RcyE
    BEFORE
    THE
    POLLUTION
    CONTROL
    BOARD
    OF
    THE
    STATE
    OF
    ILLINOIS
    MAR
    092009
    PRIME
    LOCATION
    PROPERTIES.
    LLC
    )
    pjjEOF
    ILLINOIS
    Petitioner,
    )
    COntroj
    9
    oard
    11
    V.
    )
    PCBNo.
    ____
    )
    (LUST
    Appeal)
    ILLINOIS
    ENViRONMENTAL
    )
    PROTECTiON
    AGENCY,
    )
    Respondent.
    )
    PETITION
    FOR
    REVIEW
    Pursuant
    to
    40
    and
    57.7
    of
    the
    Environmental
    Protection
    Act
    (“ACT”).
    415
    TLCS
    5/40,
    5/5
    7.7,
    to
    Board’s
    regulations
    on
    Leaking
    Underground
    Storage
    Tank
    (“LUST”)
    decisions,
    35
    iLL.
    ADM.
    105.400
    et
    seq.,
    and
    to
    the
    decision
    denying
    continuance
    of
    the
    filing
    hereof
    beyond
    today’s
    date,
    petitioner
    Prime
    Location
    Properties,
    LLC
    (“Prime”)
    submits
    this
    Petition
    for
    Review
    of
    the
    Illinois
    Environmental
    Protection
    Agency
    (“Agency”)
    decision
    attached
    hereto
    as
    Exhibit
    1
    (“Decision”)
    denying
    approval
    of
    Prime’s
    Amended
    High
    Priority
    Corrective
    Action
    Plan
    (the
    “Plan”)
    and
    further
    denying
    approval
    of
    the
    budget
    associated
    therewith.
    Pursuant
    to
    57.8
    (I)
    of
    the
    Act,
    Prime
    further
    requests
    the
    Board
    to
    order
    the
    Agency
    to
    pay
    Prime’s
    legal
    costs
    for
    seeking
    payment
    in
    this
    appeal.
    I.
    THE
    AGENCY’S
    FINAL
    DECS1ON
    The
    Decision
    of
    which
    review
    is
    sought
    to
    contained
    in
    Exhibit
    I
    hereto.
    IL
    SERVICE
    OF
    THE
    AGENCY’S
    FINAL
    DECSION
    The
    Decision
    indicates
    it
    was
    mailed
    January
    27.
    2009.
    It
    was
    received
    by
    Prime
    January
    29,
    2009
    and
    this
    appeal
    is
    timely
    pursuant
    to
    Jeremy
    VanScyoc
    letter
    dated
    February
    17,
    2009
    of
    which
    a
    true
    copy
    is
    attached
    Exhibit
    2.

    III.
    GROUNDS
    FOR APPEAL
    A. The
    Agency’s
    denial
    of the
    plan
    because
    during
    the investigation
    activities
    associated
    with Incident
    # 200113
    14 soil
    and roundwater
    contamination were
    not
    identified
    in
    the
    vicinity
    of
    USTs #3
    through
    #7
    is
    eaToneous,
    arbitrary,
    and
    capricious.
    Five
    years
    later
    while
    during
    the
    removal
    of these
    USTs
    and
    remediating
    soil contamination
    in
    these
    areas under
    an
    approved
    Corrective
    Action
    Plan
    dated
    December
    20,
    2005, an
    additional
    incident
    was discovered
    and reported
    on December
    13,
    2006 as
    a re-reporting
    of Incident
    #20011314.
    The previous
    soil and
    groundwater
    investigation did not
    sample
    and
    test
    immediately around
    these existing
    USTs prior
    to discovering
    the soil
    contamination
    around
    the
    USTs.
    Because
    not
    enough
    investigation
    was
    completed
    prior
    to the
    corrective
    action
    activities
    and
    UST
    removal
    activities
    soil contamination
    was
    discovered
    in the
    area of
    the USTs
    while
    completing
    these
    activities.
    Therefore,
    Incident
    #20061558
    is
    not
    a new release
    and
    is should
    be
    considered
    a re-reporting
    of incident
    #20011314.
    The
    USTs#3
    through
    #5 have
    not
    been in
    service,
    operated
    or filled
    with
    petroleum
    since
    July
    3,
    1995
    and
    USTs
    #6
    and
    #7 have
    not been
    in service,
    operated
    or filled
    with
    petroleum
    since May
    1 7,
    1987 in
    accordance
    to the
    Office
    of the
    State Fire
    Marshal
    records,
    which
    a true copy
    is attached
    as
    Exhibit
    3. Prime
    purchased
    this property
    with
    the
    USTs still
    in the
    ground
    on March
    20,
    2006
    and
    have
    never
    operated
    them,
    which
    a
    copy
    of
    the deed
    is
    attached
    as
    Exhibit
    4.
    B. The
    Agency’s
    request
    Pursuant
    to
    35 Ill.
    Adm. Code
    734.210(c)
    and 734.2
    10
    (e),
    and
    the 20
    — and
    45 — Day
    reporting
    requirements
    must
    be
    fulfilled
    is
    erroneous.
    arbitraiy
    and
    capricious
    due
    to
    incident
    #20061558
    is
    a
    re-reporting
    of
    Incident
    #20011314.
    B.
    The
    Agency’s
    denial
    of
    the plan,
    pursuant
    to 35111.
    Adm.
    Code
    734.3
    10
    (a), prior
    to
    conduction
    site
    investigation
    activities
    pursuant
    to Section
    734.3
    15,
    734.320
    or
    734.325

    of
    this
    Part, the owner
    or
    operator
    must
    submit to the
    Agency for review a
    site
    investigation
    plan is erroneous, arbitrary,
    and capricious.
    C.
    The
    Agency’s denial of the
    budget
    was erroneous,
    arbitrary,
    and
    capricious,
    in
    that
    the denial of the Plan with
    which the
    budget was associated
    was
    erroneous,
    arbitrary,
    and
    capricious.
    1V.
    CONCLUSION
    For all the foregoing reasons,
    petitioner
    Prime
    Location
    Properties,
    LLC respectfully
    submits
    that:
    the
    Decision
    should
    be
    reversed and
    the
    Agency
    ordered to
    approve
    the
    Amended
    High Priority Corrective
    Action
    Plan and the
    budget associated
    therewith,
    and
    order the Agency to pay
    Prime’s attorneys’ •fees
    for this appeal.
    Prime requests
    that
    Incident
    #2006
    1558
    be
    approved
    as
    a
    re-reporting
    of the hrst
    Incident
    #20011314
    and
    be
    allowed to
    be
    addressed and approved
    by the Agency
    under one assessed
    deductible.
    March
    4, 2009
    Prime
    Location
    Properties, LLC
    Property
    Owner/Petitioner
    Prime
    Location
    Properties,
    LLC
    Joe
    Keebler
    P.O. Box 242
    Carbondale,
    1L 62903
    3

    EXHIBIT
    I

    ILLTNOIS
    ENvIRoNMEr’iTAL PRoTEcTIoN
    AGENcY
    -
    ,
    1021 N0RmI
    Gn,\ND
    AVEFUE
    EAST.
    P.O. Box
    19276, SPxII4GFIELD,
    (LUNOIS
    62794-9276
    -(217) 782-2829
    J.mits
    R.
    Tt-iotpsot.t
    CElTER,
    100 VVES
    RANDoLPH,
    SUITE
    11-300,
    CHilcAco,
    IL
    60601
    (312)
    814-6026
    ROD
    R.
    BLAGO)EvlcI-i,
    GovERNoR
    DOUGLAS
    P.
    Scan,
    DIRECTOR
    217/782-6762
    CERTIFIED
    MAIL
    JAN
    70fl
    i30
    OUI]4
    177
    9E27
    Prime
    Location
    Properties.
    LLC
    Attn:
    Joe Keibler
    P.O.
    Box
    242
    CarbondalelL
    62903
    Re:
    LPC
    #1270155017
    - Massac
    County
    Metropolis/Prime
    Location
    Properties,
    LLC
    600
    West
    I 0
    Street
    Leaking
    UST
    incident
    No. 20061558
    Leaking
    UST
    Technical
    File
    Dear
    Mr.
    Keibler:
    The
    Illinois
    Environmental
    Protection
    Agency
    (Illinois
    EPA)
    has
    reviewed the
    amended
    Corrective
    Action Plan
    (plan)
    submitted
    for
    the above-referenced
    incident.
    This
    plan,
    dated
    November
    10, 2008,
    was
    received
    by the
    Illinois
    EPA
    on
    November
    14, 2008.
    Citations
    in this
    letter
    are
    from the
    Environmental
    Protection
    Act
    (Act).
    as amended
    by
    Public
    Act
    92-0554
    on
    June 24.2002,
    and 35
    Illinois Administrative
    Code
    (35
    Iii.
    Adm.
    Code).
    ‘The plan and
    the
    associated
    budget
    are
    rejected
    for the
    reason(s)
    listed
    below
    (Sections
    57.7(b)
    and 57.7(c)
    of
    the
    Act and
    35 Ill.
    Adrn.
    Code
    734.505(b),
    734.510(a)
    and
    734.510(b)).
    ‘The plan
    is
    rejected
    for
    the
    following
    reason(s):
    A)
    During
    the
    investigation
    activities
    associated
    with
    Incident #20011314
    soil
    and
    groundwater
    contamination
    were
    not identified
    in
    the
    vicinity
    of
    USTs
    #3
    through
    #7.
    However,
    three
    years
    later during
    the removal
    of
    these
    USTs.
    soil contamination
    was
    identified
    in these areas.
    Therefore.
    Incident
    #20061558
    is
    a
    new
    release
    and
    is
    not
    considered
    a re-reporting
    of
    incident
    #200113
    14.
    B) Pursuant
    to
    35 Ill. Adm.
    Code
    734.2 10(c)
    and
    734.210(e),
    the
    20-
    and
    45-Day
    reporting
    requirements
    must
    be
    fulfilled.
    C) In
    addition,
    pursuant
    to 35 111.
    Adm. Code
    734.310(a),
    prior
    to
    conducting
    site
    investigation
    activities
    pursuant
    to
    Section
    734.3
    15, 734.320
    or 734.325
    of this
    Part,
    the
    owner
    or
    operator
    must
    submit
    to
    the Agency
    for
    review
    a site investigation
    plan.
    Roceroso
    — 4302
    Norlh
    Main
    Street, Rock(orcl,
    IL 61103 — (815)
    987-7760
    .
    Dre
    PLAINES — 9511
    W. Hairison
    St., Des
    PlaNes,
    IL
    60016
    — (847) 294-4000
    ELGIN
    — 595
    South
    State, Elgin,
    IL
    60123
    — (847)
    608-3131
    .
    PsOiw — 5415
    N. University St.,
    Peoria,
    IL
    61614
    — (309)
    693-5463
    BuREAu
    OF
    LAND
    - PEORIA — 7620
    N.
    University
    St.,
    Peoria,
    IL
    61614
    — 1309)
    693-5462
    CHAEIP,NGN
    — 2125 South
    First
    Street, champaign,
    IL 61820
    — (217)
    278-5800
    COLLINSVILLE
    — 2009-Mall
    Street,
    CoIIinsviIIe,
    IL
    62234
    — (618)
    346-5120
    .
    MAsON
    — 2309
    VU. Main
    St.,
    Suite
    116, Marion, IL
    62959
    — (618)
    993-7200
    PRINTRD
    ON
    REcyclED
    PAPER

    Page
    2
    The
    plan
    budget
    is
    rejected
    for
    the
    following
    reason(s):
    A).
    Pursuant
    to
    Sections
    57.7(c)
    of
    the
    Act
    and
    35
    Iii.
    Adm.
    Code
    734.505(b).the
    associated
    budget
    is
    rejected
    for
    the
    following
    reason:
    The
    Illinois
    EPA
    has
    not
    approved
    the
    plan
    with
    which
    the
    budget
    is
    associated.
    Until
    such
    time
    as
    the
    plan
    is
    approved,
    a
    determination
    regarding
    the
    associated
    budget—
    i.e..
    a
    determination
    as
    to
    whether
    costs
    associated
    with
    materials,
    activities,
    and
    services
    are
    reasonable;
    whether
    costs
    are
    consistent
    with
    the
    associated
    technical
    plan; whether
    costs
    will
    be
    incurred
    in
    the
    performance
    of
    corrective
    action
    activities;
    whether
    costs will
    not
    be
    used
    for
    corrective
    action
    activities
    in
    excess
    of
    those
    necessary
    to
    meet
    the
    minimum
    requirements
    of
    the
    Act
    and
    reu1ations,
    and
    whether
    costs
    exceed
    the
    maximum
    payment
    amounts
    set
    forth
    in
    Subpart
    H
    of
    35
    III.
    Adm.
    Code
    734—cannot
    be
    made
    (Section
    57.7(c)(3)
    of
    the
    Act
    and
    35
    Iii.
    Adm.
    Code
    734.510(b)).
    In
    addition,
    please
    note
    most
    of
    the
    costs
    in
    the
    proposed
    budget
    will
    have
    to
    be
    submitted
    as
    Early
    Action
    costs.
    Pursuant
    to
    Sections
    57.7(b)
    and
    57.12(c)
    and
    (d)
    of
    the
    Act
    and
    35111.
    Mm. Code
    734.100
    and
    734.125,
    a
    Stage
    I
    Site
    Investigation
    Plan
    (Incident
    #20061558)
    and
    a
    Corrective
    Action
    Completion
    Report
    (Incident
    #2001
    13l4)must
    he
    submitted
    within
    60
    days
    of
    the
    date
    of
    this
    letter
    to:
    Illinois
    Environmental
    Protection
    Agency
    Bureau
    of
    Land
    -
    #24
    Leaking
    Underground
    Storage
    Tank Section
    1021
    North
    Grand
    Avenue
    East
    Post Office
    Box
    19276
    Springfield,
    IL
    62794-927
    6
    Please
    submit
    all
    correspondence
    in
    duplicate
    and
    include
    the
    Re:
    block shown
    at
    the
    beginning
    of
    this
    letter.
    An
    underground
    storage
    tank
    system
    owner
    or
    operator
    may
    appeal
    this decision
    to
    the
    Illinois
    Pollution
    Control
    Board.
    Appeal
    rights are
    attached.

    Page
    3
    If
    you have
    any
    questions
    or
    need
    rther
    assistance,
    please
    contact
    Jason
    Donnelly
    at
    (217)
    557-
    8764.
    Sincerely,
    Harry
    A.
    Chappel,
    P.E.
    Unit
    Manager
    Leaking
    Underground
    Storage
    Tank
    Section
    Division
    of
    Rernediation
    Management
    Bureau
    of
    Land
    HAC:JD\061
    558&Oi
    131
    4-sicap&hud
    Attachment:
    Appeal
    Rights
    c:
    Environmental
    lvi
    anagement,
    Inc.,
    Jeremy
    VanS
    cyoc
    BOL
    File

    Appeal
    Rights
    An
    underground
    storage
    tank
    owner
    or
    operator
    may
    appeal
    this
    final decision
    to
    the
    Illinois
    Pollution
    Control
    Board
    pursuant
    to
    Sections
    40
    and
    57.7(c)(4.)
    of
    the
    Act
    by
    filing a
    petition
    for
    a
    hearing
    within
    35
    days
    afler
    the
    date
    of
    issuance
    of
    the
    final decision.
    However,
    the
    35-day
    period
    may
    be
    extended
    for
    a
    period
    of
    time
    not
    to
    exceed
    90
    days
    by
    written notice
    from
    the
    owner
    or
    operator
    and
    the
    Illinois
    EPA
    within
    the
    initial
    35-day appeal
    period.
    If
    the
    ovner
    or
    operator
    wishds
    to
    receive
    a
    90-day
    extension,
    a
    written
    request
    that includes
    a
    statement
    of
    the
    date
    the
    final
    decision
    was
    received,
    along with
    a
    copy
    of
    this
    decision,
    must
    be
    sent to
    the
    Illinois
    EPA
    as
    soon
    as
    possible.
    For
    information
    regarding
    the
    request
    for
    an
    extension,
    please
    contact:
    Illinois
    Environmental
    Protection
    Agency
    Division
    of
    Legal
    Counsel
    1
    021
    North
    Grand
    Avenue
    East
    Post
    Office
    Box
    19276
    Springfield,
    IL
    62794-9276
    217/782-5544
    For
    information
    regarding
    the
    filing
    of
    an
    appeal,
    please
    contact:
    Illinois
    Pollution
    Control
    Board,
    Clerk
    State
    of
    illinois
    Center
    100
    West Randolph,
    Suite
    11-500
    Chicago,
    IL
    60601
    312/814-3620

    EXHiBIT
    2

    4>
    ENVRoNMENTAL
    MANAGEMErr
    Coroorate
    Office
    St.
    Louis
    016cc
    1154
    N,
    Bradfbrdton
    Rd.
    Springfield,
    IL
    62711
    12237
    Rainhollow
    Dr.
    St.
    Louis,
    MO
    63043
    21
    7/726-9468
    21
    7/726-9472
    (Fax)
    314/650-8268
    Email:
    mkeebler@envmont.com
    February
    17.
    2009
    Illinois
    Environmental
    Protection
    Agency
    Division
    of
    Legal
    Counsel
    1021
    North
    Graid
    Avenue
    East
    Post
    Office
    Box
    1.9276
    Springfield.
    Illinois
    62794-9276
    Re:
    LPC
    1270155017
    Masaac
    County
    Metropolis/Metropolis
    Oil
    &
    Gas
    (Prime
    Location
    Properties’)
    600
    West
    1016
    Street
    LUST
    lncidentNo.
    20011314
    &20061558
    LUST
    Technical
    File
    Dear
    Corresnondent:
    Pursuant
    to
    Section
    40
    and
    57.7(c)(’)
    of
    the
    Environmental
    Protection
    Act.
    Environmental
    Managemeni
    inc
    E111)
    01
    beflalf
    of
    our
    Thten
    Prinie
    Location
    r
    nnerues
    i:
    r
    enuesur’s
    90
    day
    extension
    to
    the
    35-day
    appeal
    perioc1.
    The
    final
    decision
    was
    dated
    January
    27.
    2009.
    As
    required.
    a
    copy
    of
    this
    final
    decision
    is
    included
    herein.
    Thank
    you
    For
    your
    assistance
    regarding
    this
    matter.
    Please
    contact
    me
    at
    (217)
    726-9468
    if
    you
    have
    any
    questions
    or
    reQuire
    anything
    further.
    Sincet
    el\
    -
    -
    -
    V
    -
    -
    k—’
    Jereirly
    .
    \‘anS’cyoc.<-P-E.
    Sei$ifesiona1
    .ingmeer
    Enviriincntal
    Management,
    Inc.
    Enclosure

    EXHiBIT
    3

    Office
    of
    the
    Illinois
    217-782-1062
    Divisions
    ARSON
    IN\’ESTIGATION
    217-762-9116
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    and
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    HUMAN
    RESOURCES
    217-785-1026
    PERSONNEL
    STANDARDS
    and
    EDUCATION
    217-762-4542
    PETROLEUM
    and
    CHEMICAL
    SAFETY
    217-765-5878
    PUBLIC
    INFORMATION
    217-785-1021
    WEB
    SITE
    wwn,-ataleilus/onirn
    You
    must
    contact
    the
    Illinois
    Environmental
    Protection
    Agency
    to
    receive
    a
    packet
    of
    Agency
    billing
    forms
    for
    submitting
    your
    request
    for
    payment.
    An
    owner
    or
    operator
    is
    eligible
    to
    access
    the
    Underground
    Storage
    Tank
    Fund
    if
    the
    eligibility
    requirements
    are
    satisfied:
    1.
    Neither
    the
    owner
    nor
    the
    operator
    is
    the
    United
    States
    Government,
    2.
    The
    tank
    does
    not
    contain
    fuel
    which
    is
    exempt
    from
    the
    Motor
    Fuel
    Tax
    Law,
    3.
    The
    costs
    were
    incurred
    as
    a
    result
    of
    a
    confinned
    release
    of
    any
    of
    the
    following
    substances:
    1035
    Stevenson
    Drive
    Springfield,
    Illinois
    62703-4259
    State
    Fire
    Marshal
    “Partnering
    With
    tile
    Fit-c
    Service
    to
    Protect
    Iflinorc
    Genaral
    OPine
    217-785-0969
    FAX
    CERTIFIED
    MAIL
    -
    RECEIPT
    REQUESTED
    #7003
    3110
    0004
    1274
    7329
    April
    17,
    2006
    Prime
    Location
    Properties,
    LLC
    P.O.
    Box
    242
    Carbondale,
    IL
    62903
    In
    Re:
    Facility
    No.
    7-009479
    IEMA
    Incident
    No.
    01-1314
    Mertopolis
    Oil
    &
    Gas
    600
    W.
    10
    th
    Stteet
    Mertopolis,
    Massac
    Co.,
    IL
    Dear
    Applicant:
    The
    Reimbursement
    Eligibility
    and
    Deductible
    Application
    received
    on
    April
    4,
    2006
    for
    the
    above
    referenced
    occurrence
    has
    been
    reviewed.
    The
    following
    determinations
    have
    beers
    made
    based
    upon
    this
    review.
    It
    has
    been
    determined
    that
    von
    are
    eligible
    to
    seek
    payment
    of
    costs
    in
    excess
    of
    S1S,000
    -
    The
    costs
    must
    be
    in
    response
    to
    the
    occurrence
    referenced
    above
    and
    associated
    with
    the
    following
    tanks:
    Eligible
    Tanks
    Tank
    1
    2,000
    gallon
    Gasoline
    Tank
    2
    3.000
    gallon
    Gasoline
    Tank
    3
    1,000
    gallon
    Gasoline
    Tank
    4
    550
    gallon
    Kerosene
    Tank
    5
    2,000
    gallon
    Gasoline
    Tank
    6
    2,000
    gallon
    Gasoline
    Tank
    7
    1,000
    gallon
    Gasoline
    Printed
    on
    Recycled
    Paper

    “Fuel”,
    as
    defined
    in
    Section
    1.19
    of
    the
    Motor
    Fuel
    Ta
    Law
    Aviation
    fuel
    Heating
    oil
    Kerosene
    Used
    oil,
    which
    has
    been
    refined
    from
    crude
    oil
    used
    in
    a
    motor
    vehicle,
    as defined
    in
    Section
    1.3
    of
    the
    Motor
    Fuel
    Tax
    Law.
    4.
    The
    owner
    or
    operator
    registered
    the
    tank
    and
    paid
    all
    fees
    in
    accordance
    with
    the
    statutory
    and
    regulatory
    requirements
    of
    the
    Gasoline Storage
    Act.
    5.
    The
    owner
    or operator
    notified
    the
    Illinois
    Emergency
    Management
    Agency
    of
    a confirmed
    release,
    the
    costs
    were
    incurred
    after
    the notification
    and
    the
    costs
    were
    a
    result
    of a
    release
    of
    a substance
    listed
    in this
    Section.
    Costs
    of corrective
    action
    or indemnification
    incurred
    before
    providing
    that
    notification
    shall
    not
    be
    eligible
    for
    payment.
    6.
    The
    costs
    have
    not
    already
    been
    paid
    to
    the owner
    or
    operator
    under
    a private
    insurance
    policy,
    other
    written
    agreement,
    or
    court
    order.
    7.
    The
    costs
    were
    associated
    with
    “corrective
    action”.
    This
    constitutes
    the
    fmal
    decision
    as
    it
    relates
    to your
    eligibility
    and
    deductibility.
    We
    reserve
    the right
    to
    change
    the
    deductible
    determination
    should
    additional
    information
    that
    would
    change
    the determination
    become
    available.
    An
    underground
    storage tank
    owner
    or
    operator
    may appeal
    the
    decision
    to
    the
    Illinois
    Pollution
    Control
    Board
    (Board),
    pursuant
    to
    Section
    57.9
    (c)
    (2). An
    owner
    or operator
    who
    seeks
    to
    appeal
    the
    decision
    shall
    file
    a petition
    for
    a
    hearing
    before
    the
    Board
    within
    35
    days
    of the
    date
    of mailing
    of
    the
    final
    decision,
    (35
    Illinois
    Administrative
    Code
    105.102(a)
    (2)).
    For
    information
    regarding
    the
    filing
    of an
    appeal,
    please
    contact:
    Dorothy
    Gunn.
    Clerk
    Illinois
    Pollution
    Control
    Board
    State
    of
    Illinois
    Center
    100
    West
    Randolph,
    Suite
    11-500
    Chicago,
    Illinois
    60601
    (312)
    814-3620
    if
    you have
    any
    questions,
    please
    contact
    our
    Office
    at
    (217)
    785-1020
    or
    (217)
    785-5878.
    Sincerely.
    Deanne
    Lock
    Adntinisrmtive
    Assistant
    Division
    of
    Petroleum
    and
    Chemical
    Safety
    cc:
    1EPA
    Facility
    File

    [L
    Notification
    for
    Underground
    Storage
    Tanks
    OFFICE
    USE
    ONLY
    • A
    separate
    form
    must
    be
    used
    for
    each
    site.
    D
    NUMBER
    If
    you
    have
    more
    than
    five
    tanks,
    photocopy
    pages
    1-5
    DATE
    REOEIVED
    and
    attach
    to
    this
    notification form.
    Please
    type
    or print
    in
    ink;
    the
    signature
    under
    “certification”
    (section
    IX)
    must
    be
    signed
    in
    ink.
    —-
    Facility
    ID.
    4 (if
    known)
    7—
    ‘-77
    Owner
    ID.
    4
    (if known)
    TYPE
    OF
    NOTIFCATON
    New
    Facility
    Amended
    (Changes/Corrections/Additional
    Tanks)
    Mark
    all
    that
    apply:
    Owner
    Address
    Change
    (this
    facility
    only)
    Tanks
    Relined
    (Permit
    4
    )
    Owner
    Address
    Change
    (all
    facilities
    owned)
    Tanks
    Installed
    (Permit
    #_
    New
    Owner
    Tanks
    Upgraded/Repaired
    (Permit
    4
    __)
    .X
    Tank(s)
    Removed
    (Permit
    4
    Abandonment
    Notice
    (Permit
    4
    Other
    I, Ownership
    of Tank(s)
    IL
    Location
    of
    Tank(s)
    (ii
    same
    as
    Seonon
    I,
    Mark
    box)
    Owner
    Name
    (Corp.,
    Individual.,
    Public
    Agenv
    or other
    Enthy)
    Facility
    Name
    o
    Company Sits
    identifier,
    as
    applicable
    /
    c
    l_t
    -
    Mailing
    Address
    Street
    Address
    or
    State
    Road,
    as
    applicable
    (exact
    address)
    :t:t.
    c3
    .
    .
    .
    City
    State
    Zip
    City
    State
    Zip
    -\s
    County
    County
    ()
    S3
    Contact
    Name
    (Area
    Code)
    Phone
    Contact
    Name
    (Area
    Code)
    Phone
    L
    III.
    TYPE
    OF
    OWNERSHIP
    (mark
    all
    thatapply)
    Current
    Owner
    of
    Tanks
    Ownership
    Uncertain
    Date
    Purchased
    D
    Former
    Owner
    D
    Other
    IV.
    TYPE
    OF
    FACILITY
    Type
    of
    Facility:
    (Circle
    correct
    code)
    A.
    Service
    Station
    G.
    Industrial/Manufacturing
    M.
    City/Town
    S.
    Port
    District
    B.
    Bulk
    Plant
    H.
    Private
    Institution
    N. County
    T.
    Utility
    District
    C.
    Petroleum
    Distributor
    I.
    Residence
    (Non-Farm)
    0.
    State
    U.
    Fire
    Dept.
    D.
    Convenience
    Store
    J,
    Farm
    P.
    Federal
    (Military)
    V.
    Other
    Special
    E.
    Auto
    Dealer
    K.
    Airport
    Q.
    Federal
    (Non-Military)
    Service
    Districts
    F.
    Commercial/Retail
    L.
    Marina
    R.
    School
    District
    W.
    Other
    (Please
    Specify)

    V.
    Description
    of
    Underground
    Storage
    Tanks
    (Complete
    entire column
    for
    each
    tank)
    Tank
    Identification
    Number
    Tank
    No.
    Tank
    No.2
    Tank
    No.3
    Tank
    No,
    Tank
    No.,.5
    1.
    Status
    of
    Tanks
    Currently
    in
    use
    Temporarfly
    out
    of
    use
    (Secton
    2
    must
    be
    completed)
    Permanently
    out
    of
    use
    (Secton
    2
    must
    be
    completed)
    Removed
    (Secton
    3
    must
    be
    completed)
    Abandoned
    in
    place
    (Seofion
    4
    must
    be
    completed)
    2.
    Tanks
    Permanently
    &
    TemporarilyOutof
    Use
    ,
    1?
    7
    ,l7
    Estimated
    date
    last
    used
    1
    Jo
    /((,
    7
    i
    /c
    ‘/
    3/
    ‘i
    3,
    Tanks
    Removed
    Datetank(s)
    removed
    3
    /
    iz/i/o
    L/3
    ,
    t2/i3/
    iz
    /
    /
    Estimated
    date
    last
    used
    -‘
    /3/’)5
    7/cs
    /
    7
    k3/tc-
    7/
    7/c/
    4.
    Abandoned
    in
    P’ace
    Date
    tanks
    filled
    /
    /
    //
    //
    //
    //
    Tank
    filled
    with:
    Inert
    materials
    (sat-id,
    etc.)
    Vater
    Unknown
    .
    Other
    (please
    specify)
    S.
    Age of
    Tank
    C-.
    Date
    tank
    installed
    /
    /‘
    o
    ei/c
    /
    //
    /r/’
    5//zy
    Date
    product
    placed
    ri
    tank
    //‘i
    //y
    /c/,y
    j-
    /5”
    /,.,
    .
    Estimated
    Tot&
    Capacity
    (gallons)
    7.
    Substances
    Currently
    or
    Last
    Stored:
    Petroleum
    Diesel
    Kerosene
    Gasoline
    Used
    oil
    Other
    (Please
    specify)
    Petroleum
    Use
    (if
    applicable):
    Heating
    oil
    (ccnsumpve
    use
    on
    premises)
    Back-up
    generator
    Other
    (please
    specify)
    Hazardous
    Substance:
    Name
    of
    principal
    CEPcLA
    substanCE
    Chemical
    Abstract
    Service
    (CAS
    No
    -
    I
    _____

    VL
    Description
    of
    Underground Storage
    Tanks
    (Complete
    entire
    column
    for
    each
    tank)
    1.
    ateriai
    of
    Construction
    (mark
    all
    that
    apply)
    Asphalt
    coated
    or
    bare
    steel
    Cathodically
    protected
    steel
    Dielectric
    coated
    steel
    Composite
    (steel
    with
    ftergiass)
    Fiberglass
    reinforced
    plastic
    Lined
    interior
    Double-walled
    Secondary
    containment
    Steel
    STl-P3
    Other
    (please
    specify)
    2.
    Piping
    Materials
    (mark
    all that
    apply)
    Bare
    steel
    Galvanized steel
    Fiberglass
    reinforced plastic
    Cathodically protected
    Double-walled
    Secondary
    containment
    Dielectric coating
    Other
    (please
    specify)
    3.
    Piping
    Type
    (mark
    all that
    apply)
    European
    suction
    American suction
    Pressure
    Gravity
    feed
    Other
    (please
    specify)
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    Tank
    Identification Number
    Tank
    No.?
    Tank
    No.2.
    Tank
    No.3
    Tank
    No.SL
    Tank
    No.S
    El
    El
    Li
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El

    lank
    identification
    Number
    Tank
    No./
    Tank
    No.Z
    Tank
    No.3
    Tank
    No.
    [
    Tank
    NoS
    4ReIease
    Detection
    Tank
    Piping
    Tank
    Piping
    Tank
    Piping
    Tank
    Piping
    Tank
    Png
    (Mark
    all
    that
    apply)
    Manual
    tank
    gauging
    Li
    Li
    Li
    Inventory
    controls
    Li
    Li
    Li
    Li
    Li
    Automatic
    tank
    gauging
    Li
    Li
    Li
    Li
    Li
    Vapor
    monitoring
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    L_J
    LI
    LI
    Groundwater
    monitoring
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Interstitial
    monitoring
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    double-walled
    tankipiping
    Li
    Interstitial
    monitoring
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    /secondary
    containment
    Tank
    tightess
    testing
    Li
    Li
    Li
    Li
    Li
    Automatic
    line
    leak
    detector
    Li
    Li
    Li
    Li
    Li
    Line
    tightness
    testing
    Li
    Li
    Li
    Li
    Li
    Automatic
    shut-off
    device
    Li
    Li
    Li
    Li
    Li
    Continuous
    alarm
    system
    Li
    Li
    Li
    Li
    El
    No
    requirements
    Li
    Li
    Li
    Li
    (european
    suction)
    Li
    Other
    (please
    specify)
    5.
    Corrosion
    Protection
    Tank
    Piping
    ank
    Piping
    Tank
    Piping
    Tank
    Piping
    Tank
    PiDing
    (mark
    all
    that
    apply)
    Cathodic
    protection
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Impressed
    current
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Secondary
    containment
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li.
    Li
    Exterior
    coating
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    I
    Li
    Li
    Fiberglass
    reinforced
    plastic
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    I
    Li
    Li
    Double-walled
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Li
    Interior
    lining
    Li
    Li
    Li
    Li
    Li
    Other (please
    specify)
    .
    SpW
    &
    Overfill
    Prevention
    (Mark
    all
    that
    apply)
    Overfill
    device
    Li
    Li
    Li
    Li
    Li
    Automatic
    shut-off
    Li
    Li
    Li
    Li
    Li
    Overfill
    Alarm
    LI
    Li
    Li
    Li
    Li
    Ball
    float
    valve
    Li
    Li
    Li
    Li
    Li
    Spill
    containment
    device
    Li
    Li
    Li
    Li
    Other (Please
    specify)
    Li

    VII.
    Certification
    of
    Compliance
    (Complete
    for
    all
    new,
    upgraded
    and
    relined
    tanks
    at
    this
    location)
    Installation
    (mark
    all
    that
    apply)
    Installer
    certified
    by
    tank
    and
    piping
    manufacturers
    installer
    certified
    or
    licensed
    by
    implementing
    agericy
    installer
    registered
    by
    implementing
    agency
    Installer
    is
    the
    owner
    of
    the
    tank(s)
    Installation
    inspected
    by
    a
    registered
    engineer
    Installation
    inspected
    &
    approved
    by
    implementing
    agency
    Manufacturers
    installation
    checklists
    have
    been
    completed
    I
    Another
    method
    allowed
    by
    state
    agency
    (please
    specify)
    OATI-t:
    I
    certify
    the
    information
    that
    is
    provided
    in
    section
    VII
    is
    true
    to
    the
    best
    of
    my
    knowledge,
    and
    certify
    that
    the
    installation
    was
    performed
    in
    accordance
    with
    all
    applicable
    state
    and
    federal
    laws
    and
    regulations.
    (THIS
    SECTION
    P/lAY
    ONLY
    BE
    COMPLETED
    BY
    THE
    CONTRACTOR.
    SEPARATE
    OATH
    MUST
    BE
    SUBMITTED
    FOR
    EACH
    ACTIVITY
    PERFORMED
    BY
    DIFFERENT
    CONTRACTOR.)
    Tank
    No.
    Permit
    No.
    Contractor:
    Name
    Signature
    (must
    be
    original)
    Date
    Positon
    Company
    VI1L
    FinaucaL
    Responsibility
    Mark
    all
    that
    apply:
    Self-Insurance
    Guarantee
    Certificate
    of
    Deposit
    Commercial
    Insurance
    Surety
    Bond
    Trust
    Fund
    Risk
    Retention
    Group
    Letter
    of
    Credit
    Other
    Method
    Allowed
    (please
    specify)
    IX.
    Certification
    (Read
    and
    sign
    after
    completing
    all
    sections)
    I
    certify
    under
    penalty
    of
    law
    that
    I
    have
    personally
    examined
    and
    am
    familiar
    with
    the
    information
    submitted
    in
    this
    and
    all
    attached
    documents,
    and
    that
    based
    on
    my
    inquiry
    of
    those
    immediately
    responsible
    for
    obtaining
    the
    information,
    I
    beiieve
    that
    the
    submitted
    information
    is
    true,
    accurate
    and
    complete.
    -
    .
    -
    .
    ______
    Name
    and
    official
    title
    of
    owner
    or
    Signatiré-.,
    Dates
    Signed
    owner’s
    authorized
    representative
    (must
    be
    original)
    (print)

    V.
    Description of Underground
    Storage
    Tanks (Complete enfire column for
    each
    tank)
    Tank dentification
    Number
    ]
    TankNo._ TankNo. TankNo.
    IankNo,
    TankNo,
    tStatus of
    Tanks
    1
    Currently
    Temporarily
    in
    use
    out
    of
    use
    I
    (Section
    2 must be
    completed)
    Permanently
    out of use
    (Secon
    2 must be
    completed)
    Removed
    El
    El
    El
    (Section
    3 mustbe completed)
    Abandoned
    in
    place
    El
    El
    El
    El
    El
    (Section
    4 must be completed)
    2.
    Tanks Permanenty &
    Temporarily
    Out
    of
    Use
    —— /
    Estimated
    date
    last used
    • I
    i1
    i
    i
    /
    ?
    /
    /
    /
    /
    /
    /
    3.
    Tanks Removed
    I
    — -
    Date
    tank(s) removed
    z
    /t
    /
    a/
    i/
    /
    /
    / /
    /
    /
    Estimated
    date
    last used
    ç
    / /
    i
    ;
    /
    i
    - /
    /
    /
    //
    / /
    4. Abandoned
    in
    Place
    Datetanksfilled
    )
    /
    II
    /
    /
    /
    /
    /
    /
    /
    /
    Tank filled with:
    lne materials (sand,
    etc.)
    Water
    Unknown
    Other (please specify)
    &Age
    Date
    of
    tank
    Tank
    installed
    //
    9/5/;J
    /
    /
    /
    /
    / /
    Date produd placed in tank
    j
    /5
    /5
    /J
    /
    /
    / /
    /
    . Estimated Total Capacity
    (gallons)
    7.
    Substances
    Currently or
    Last
    Stored:
    Petroleum
    Diesel
    Kerosene
    Gasoline
    Used oil
    Other (Please specify)
    Petroleum Use (if
    applicable):
    Heating oil
    (consumptive use on premises)
    Back-up
    generator
    Other (please
    specify)
    Hazardous
    Substance:
    Name of principal CERcLA
    substanc
    Chemical
    Abstract
    Service (CAS
    No
    El
    El
    El
    El

    VL
    Description
    of
    Underground
    Storage
    Tanks
    (Complete
    entire
    column
    for
    each
    tank)
    1.
    fillaterial
    of
    Construction
    (mark
    aN
    that
    apply)
    Asphalt
    coated
    or
    bare
    steel
    Cathodically
    protected
    steel
    Dielectric
    coated
    steel
    Composite
    (steel
    with
    fiberglass)
    Fiberglass
    reinforced
    plastic
    Lined
    interior
    Double-walled
    Secondary
    containment
    Steel
    STI-P3
    Other
    (please
    specify)
    2.
    Piping
    Materias
    (mark
    all
    that
    apply)
    Bare steel
    Galvanized
    steel
    Fiberglass
    reinforced
    plastic
    Cathodically
    protected
    Double-walled
    Secondary
    containment
    Dielectric
    coating
    Other
    (please
    specify)
    3. Piping
    Type
    (mark
    all
    that
    apply)
    European
    suction
    American
    suction
    Pressure
    Gravity feed
    Other
    (please
    specify)
    Tank
    Identification
    Number
    Tank
    No.
    Tank
    No.J
    Tank
    No.
    Tank
    No.
    Tank
    No.
    -J

    1ank
    Identification
    Number
    Tank
    No.
    Tank
    No./
    Tank
    No.
    Tank
    No.
    Tank
    No.
    4.
    Release
    Detection
    Tank
    Piping
    Tank
    Piping
    Tank
    Piping
    Tank
    Piping
    Tank
    Piping
    (Mark
    all
    that
    apply)
    Manual
    tank
    gauging
    l
    El
    El
    El
    Inventory
    controls
    El
    El
    El
    El
    El
    Automatic
    tank
    gauging
    El
    El
    El
    El
    El
    Vapor
    monitong
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    Groundwater
    monitoring
    El
    El
    El
    El
    El
    El
    El
    El
    El
    I
    El
    Interstitial
    monitoring
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    double-walled
    tanklpiping
    Interstitial
    monitoring
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    isecondary
    containment
    Tank
    tightness
    testing
    El
    El
    El
    El
    El
    Automatic
    line
    leak
    detector
    El
    El
    El
    El
    El
    Line
    tightness
    testing
    El
    El
    El
    El
    El
    Automatic
    shut-off
    device
    El
    El
    El
    El
    El
    Continuous
    ala
    system
    El
    El
    El
    El
    El
    No
    requirements
    El
    El
    El
    El
    El
    (european
    suction)
    Other
    (please
    specify)
    5.
    Corrosion
    Protection
    Tank
    Piping
    Tank
    Piping
    Tank
    Piping
    Tank
    Pipg
    Tank
    Piping
    (mark
    all
    that
    apply)
    I
    Cathodic
    protection
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    impressed
    current
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    Secondary
    containment
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    Exterior
    coating
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    Fiberglass
    reinforced
    plastic
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    Double-walled
    El
    El
    El
    El
    El
    El
    El
    El
    El
    El
    Interior
    iining
    El
    El
    El
    El
    I
    El
    Other
    (please
    specify)
    6.
    Spill
    &
    Overfill
    Prevention
    (Mark
    all
    that
    apply)
    Overfill
    device
    El
    El
    El
    El
    El
    Automatic
    shut-off
    El
    El
    El
    El
    El
    Overfill
    Alarm
    El
    El
    El
    El
    El
    Ball
    float
    valve
    El
    El
    El
    El
    El
    Spill
    containment
    device
    El
    El
    El
    El
    El
    Other
    (Please
    specify)

    VII.
    Certification o CompUanc (Complete for
    all new,
    upgraded and relined tanks at th
    is
    location)
    instaiation
    (mark all
    that apply)
    Installer
    certified
    by tank
    and
    piping
    manufacturers
    Installer
    certified
    or
    licensed by
    implementing
    agency
    installer
    registered
    by
    LJ
    implementing
    agency
    Installer
    is the
    owner
    of the tank(s)
    El
    El
    Installation
    inspected by
    a
    registered
    engineer
    Installation
    inspected
    &
    approved
    by
    implementing agency
    Manufacturers
    installation
    El
    El
    El
    El
    El
    checklists have been completed
    Another
    method allowed by state
    agency
    (please specify)
    OATH: I
    certify
    the inforniation that is
    provided
    in section VII is true to the best of
    my
    knowledge,
    and
    certify
    that
    the
    installation was
    performed
    in accordance with all applicable
    state and federal laws and regulations.
    (THIS
    SECTION
    IVIAY ONLY
    BE COMPLETED BY THE
    CONTRACTOR.
    SEPARATE OATH MUST
    BE SUBMITTED
    FOR
    EACH
    ACTIVITY PERFORMED
    BY DIFFERENT
    CONTRACTOR)
    Tank No.
    Permit No.
    Contractor:
    Name
    Signature (must be original)
    Date
    PosNon
    Company
    VHL Financia
    Responsibility
    Mark all that apply:
    LE
    Self-Insurance
    []Guarantec
    Certificate of Deposit
    El
    Commercial Insurance
    EZSurety
    Bond
    El
    Trust Fund
    El
    Risk Retention Group
    El
    Letter of Credit
    El
    Other Method
    Allowed
    (please specify)
    IX. Ce
    fication
    (Read
    and
    sign
    after completing all sections)
    1
    certify under penalty of law that
    I
    have
    personally examined
    and am familiar with the
    information
    submitted
    in this
    and
    all
    attached documents,
    and that based on
    my
    inquiry of those immediately
    responsible
    for
    obtaining the
    information, I believe
    that the submitted information
    is true,
    accurate
    and complete.
    j
    S...\.
    \,-.
    ft
    I
    -
    _\
    Name
    an official title of owner
    or
    -
    Signat
    ‘\
    Date
    Signed
    owners authorized representative
    (must be original)
    (print)

    EXHIBIT
    4

    TillS
    INDENThIE, W1TNESSETH,
    that the
    GRANTOR,
    METROPOLIS
    TIRE
    &
    OIL
    CO.,
    flC.,
    an Illinois
    corporation, for
    and
    in consideration of
    the sum
    of $10.00
    (TEN
    AND
    00/100
    DOLLARS) and
    other
    good
    and
    valuable
    consideration, the receipt
    of which
    is hereby
    acknowledged,
    CONVEYS
    AND
    QUIT
    CLAIMS
    to
    GRA1’TEE,
    PRIlv[E
    LOCATION
    PROPERTIES
    LLC.
    an illinois
    limited
    liability
    company,
    the
    following
    described
    real
    estate.
    1owit:
    THE
    NORTH
    50
    FEET
    OF LOT
    I
    AND
    THE
    NORTH
    60 FEET
    OF
    LOT
    2 IN
    BLOCK
    20
    OF
    THE
    MCBANE
    ADDiTION
    TO ThE
    CiTY
    OF
    IvEETROPOLIS,
    AS
    PER
    RECORDED PLAT
    THEREOF.
    Situated
    in
    MASSAC
    COUNTY.
    ILLINOIS.
    PIN.
    08-02-220-001
    StreetAddress:
    600
    W.
    10
    th
    Street,
    Metropolis,
    illinois
    Subject
    to
    2006
    real estate
    taxes
    and
    special
    assessments
    payable
    in
    2007
    and
    subsequent
    years,
    standard
    general
    exceptions
    normally
    contained
    in title
    commitments,
    matters
    of
    survey,
    all taxes
    arid
    special
    assessments now a
    lien,
    levied
    or
    confirmed
    after
    the
    date
    hereof,
    building
    use
    and
    occupancy
    restrictions,
    if any,
    zonin
    laws and
    ordinances,
    easements
    of record
    and
    iii
    place
    affecting
    the
    Property;
    if
    any,
    drainage
    ditches,
    feeders
    and
    laterals,
    if
    any,
    conveyances
    or
    reservations
    of coal,
    gas and
    other
    minerals
    and
    mining
    rights,
    if any
    of
    record.
    II’
    WITNESS
    WHEREOF,
    GRANTOR
    has
    caused
    its
    hand
    and
    seal to
    be
    affixed
    hereto
    this.2gay
    of
    2006.
    MJIITROPOLIS
    TIRE
    & OiL
    CO.,
    INC.,
    an
    Illinois
    corporation
    QUIT
    CLAIM
    DEED
    nate
    1’
    ii
    Rëhta
    4using
    Support
    Program
    utid
    Surcharge
    Irnao#
    OOooOa8sooo6
    Type:
    OFF
    File#
    2oc6—oooco
    K771
    71O-715
    f/
    Z’9
    4
    S/
    L2r;V
    Iaao
    Cowtty
    Bai
    rte
    Trarifer
    Thz.
    ouit
    _L(
    0
    FOR
    RECORDER’S
    USE
    ONLY
    u(t1;
    /,l
    13
    Its: Secrgtary
    By:
    Its:
    Presi1ent
    L69-69ti7
    ieqaej
    euen
    d9Q:
    0
    80
    90
    J0tJ

    STATE
    OF
    ILLINOIS
    )
    )
    55
    COUNTY OF
    (cL
    (
    )
    I,
    the
    undersigned,
    a Notary Public,
    in
    and for
    said
    County and
    State
    aforesaid, J.)o Hereby
    Certify
    That
    Marie
    Faulkner,
    peisonally
    known
    to me
    to be the
    President of
    METkOPOLIS
    TilU & OIL
    CO.,
    ThTC,
    an
    illinois
    corporation,
    who
    is the
    grantor,
    personally lcnowu to me
    to
    be
    the same person
    whose
    name
    is
    subscribed
    to
    the foregoing
    instrument,
    appeared
    before
    me this
    day
    itt person and acknowledged that she
    signed
    and
    delivered the
    said
    instrument
    as
    President of said
    coiporation, and
    caused
    the
    corporate seal of said
    corporation
    to
    be affixed
    thereto,
    pursuant
    to
    authority,
    given by the
    Board of Directors of
    said corporation,
    as
    her free
    and
    voluntary
    act,
    and as
    the free and voluntary act and deed
    of said corporation, for
    the
    forth.
    My Commission Expires:_____
    STATE
    OF
    ILLINOIS
    )
    I
    )
    SS
    COUNTY OF__________
    )
    I,
    the
    undersigned, a Notary Public,
    fti
    and for said County
    and
    State aforesaid,
    Do Hereby
    Certify
    That
    Elizabeth Lefferts,
    personally
    known to me
    :o
    be
    the
    Secretary of
    METROPOLIS
    TIRE
    &
    OIL CO.,
    INC.,
    Illinois corporation, who is the grantor,
    persnally
    known to
    me to be the
    same
    person whose name
    is subscribed
    to the foregoing instrument, appeared
    be
    óre
    me this
    day
    in
    person
    and acknowledged
    that
    she
    signed and
    delivered the said
    instru.ment as Secretary of said
    corporation, and
    caused
    the
    corporate seal of said
    corporation to
    be affixed
    thereto,
    pursuant to authority, given by
    the
    Board of
    Directors of said
    corporation,
    as her
    free
    and
    voluntary
    act, and as
    the
    free
    and voluntary act
    and
    deed
    of
    said
    corporation, for
    the uses and
    purposes
    therein
    set
    forth.
    Given
    under
    my hand and
    Notarial Seal this
    , 006.
    My
    Commission
    Expires:Z:.1
    TillS
    INSTRUMENT PREPARED
    BY:
    RETURN
    TO
    ANJ
    MAIL
    TAX
    BILL TO:
    Creighton R. Castle
    Giffin,
    Winning, Cohen & Bodewes, P.C.
    Prime
    Location
    Properties LLC
    I
    West
    Old
    State
    Capitol Plaza
    3453
    S.
    Illinois
    Avenue
    Myers
    Building,
    Suite 600
    Carbondale,
    IL
    62903
    P.O.
    Bo, 2117
    Springfield, illinois
    62705
    2I7525-.l57l
    €L6969I—l7L
    ioiqoe>j
    eucn
    dg
    60
    90
    .l°ti\j
    ‘of
    FCl1fC_k
    UOFFICIAI.
    SEAL”
    PATRIcIA
    A
    SQUIRES
    cj1jsQ
    WIRES
    O7

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