MO-1214_0_G_C_20051024_Tank Removal Documents

HILBISH MOTOR CO.
2600 SOUTH CANNON BOULEVARD AT 1-85
KANNAPOLIS, N.C. 28083
Phone: [phone] Fax: [phone]
www.hilbishiford.com
[e-mail]
1 KO' E C E E
ocl
INC DEPT. OF ENMRONMENT
AND NATURAL RESOURCE$
MOORESALLE MGM& OFFICt
- le-
r
,74
"WHERE THE SALE NEVER ENDS"

Purchase. Order No. -
Phone
Project Manager
.RUBLLannon.
-Starting Date
Bill To
Hilbish.Ford Motor Co. Mr. Buddv Hilb:ish
Order taken By
Roy Sykes
Address
26:.Q0-S. Cannon Blvd.
City
Karma olis
State
North Carolina..
Zip
28081
Job,Name and Location
Same as above
City/State/Zip
:Job Phone
Description of -Work
Removed 1-10,.000.gallon, 1-2,000 gallon,..and 1-55.0 gallon.dnderground
storage tanks at the above 'location. We backfilled the'hole,wi.th clean
111-dirt. The two 1,000 gallon tanks around back will be removed at.
ziLl'atet. clate due to product 1ef+* in the tanks.
The'* total bill for -the project',is '$4800 00 -arid Mr... buddy. Hilbish will. .
hold $1,000.00 untill the tanks around back'are removed..
I;
j'
i
i
Date, -Completed
2: s.1992
Work Ordered By
Mr.:. 8uddy Hilbish
Total Amount Due at this time
$3,8;00.00
hereby ackhdWIedgo'the.satisfactory completion of the above described work. Any payment not received within thirty days will have a service
charge:of`, o'eacF; nth until paid i full.
griatife

U,
Carolina Tank Services f
1206 North Cannon Blvd.
Kannapolis, North Carolina 28083'
Phone: [phone] / Fax: [phone]
CONTRACT
Contract Submitted to: Work to be Performed at:
Name-
Company Name
Date Submitted
'
%
Street City
Street City
State and Zip Code County
/
State and Zip Code Cou nty„
C.
Phone
Date`of Plans
Phone
Facility ID#
CONTACT PERSON
Name:
Job Title: Phone No.: ( )
We Hereby Propose to Fumifih Materials and Labor Necessary for the Completion of:�� �.
(91
d`
�<
zlz
-10
,
6 ,
8 04
WE PROPOSE hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Payment to be made as follows: zj/�.�t�
Respectfully, Submitted: p
As Per
Note: This Proposal may be Withdrawn by Us if not Accepted Within Days.
ACCEPTANCE OF CONTRACT: The above prices, specifications and 1
conditions are satisfactory and are hereby acccepted. You are author-
ized to do the work as specified. Payment will be made as outlined Siu
above. .
Date of Acceptance: — Signature

- CHECK NO. .' CONTROL NO.
DETACH 268621
'
— .. 'BEFORE DEPOSITING l
OFFICE USE ONLY `.
CASH DISBURSEMENTS JOURNAL -'SOURCE 600
4881 !! !tt !!
UYTIL—JOIBAS COMPLETED
DETACHED CHECK IS PAYMENT IN FULL OF ACCOUNT SHOWN ABOVE. IF INCORRECT RETURN' WITHOUT ALTERATIONS.
CHARLOTTE KANNAPOLIS FAX
HILBISH MOTOR CO. • P.O. BOX 66 • KANNAPOLIS, N.C. 28081 333-6914 938-3121 938-3125
�"' k. }, � r a 3 ✓ S krt`sr' 3." r: .> n r // r � s^
. 4:.zfd` ^'.t�"5 5 'X'.„� 6 na � ;z. • � �A� v e z > e � > ,� � � z�y > ;a zr m, z > p
u, �z-Ya�4 � �� � r;' � y„ w • • ��L�Aa7� Ghl ,�... x 5� ,u.� ,r,y�y' "� r ? x J S:� zr,�"��s,�zy �, :'.�,r :�`
ry
?���,j, �g`sC)u5'.�' �.v�•..u'`x r, 7".,. � � � s � rr S �k ST�r� rYv��?t. CS. � ai a�i. : ,K j* ,. �Z., .;� S r ��' < °,you .., � �i��.e*,C. ;.:r xya ;� k"r Y C y k,y` xY'+��" q�t r.s� � �' K 3 �x„
,}�;,?''��'aSv��� ���>r'` `�r,.:.�<'� ,✓,,,z. 1ya Z4, a `,�`'`�a .raj y. a� .;,1>`` �,,.5:,. r �, >v2.� .Y '���°wz'a � T� :6'�:� ,�,7 sr _. "�t"z„d�au �,7�`'t,,.,<...� x �'T�xt''�,",�
r r ?s a N r s J J a�, rxCw
kzk
x r : z '" >• It r ,.;,r,?
*'""
M"",.Ku ,;y✓ �� .`s 5 r'Y . :..:six qy<y '��?x. ,...Z.,x a��'� v �.. M, rZa �� ..r �`x"uaY"'2"r t�C�� L,ish� � ��fia . � %' r�'�.�".,.Y5�,�y
�a r. ` I�� •s����i .�«^,���� `s x.„� � � �. .� .� . �"�v��i.`�'� �' - 's�s a ,iP-°xa e . �,. c �3 �.�
�:.Myr
2J�CM's"Mal
psyholds;+p•ITol3i.Q.
7

tblAllTanks
10/21 /2005
facllld°
0-007940
F9idj[Name. g
(HILBISH MOTOR COMPANY
y l `aq lAddress
2600 S CANNON BLVD
FacilGl` - h
KANNAPOLIS
FacilStaie'
NC
r �$ „FacilZt
28081
0-007940
HILBISH MOTOR COMPANY
2600 S CANNON BLVD
KANNAPOLIS
INC
28081
0-007940
IHILBISH MOTOR COMPANY
2600 S CANNON BLVD
IKANNAPOLIS
INC
28081
0-007940
IHILBISH MOTOR COMPANY
2600 S CANNON BLVD
KANNAPOLIS
NC
28081
0-007940
HILBISH MOTOR COMPANY
2600 S CANNON BLVD
KANNAPOLIS
NC
28081
Page 1

tblAliTanks
Fac�tPhgne .
[phone]
acilCan
CABARRUS
FacilRe ion ,
03
. Lastltla#ed
2/7/1995IUPLANDS
.. ; r . C?wtler µ r ..,.
INC.
Ovrnelrtldes.,
2600 S CANN
:. (IwnerC�
KANNAPOLIS
[phone]
CABARRUS
03
2/7/1995
UPLANDS INC.
2600 S CANN
KANNAPOLIS
[phone]
CABARRUS
03
2/7/1995
UPLANDS INC.
2600 S CANN
KANNAPOLIS
[phone]
CABARRUS
03
2/7/1995
UPLANDS INC.
2600 S CANN
KANNAPOLIS
[phone]
CABARRUS
03
2/7/1995
UPLANDS INC.
2600 S CANN
KANNAPOLIS
Page 2
10/21 /2005

tblAllTanks
Own`erState.
QwnerZi
OwnerPhon"e...
.F eidi6:, - TaniiCa" ace, .
< :.Commend,``
r�l stal a i`
R Ta kCtosedy'
NC
28083
[phone]
1
100001
10/5/1968
8/21/1992
NC
28083
[phone]
2
540
10/5/1968
8/21/1992
NC
28083
[phone]
3
1000
1/1/1964
8/21/1992
NC
28083
[phone]
4
1000
1 /1 /1964
8/21/1992
NC
128083
[phone]
5
1 2000
1/1/1964
8/21/1992
Page 3
10/21 /2005

31NON
3 NIU
3 NIU
3 NIU
3 NIU
tblAllTanks
Page 4
10/21 /2005

i
FOR North Carolina - Depart"At)ofitEiMrdr mrit, Health, & Natural Resources
TANKS Division of Envin pwWT Managi3imrit.(>,il iWNwater Section - U.S.T.
IN P.O. Box 27687
NC Raleigh, NC 27611 JUL 2 4 1"2)733-8303
STRUCTIONS
(30) days prior to per
State Use Only
I. D. Number
Date Received
1. OWNERSHIP OF TANK(S) IL LOCATION OF ,.TANK(S)
Tank Owner Name:Facility Name or Company:
(Corporation, Individual, Public Agency, or Other Entry
Street Address: ?K00 C'r,; Street Address or State Road:?i500 AJ. fllvn'.
County: Cubalr County:
City: ,,nO PA State: Zip Code: City: State: Zip Code:.
Telephone Number (Area Code): i Telephone Number (Area Code):
Confect Person
Name: Job Title: Telephone Number:( )
TANK REMOVAL. OR CLOSURE IN: PLACE
1. Contact Local Fire Marshall. 4. Remove Tanks or Close in Place in a Safe 5. Provide a sketch Locating
?. Plan the Closure Event. and Secure Manner Per API Pubs. "2015 Tanks and Soil Tests.
3. Make Site Soil Assessments. Cleaning" and "1604 Removal & Disposal". 6. Keep Records for 3 Years.
Name and Official fide of Owners Authorized Representative
/,e„ (Owned)
Signatu
'Scheduled Removal Dater41//9%"
Date Submitted:
*If scheduled removal date changes. Forty-eight hours verbal notice of tank removal is required.
GW/UST-3 White Copy - Owner Blue copy - (ventral (.mice
Yellow Copy - Regional Office Pink Copy - Central Files