WS-6406_24174_G_ELIG_20080925_Program qualification

LUST Eligibility Form
Incident # 24174
Incident Name Caraway Grocery
9/25/2008
Deceased?Insolvent?Recalcitrant?Corporation dissolved? Unable to locate owner?
Unknown
If insolvent, date of financial review
If recalcitrant, type of enforcement NORR
Yes No Unknown
If no, date tanks were removed and by whom
Yes No Unknown
Are tanks on site?
Date site accepted into Trust Fund
NA
NOV Date of last enforcement
Incident/Project Manager Joshua Brainerd
Tank owner/RP status
2/25/10, Pyramid Environmental
If yes above, do tanks contain ≥1″
of product?
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LUST Eligibility Form
Unknown
Yes
No
Don & Judy Johnson
3337 Old Lexington Rd. , Asheboro, NC
Address (line 2)
Notes:
CEE
Site Access Agreement
Name of tank owner/RP
Name of current property owner
Address of current property owner
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