rate
Qty Unit Price
Extended Price
I
R09146
03/24/2004
mInITROLL-Comm Cable w/485-232 Adptr.
J03/23/2004
103/30/2004 j03/24/2004
103/29/2004
I
$1 .00/4.00/12.00/1.00
1
S
$4.00
$4.00
2
R05356 mInITROLL-30
PSI
Battery
Power
S
03/24/2004 103/23/2004 103/30/2004 J03/2412004 103/29/2004 J
$37.00/16O.00/475.00/15.00
$16Ô.0O
$160.00
3
R08505 MPT/mInITROLL-50’ FEP wlo Reel
-
S
03/24/2004 j03/2312004 103/30/2004 j03124/2004 103/29/2004
Is
18.00/60.00/175.00/5.00
1
$60.00
$60.00
Subtotal:
$224.00
Shipping:
$41.27
Tax:
$14.00
Total:
$279.27
RECE! VEO
APR95
2&J~
llD~ENG/iijfr.~1

Back to top


;.~I~UGREAT

Back to top


~I
ANALYTICALLAKES
1380
Busch
Parkway
Buffalo Grove, Illinois 60089

Back to top


INVOICE
Invoice To:
Accounts Payable
IDC Engineering,Inc.
201 W. Springfield Ave. Suite 300
Champaign,
IL
61824
P0
Number
Client
Bill
Walsh
HDC Engineering, Inc.
Protect Manaaer
AndyJohnson
Remit To:
Accounts
Receivable
Great Lakes
Analytical
P.O.
Box 88485,
Dept. A
Chicago, Illinois
60680-1485
-~
Quantity
Analysis/Description
5
Matrix
Unit Cost
Extended
Cost
GreatLakes
Analytical—Buffalo
Grove
S
1
BTEXM
5030/8021
W
5
day
Water
$46.58
$46.58
5
5
BTEXM/PNA 5030/8021W
5
day
Water
$138.16
$690.80
5
Pb
Total GFAA 7421
5
day
Water
$13.33
$66.65
5,
S4E~3~
5a.
Invoice Total:
$804.03
O~ç~J
RECEIVED
APR 99 2004
mic
~
Email:
info~gIalabs.com
(847)
808-7766
FAX
(847) 808-7772
Invoice Number
B404033-HDCE9
Invoiced On:
04/05/04
Received
03/25/04
Proiect
ICarlock
Terms
NET 30
Prolect Nunitier
01380
Work Order(s)
B403516

UKtAI
...
.
S.

Back to top


~
LAKES
S
~
ANALYTICAL
S
1380
Busch
Parkway
BUffalo
Grove, Illinois 60089
Email:
info©glalabs.com
(847) 808-7766
FAX
(847) 808-777
INVOICE
Invoice To:
Accounts
Payable
JDC
Engineering,
Inc.
201
W.
Springfield Ave. Suite 300
Cbanlpaign,IL 61824
Invoice Number
B402166-HDCE9
InvoicedOn~
02/26/04
RemljToi
Accounts
Receivable
Great Lakes Analytical
P.O.
Box 88485, Dept. A
Chicago,
fllinois
60680-1485
P0 Number
NA
Client
Bill Walsh
HDC Engineering, Inc.
Received
02/17/04
Terms
NET3O
wee
Karlock
01380
Project Manaaer
AndyJohnson
Work Order(s)
B402236
Quantity
Analysis/Description
Matrix
Unit Cost
Extended
Cost
Great
Lakes Analytical—Buffalo
Grove
5
5
5
5
1
8270 BN 5 day
Soil
$253.12
$253.12
15
HVOC 8260
5
day
.
-
Soil
$153.00
$153.O0
Invoice Total:
$406.12
RECEIVED
MAR 15
2004

Back to top


HOC ENGINEERING
Page
1 of 1

wA.

Back to top


GREAT

Back to top


~
ANALYTICAL
1380
Busch Parkway
Buffalo Grove, Illinois 60089

Back to top


iNVOICE
Invoice
To:
Accounts
Payable
HDC
Engineering,
Inc.
201 W. SpringfieldAve. Suite 300
Champaign, IL 61824
Remit To:
Accounts Receivable
Great Lakes Analytical
P.O. Box 88485, Dept. A
Chicago, Illinois
60680-1485
P0 Number
Received
03/16/04
Client
Bill Walsh
HDC Engineering, Inc.
Prolect Manager
Andy Johnson
Terms
NET
30
Work Order(s)
B403358
Krl
01380
Quantity
Analysis/Description
S
)~atrix
Unit Cost
Extended Cost
GreatLakes Analytical--Buffalo Grove
7
BTEXM/PNA 5035/802 1
5
day
7
Pb TCLP GFAA 7421
5 day
1
Pb Total ICP 60lOB
5
day
~14L
Soil
$162.23
$69.53
$13.33
Invoice Total:
$1,135.61
$486.71
$93.31
$1,71S.63
SSSS1S~.~~S:SSSS~
5S5•555 •S5~S5S5~
I
ct~ll~~7~-J
I
MAR292904
Lsy—~r~F
S
Email: info©glalabs,com
(847) 808-7766
FAX
(847) 808-7712
Invoice Number
B403245-HDCE9
Invoiced On:
03/25/04
55

fr-S.
Invoice To:
Accounts Payable
HDC Engineering,
Inc~
201 W.S~iringfle1dAve. Suite 300
Champaign, IL
61820
P0 Number
NA.
Invoice
Number
8403 155-IDCE9
Invoiced
On:
03/15/04
Received
03/05/04
RemItio
Accounts Receivable
Great Lakes Analytical
P.O. Box 88485,
Dept A
Chicago,
illinois
60680-1485
Protect
Karlock

Back to top


iNVOICE
Client
Bill Walsh
HDC Engineering, Inc.
Project Manager
AndyJohnson
Proect Number
QuantitY
Analysis/Description
Matrix
Unit
Cost
Extended
Cost
Great Lakes Analyttcal—Buffalo Grove
S
5.
BTEXM/PNASO35/8021(5 day
Soil
.
$153.23
$766.15
5
Pb TCLP OFAA 7421
5 day
Soil
$69.53
$347.65
5
Pb TotalICP
6010B 5 day
Soil
$13.33
$66.65..
InvoiceTotal:
$1,180.45
a-
Page 1 of 1
Terms
NET
30
Work
OrderI~)
B403 124

Back to top


Invoice
~55~
4S?O.
E52~
I-I
InvoiceInvoice
No.Date
S
FileName
Dogg4~

Back to top


LXI’ BILL~~
PerDiem
(3 Man Crew)
$85.00
Questions concerning this
invoice?
Call:

Back to top


Western
En’vironrnental
Services, Inc.
2665 Prairie College Road
Jacksonville. IL 62650
Phone:
(217)243-3822
Fax:
(217)245-1475
Prqiect Infb.
Karlock Service Stationl.Farney’s Garage
522 South Main Street
S
Rankin, Illinois
p04-514
3/16/2004
HDC
workperformed
313/2004
HDC Engineering, Inc.
201 W. Spfld Ave., Suite 300
Champaigi, IL
61824
3
PerMan
QUANTITY
UNIT
DESCRIPTION
UNIT PRICE
AMOUNT
1
LS
Mobilization
I
Lump Sum
$250.00
75
Per
Ft.
Drilllng(with continuous sampling)
$12.50
$937.50
1
PerDay
Decon Equipment
$190~O0
$190.00
S
3
Per Hr
DeconfDrumrning Labor
$38.00
$114.00
Monitoring Well Installation
Per Hour
Rig
Time
$75.00
$225.00
Per Hr/2 Men
Labor
$76.00
$380.00
SUBTOTAL.
$2,351.50
Material
$1,235.00
TOTAL
$3,586.50
I
$255.00
~TonyJachino
1217-243-3822
1
MAKE
ALL
CHECKSPAYABLE TO:
Western Environmental Services, Inc.
2665 Prairie College Rd.
Jacksonville, IL 62650

Back to top


Materials
T~s’estern
Page2of2
Environmental Services, Inc.
InvoiceNo
#04-514
QUANTITY
UNIT
DESCRIPTION
S
UNiTPRICE
AMOUNT
5
10.0’
2” PVC Screen
$35.00
$175.00
5
5.0’
2” Pvc Riser
$15.60
$78.00
5
.
2” PVC Bottom Plug
$8.00
$40.00
5
Expanding Locking
Cap
$17.60
$88.00
5
8”
Manway
$82.00
$410.00
35
50 lb.
Washed Silica Sand
$8.00
$280.00
8
50 lb.
Bentonite Chips
$12.00
$96.00
8
80 lb.
Ready Mix Concrete
$8.50
$68.00
SUBTOTAL
$1,235.00
I-
1

Back to top


InVOlce
IL
~t~Ji~I
L~I~
~IlL
REMIT TO:
~5S~J)~7
2k...
~‘
~LOWE
‘S
HONE
CENTERS,
INC.
P0 BOX 281791
.
CPI 0080
ATLANTA, GA
,—
‘~ 1904 NORTH PROSPECT AVE.
30384-1791
¶-S
~3
CHAMPAIGN
IL. 61820
Please check
the merehandisa you are purchasingto ensure
all items
are receivedas Lowe’scannot be responsible for shortages after
you leave Lowe’s
warehouse. Your signatureacknowledges La
delivery and your receipt the date set forth below ofall items
of
merchandise, except those
items
notedas being for laterdeliveiy (e~g.,LD’~Lowe’sDelivezy
PL’Pick-up Later; S0S~SpeciaIOrder.
orWH
-
Warehouse orback
ofstorepick-up.
Not signing acknowledgement
ofreceipt. however, does
not mean that such merchandise was notdelivered. All claims and return methandise
MUST
be accompanied by
this Invoice and madewithin
30 days
ofdelivery forcredit orrefiincL This document may also evidence a return ofmerchandise described below If’Return’ is primted with refer
to an item. In such
instance you will be
given credit
or cash as described and
your signature represents your
.~.
S
acknowledgment ofthe accuracyofthe terms and conditions ofthe aebirm SEE BELOW
FOR(1)
PAYMENTTERMS
ANDCONDITIONS FOR CERTAIN PURCHASES AND (2 WARRANTYlNFORl~tkTION~ANDAGREEMENTS.
.•
~
DO NOT SIGN
THIS
INVOICES UNTIL
COMPLETE AND
YOU
HAVE RECEI ED AND ACCEPTED THE
.
.. ,•.
S
MERCHANDISE CURRENTLY BEING
DELIVERED
TO YOU
AND
YOU HAVE
READ THIS DOCUMENT
YOUR SIGNATURE CONSTITUTES YOUR
AGREEMENT
WITH APPLICABLE PROVISIONS-Li&TI-BELOW.
~‘:
...
YOU
ARE
ENTITLED TO A COPY OF THE
INVOICE.
:
0~
0
S
—~
rj~
cd~
IT:vI:~
TRANSACTION
CVSTONZR
DATE
R CHARGE HDC ENGINEERING INC
03/23/04
GENERAL
U z.osn QTVUmT
ITEM #
DESCRIPTION
PAGE XNV~X~ENV~ER
1 ~08008397779
J
UNIT PRICR EXT. PRICE
S PURCHASER:
PHIL DAVIS
1
BA 115155 55
CP FLAT WASHERS 1/4’
2.77
2.77
CW
.
MODEL
NUMBER:
882400
1
BA
5808~i 1/4—20 LOCK
NUT NYL INS
0.88
0.88
CW
MODEL
NUMBER:
490631
1 BA 136732 SS
EYE BOLT 1/4”(QTY2)
2.47
2.47
CW
MODEL NUMBER:
881853
.
CW
CW
2 BA
1 BA
22461
24013
~
3/4’GALV.ANIZED CA.P311CA34/0105900
MODEL
NUMBER:
22461
PIPE TH 314X48”GAL
0215900
MODEL
NUMBER:
ELL5-GLB
0.96
7.22
S
1.92
.7.22
SUBTOTAL
15.26
S-L~4~-
64tJ
+L~/J,~7
I~
,~iii
150
IL-Cl~AIG~~O-CHAMPAIGN
.-
~
~4.
1.14
-
-.
0
~.
au~
coma
a.ax5~mso~
TOThL
03/23/04 CUB
.
16.40
S
.
:
CHARGE
16.40
_____________
SALES
#: 000254285
KAREN BUTTON
ACCT#:0449238—0080—002963
S
PAYMENTTERMSAND CONDITIONS:Thefollowina teemsand conditionsapply tofl Business
go
perdmad-v4thetlim’tingcrnusadozthecomplotelrnss arxIconditio~tofsuthBusincanGiargeAccount) ml
purchasea aul paid for In Mist time ofpwchuae. and ~J
any
p,nvliaso Involving. purchaseosder or other document funlees theteems andconditions ofiochhave been exprmsly approved inwriting by Lowe’s. Any open-er
credit car4j~ndav.llthIeSwear through Lowe’s(includingtawe’s RevolvIng OAgreeinnstandLowe’s Buabioaaft vlvlngCteditAeountAgraoanenal Is net zubjeetlo-thmo payment anna inScoirdltiooa, but ii subjeott
pavineetterms andesuditionsofsuchaccount. Lowe’s regularbilling dateIi the255~ofoath month,with the balance theand payablenot bythe lOthofth.fciEowlng month, Ifyear Huslne~Chargeaccountbalanceerpwchaseis
by the 10th ofthe
month
p,~ p.,ytjg blflj~gorth
aolmm nelse,
respectively,onlytheNEF AMOUNTofthebilling ststmnentar ptuchase. roapectively.will bepeyabk Ifnotpaid by the 10th.
countaryowoblig
to PaY for the purch~eIs nst due andin default, sodA LATE CHARGE ORSERVICE CHARGEMAY BE MADE INTHE AMOUNTOP I 112 PER MONTH OR 8 ANNUAlLY, CALCULA1THON IE2PIHDAY OFR
MONTH ON ~HE BAL~4CEAS OPTHE 25THDATE OF THE PREVIOUS MONTH
(
lesspayment ad credits to said balance UNTILPAYMENT IN FULL IS W.DEDIFFERENT SERVICE CHARGE IS APPUCABLI
PURCHASES IN THE FOLLOWING STATES: AR AND TIC-.833
monthly, 10 annually; MD- 1 monthly, 12 annoailyPA. 1.25 monthly 15 amrueIly,~MS-.4.15 mcothly,.2l i~nnaUy;fl..IJ
tnonthly,2
annually DE- 2 monthly 24 annually.
S
LIMITEDWARRANtY1hlacoo~umerpro&sctwairansyIsapplicabletoproducts us
rpomooal,tamliy-erlrausthol&ptsposoa. lila no applicable tocosamecolaiansacticos ortxoductapurcbaned ftcp,apoomofresale.
Lowe’s willingairor replace dthctiye produc
wheaunecessasy, for nlncty(90 days frompurchee. ALLEXPRESS AND IMPLIED WARRANTIES INCLUDINGEXPRESS WARRANTIES
OP FITNESS
FOR PARTICUI
PURPOSE AND IMPLIED WARRANTY OP MERCHANTAflIUIY ARE ttharrED FORTEE SAME 90 DAY PERIOD. Snareaisles donut allowlimitation on how long
as
Impliedwarranty lass aoauth limItatIon may not ~
Thaw shed beauremedy otherthan rspalxor
afthepsoduct. INCIDENTAL ORCONSEQUENTIAL DAMAGES FOR LOST PROFITS, SALES, A6OR.~ThER YTOIERSOHOR-PROPER1Y OROThER D(CIDEN
OR CONSEQIJENrLAI. DAMAGESARE EXCLUDED FROr~(mEWARRAN!Y. Sonic stares do oatallowenclimlonorlimitation ofincidnitsl or consequential damagm an auth ezchseion maynotapply.
S
Thlawsoantyfu~~’ght,hithfr~
wstat~Inevent ofdeftetorfu~imhermfannation regarding warranty perfiinissnee, please cordactyoar lomiLowe’s Store
Mam
WARRANTY FORCOMMERCIAl. PURPOSES: This constitutesthe agreement between Prurbaaa~uanwden the facehereofand Lowe’s also referitdto
as
Seller). Thefollowisg provinces applyrrotwithatanduig-Piurhase’a not si~
oftheface hemof
if
Purwhaancaccept,deliveryofmerchandise.
S
S
I. Purchaseragree, that it’s soleand esdualve rmned,against Seller shall befar repairorrwlace,nenc ofsay defectivemerchandise asprovidedherein. Purchawagrees thatso odnerrernedy, indudingbutsot limitedto Incident.
conse,leolial dumages for lost profit,, sale,, Iabo,~h~u,ytopermooorproperty orany other M~t...t.I orconsequential loan, shall ho available to Purchaser. Th~warrantyshall be IN LIEUOF any otherwanesty. uaprsssodoriinpl
includingbut notlimitedtoANY IMPLIED WARRANT?OPMERCHANTABILITYOR FITNESS FOR PARTICULARPURPOSE.
2. In event ofdispute, ifPtaclraaer either iropoalyand lawfully rejectsmerchandise which dossnotconform toagrcmnmrtorp,upatyand lawfullyrevoke,acceptanceofsuchniechiodise. Sellershall haveareasonablotlute
after notification jPsrcbsserofa~’puUemsordefotwmsubatltsseccelbamiogmcsclisndlsediher byieplacenest ofsuchnon-coofonnhng merchandisewith
couframing
monhandlop or
by
effectingrepaireraejualmeti tothe edgiar
merchandise, Merchandise to be returned mustbeaccompaniedby the original Invoiceor proofofpurchueby theoriginal Purchaser fur rn8.md erraplacernart. ThisahaB includetherepeirorrq,lacemantofany necessary essential pain.
the event noo.con(oeuingnreecltaadisecannot bemade conforming orconfonningmerthau8secsimotbofinnithçd In substitutionthereof, thenen.coofonninginercbadlsemay bereturnedby thePurchaser toSefler*poha ofialebyS
toPurchaser.THE UABILII’Y
OF
SELLERINThIS EvENT1SLIMITED TO ACC FANCEOERThRNEI)N~CONPORM1NGMERC
DSEARDEPUND-OPPURCHASEPRICE
OR-BYCREDIT-OPIHE PURCHAF
PRICETO
PURCHASER’SBUSINESS CHARGEACCOUNT
OR
BALANCE OWING
TO
SELLER, PLUS
A
PROPORTIONATE AMOUNT
OFANYFINANCE
CHARGES INCURRED.
3. Evenwhet Purchaserhss theright to return no~.confotmingmetchasdise. this right is contingent upon noticeto Seller,atImetton
f
101 days priorto date ofproposed retimi. This to
alert
Seller ofthe timeandpieceoftheproposed roe
alongwith adeectiption ofwhat merchandiseIi infactto beretrssned. his eeprosoly agreed that Sellermay decline to permitreturnofnon’confonnfng merchsndlsc-onddlnntcther-disposidcn ofthementhaadlse by Purchaser atSeflc
liability fornce-ccnfonningmerchandlro shall belimitedeitherto conformingor replacing defectivetwnocr’cenfozmingmachandise withconfonnlngmerchsothseSalSdflwhSdocdcn. Sefles’s obligationtoccst(onn orrepla
uron’coitibnning merchandiseshall terminate ninety901 days afterpwchas&s receipt ofthemerchandise,
S 5
5.
Theabovercmorlisiomas
yeod~endeandecdndvermqmPesavallsltlotoFurvbaser~Thissupiwicct P,achaaerwith rcapecttojhemacliandjsella$edoe theftcehereofgednot to potøttot’indannifj~P~vhaserMair
S
~
fothelstthâdnencrcdesiquelcesofab
crlnteetiaflanishtothlrdpasàedbyPurchaseris thbcouthactandcois,eofPerthases’sbusinms.
S
6. Any action byPurchaaer inatitnstedagaing Saber
lousy
lweadsofthis agreement nisat be co,nmeicedwithin oney~Seen theaccurual ofcauseofactjoe. Theterms and conditionsofthis agreement shall begovarani by
the
lawi
NadhCarolma.
S
7.
This WARRANFYFOR COMMERCIAl. pejuj~. containsthe totality ofthe agreement between thepartiri anduslntcndedasthellnal erorosalon ofthe asra mest-withSruneattoaattma reaulatedtherdsy. THISAGREEMBI
‘~
‘.“~“
“~
,nCOU(.~tOOU&onANU,IOO,UNO
~
‘~ ~“
Ut I
HE
PARTIES.THERE
MAYBE NO ~
S
--
- —.
S PURCHAS RAGP
TOINDEMNIFY LOWE’S OFANDFROM ANY AND ALL DAMAGE WHICHMAYOCCUR. WHETHER A RESULT
OF
LOWESNEOUOENCEOR NOT,
TO THE
LAND
OR
IMPROVEMENt
LOCATED
AT
THEPLACE
OF
DELIVERY.
S
9.
Lowe’sina3upplierofm~&aeo~,Iy.
sdoennotengpInthepramIceofesgInoaiug~erclnitectsaeorgeneralcontracting. L’sdoss nocarsumeany-rmpocslbilitykr-dnslgu,en tee ingor~coosuuctloec

r’Jz°.urr’iU~u~
i.U~l
Permit
(or
REMOVAL ofUnderground StoraaeTank(sl and Pipina
for
Petroleum and Hazardous S~bstance&
permission to
removeundergroundstorage tank(s) orpiplng
is
hereby granted. Suchremoval shall not commence until the contractor the pe~
issued toor
an employee
ofth~
contractor (this does not
include
a
ontractor) shall establish
a date
certain to per~rnitheI~STactivity
by
c
the Office oftheState Fire Marshal, DivisIonofPetreleumand ChemicalSafety, by telephone atthe Springfield office between
8:30
a.m. and
I
at
whichtime amutually agreed upon’dat~and time for the UST activity shall be scheduled. THIS PERMIT IS VALID FOR SIX MONTHS
THEAPPROVAL DATE.
S
S
(1) OWNER
OF
TANKS
-
Corporation,paftuership, orother
(2) FACILITY
-
name and address wheretanks
S
S
are locate&
busimiss entity:
S
Richard Karlock
119 WPatton,
Paxton, IL
60957
.
5
.
Farney’s Garage/ ICarlock Service
522 S Main St,S
W. Corner Rt. 9 & 49
1~ankin,Vermilion Co., IL
S
.
Contact: Richard
Karlock (217) 379-4530
1 Contact: Richard Karlock (217)379-4530
S
(3)REMOVAL OF TANKS:
(a)
Number and size
of tanks
being removed:
(TK# 1,2)
-
2,000 gallons,(TK
#3,4,5)
-500 gallons
(b) Frodudstoredlneachtank
(TK#1,2,5)-GasolineO(TK#3)-HeatingOil,(K#4)-Used
Oil
(c) Reason oftanks being
removed;
No longer used
(d) Iftank(s) Isleaking, indicate IEMA incI~Ient
number:
02-1180-
(e)
Date each tankwas last used:
(TIC #1,2,3,4,
5)-
12131/1984
(4) Owner must notify this Office whencompletion oftank removalfl~ass~ccurred,onthe Notification
Form for
Underground Storage Tan
FOflD~
Please noteaNotification fornihas beenforwarded to
the name and
rem
shown InItem1 (All iavsofthisform must
be
completed). Alterremovallscompleted, the owner/operator shall pe4orm
a siteassessment by
measuring forthe presence
~f a release
contatmtn~1IonIsmostilkety to bepresent at the tIST site. This Is In ac ordance with
the illinois
Admlnlnfratlye Code 170,640 (a) regal
and40 CKR Part
280.72 (a)
Federal Register R.èqulrement.
S
S
(5) SPECIAL CONTINGENCIES:
(6) PERSON. FJBM~OR
COMPANY PERFORMING
WORK:
.
5.,.
5
5
ugineeruig, ~.
S 5
5
201 W, Springfield, Suite 300
5
Champaign, IL
61824
.
S
••
S
7Th
Contact Person:
.
I
Mike
S
Jones
5
-
.S
Contractor Registration # IL-002260
~
S
Exp.
.
S
09/06/2003
S
S
. .
UFYICE
OP THE
ilLINOIS
STATE FIRE M~tRHAL
Division of Petroleum and Chemical Safety
1035
Stevenson Drive
Springfield, Illinois 627034259
(217)785-1020 or
(217)785-5878
Facility #
4-040683
Permit #
02169-200:
Request Recd
12t27/2002
Amended Date
Approval Date 12t26/2002
Permit Expires
06t26t2003
Commencement Date As Direr
S
Sincerely,.
S
-
S
.
lames J~fey
-
1$~I~ring
Technician
cc; Storage Tank SafetySpecialist
Fire Department
Office Coordinator
-
CS
Division File’
S
(Rev.
-
1/98)
WDT:
S
oo~.c~ç/~2~

PETITIONER’S EXHIBIT “2”

Back to top


ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
1021
NORTH GRAND AVENUE
EAST,
P.O. Box 19276, SPRINGFIELD, ILLINOIS
62794-9276, 217-782-3397
JAMES R. THOMPSON CENTER,
100 WEST RANDOLPH, SUITE 11-300,
CHICAGO,
IL 60601, 312-814-6026
ROD R. BLAGOJEVICH, GOVERNOR
RENEE CIPRIANO, DIRECTOR
217/782-6762
RECEIVED
DEC 1
32004
DEC 102004
-S
HOC- ENE3IWERItW
Richard Karlock
515
So.
Johnson
Rankin,
Illinois 60960
t~Iif,i~r
A
Re:
LPC #1830705004
--
Vermilion County
Rankin/Karlock, Richard
522 South
Main St.
LUST Incident No. 20021180
LUST FISCAL FILE
Dear Mr. Karlock:
The Illinois
Environmental Protection Agency
has completed the review of your application for
S S
-
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 35111. Adm.
Code 732,
Subpart F. This information is dated September 14, 2004 and
was received by the
Agency on September 16, 2004, The application for payment covers the period from February 1,
2003
to August 18, 2004. The
amount
requested is
$26,245.05.
The deductible amount for this claim is $15,000.00, which was previously deducted from the
billing submittal received by the Agency on February
25,
2003 for
$95,273.27.
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 pai4.
On September 16, 2004, the Agency received your complete application for payment for this
claim. As a result ofthe Agency’s review ofthis application for payment, a voucher cannot be
prepared for submission to the Comptroller’s office 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 C6ntrol Board (Board) pursuant to Section
57.8(i)
and Section 40 ofthe Act by filing a
petition for a hearing within 35
days
after
the date of issuance of the final decision, However,
the 35-day period may be extended for a
period
of time not to exceed 90 days by
written notice
from
the owner
or operator
and the Illinois EPA within the initial 35-day appeal period. Ifthe
R~x:KroRo
4302
North
Main Street, Rockford, IL 61103
(815) 987-7760
Dss PLAINES
9511 W. Harrison St., Des Plaines, IL 60016— (847) 294-4000
-
s
~
595SouthStale,-EIgio,IL 6)23.-~-I847)608-3131
PEoRIA-— 5415 N. Universily SE,. Peoria, IL
61-614
(309) 693-5463
BUREAI OF
LSND
-
PEORIA
7620 N. University St., Peoria, IL 61614— (309) 693-5462
CHAMPAIGN
2125 South First Street, Champaign, IL 61820— (217) 278-5800
SPRINI;FIELD —4500 5. Sixth Street Rd., Springfield,
IL 62706
(217)
736-6392
COLLINSVILLE —2009 MaIl Street, CoIIinsviIIe, IL 62234
(618) 346-5120
MARION
2309 W. Main St., Suite 116, Marion, IL 62959 —(618) 993-7200
PRINTLI, I
IN
Rrc YCLED PAPER

Page 2
applicant wishes to receive a 90-day extension,
awritten requestthat 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
infonnation
regarding
the filing ofan appeal,
please contact:
Dorothy Gunn, Clerk
Illinois Pollution Control Board
State ofIllinois Center
-
100 West Randolph, Suite 11-500
Chicago, Illinois 60601
- S
312/814-3620
For information regarding the filing of an extension, please contact:
Illinois Environmental Protection Agency
Division of Legal Counsel
1021 North Grand Avenue East
Springfield, Illinois 62794-9276
217/782-5544
If you have any questions or require further assistance, please contact Niki Weller ofmy
staff at 217/782-6762.
DEO :NW:bjh\04323 .doc
Attachment
cc:
HDC Engineering
E. Oakley, Manager
LUST Claims Unit
Planning &
Reporting Section
Bureau ofLand
S

Attachment A
Accounting Deductions
Re:
LPC #1830705004
--
Vermilion County
Rankin/Karlock, Richard
522 South Main St.
LUST Incident No. 20021180
LUST Fiscal File
Citations
in this attachment are
from and the Environmental Protection Act (Act)
and
35 Illinois
Administrative
Code
(35
Iii. Adm. Code).
Item #
Description of Deductions
-.
1.
$26,245.05,
deduction for costs lacking supporting documentation. An approved site
investigation completion report has notbeen submitted. (Sections
57.7(a)(5)
and
57.12(c)
and (d) ofthe Actand 35 Ill. Adm. Code 732.100 and
732.105).
When the site investigation completion report has
been approved, fax/send a copy of
the Agency letter approving the site investigation completion report and request a re-
review.
S
Also, the claim was missing the Owner/Operator Billing Certification Form. The form
that was enclosed was for budget certification. I have enclosed a copy ofthe Billing
Certification form.
-
DEO:NW:bjh\04323.doc
S
L
~S.

Back to top


PETITIONER’S EXHIBIT “3”

.5
ENGINEERING
201 W. Springfield Ave., Suite 3~0
P.O. Box 140
Champaign, Illinois 61824-0140
January 4, 2005
Niki Weller
LUST Claims Unit
Illinois Environmental Protection Agency
1021
North
Grand avenue East
P0 Box 19276
E
—ii” “j3
Springfield, Illinois 62794-9276
Re:
LPC #1830705004
Vermilion County
Rankin/Karlock, Richard
522 South Main Street
LUST Incident # 20021180
LUST FISCAL FILE
Dear Ms. Weller:
-
Per our conversation, enclosed is the billing certification for the reimbursement package for the
referenced site. Richard Karlock has authorized HDC to sign LUST program documents on his
behalf; a copy of the authorization is also enclosed.
If you have any questions, please call myself or Kevin Saylor at (217) 352-6976.
Regards,
HDC ENGINEERING
Bill Walsh
Environmental Professional

ru
~ru
m
m
r9
-n
ru
ru
m
D
N
-
S
F-
•~-L~~
*,:..
U.S. Postal Service1.
CERTIFIED MAILTI. RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
OFFICIAL USE
Poa*age$
CettlftedFee
(Ed~n~~
Reetilcted D&lveiy Fee
(EndorsementRequired)
Total
Postage &
Fees
i&~’O
3730
/
.7.5’ 5
-________
~
$
lA~Q~—’
V
Poatmailt
M°~t)
~
S
Sent
To
.-
—--.Th
crPOBoxNa
-
tL
I~EIW!:IIteeI~I~~.Te.
m1I~e2T,IresIiIs~~JIST5J~

Illinois Environmental Protection Agency
Owner/Operator and Professional Engineer Billing Certification Form for
Leaking Underground Storage Tanks Sites
I hereby certify thatthe attached bills
are forperforming Site Investigation
_______________
activities at Karlock Service Station /
Famey’s
Garage
LUST site for the billing
period of March 1
,
2003 to June 1
,
2004. I
furthercertify
that the costs included in
this billing are not for corrective action in excess of the minimum requirementsof-4 15 ILCS
5/57.
I
further
certify that costs ineligible
for payment from the Fund pursuant to
35
Illinois Administrative Code Section
732.606 are not included in this billing package. Such ineligible costs include but are not
limited to:
Costs associated with ineligible
tanks.
Costs associated with site restoration (e.g., pump islands, canopies).
Costs associated with utilityreplacement (e.g., sewers, electrical, telephone, etc.).
Costs incurred prior to IEMA notification.
Costs associated with planned tankpulls.
Legal defense costs.
Costs incurred prior to July 28, 1989.
Costs associated with installation of new USTs or the repair of existing USTs.
I
further
certify that this billing and all
attachments
thereto were prepared under my direction or supervision
in accordance with a system designedto assurethat 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 LUST site are correct and reasonable. Such
affirmation is made under penalty of perjury as defined in Section 32.2 ofthe Criminal Code of 1961, Ill.
Rev.
Stat.
1991, oh. 38, par. 32.2. I am aware that there are significantpenalties for submitting false
information, including the possibility of fine
and
imprisonment for knowingly committing violations.
Owner/Operator: Bill Walsh for Richard Karlock
_________________________
Signature:
Subscribed and sworn to before me the
3,~—~Q~-
day of ~4~.f.r.’.AA.o.dwr
~
(Buc~?etProposals
and
Budget Ajnendments must be notarized when the cert~ficaon is signed)
ci~1!i~
The Agency is authorized to require this information under
415
ILCS
5/1.
~
~
required. Failure to do so may result in the delay or denial of
any
budget or pa ei~i~~l.~he
7/18/05
This form
has
been approved by the Forms Management Center.
MV
cOMMl~1O’~
IL 532 2273
LPC 499 Rev. Mar-94
BB:jk\BILLCERT.WPD
Title: Environmental Professional
Date:
I~3-~S~-
Subscribed
and
sworn to
(Budget Proposals and

E
NG
INEERI NG.
201 W. Springifaid Ave., Suite 300
P.O,Box 140
S
S
S
S
Champaign,BUS.illInois(217)618240140352-6976
5
.
S S
-
FAX
(217)356-0570
September
5,
2002
.
S
.
S
To
Whom It
May Concern:
.
.
S
S
HDC Engineering
iS an authorized representative of Karlock Service Stationto sign
documents relating to the underground storage tank
(liST) removal and
siteremediation
activities located at 522 South
Main Street, Rankin, IL 60960, commonly known as
Karlock Service Station/Parley’s Garage. The authorization
extends to
actions
necessary
-
to satisfy requireiflellts from the Office ofthe Illinois State Fire Marshal, Illinois
Environmental Protection Agency, landfill for soil disposal, laboratory for soil/water.
S
analysis,
and other agencies and/or businesses concerning the above site for the work
stated.
-
S5
~
S.
Richard
Karlock
S
-
Karlock Service Station
-
5.
5
5
119 West Patton
S
Paxton,IL60957
S
S
S
S
-
55

Back to top