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HomeMy WebLinkAboutMO-1214_0_G_C_20051024_Tank Removal DocumentsHILBISH MOTOR CO. 2600 SOUTH CANNON BOULEVARD AT 1-85 KANNAPOLIS, N.C. 28083 Phone: (704) 938-3121 Fax: (704) 938-3125 www.hilbishiford.com hilbishmotor@vnet.net 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: (704) 932-5501 / Fax: (704) 932-7450 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for the sum of: Payment to be made as follows: zj/�.�t� Respectfully, Submitted: p As Per Note: This Proposal may be Withdrawn by Us if not Accepted Within Days.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 . (704) 938-3121 acilCan CABARRUS FacilRe ion , 03 . Lastltla#ed 2/7/1995IUPLANDS .. ; r . C?wtler µ r ..,. INC. Ovrnelrtldes., 2600 S CANN :. (IwnerC� KANNAPOLIS (704) 938-3121 CABARRUS 03 2/7/1995 UPLANDS INC. 2600 S CANN KANNAPOLIS (704) 938-3121 CABARRUS 03 2/7/1995 UPLANDS INC. 2600 S CANN KANNAPOLIS (704) 938-3121 CABARRUS 03 2/7/1995 UPLANDS INC. 2600 S CANN KANNAPOLIS (704) 938-3121 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 (999) 999-9999 1 100001 10/5/1968 8/21/1992 NC 28083 (999) 999-9999 2 540 10/5/1968 8/21/1992 NC 28083 (999) 999-9999 3 1000 1/1/1964 8/21/1992 NC 28083 (999) 999-9999 4 1000 1 /1 /1964 8/21/1992 NC 128083 (999) 999-9999 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