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• <br />Na(g) <br />Firm <br />Eric Zell Wightrr <br />Address: (number and street raNy, state and ZfP code) <br />412 S. Lafayette Blvd. South Bend, IN 46601 <br />Telephone Number Cell Number ~ ~ Fax Numbs <br />574/232-4388 574/232 <br /> <br />Name(s) Flan <br />S. Curtis Devoe Plows Sh <br />Address: (number and street cNy , state and ZIP code) <br />1346 North Delaware Street, Indianapolis, Indiana 46202 <br />Telephone Number CeM Number Fax Number <br />(317) 637-0700 (317) 637- <br />• <br />Site or Pro)ec;t Name(s) <br />EMI, Inc. <br />Address: (number and street, oKy, state and ZIP code) <br />2020 S. Main Street, South Bend, Indiana, 46613 <br />IDEM Site Number US EPA Site Number <br />Current Owner Address: (numberand street city, a <br />EMI, Inc. <br />Telephone Number Coq Number <br />• <br />Currant Status: (Check aN that apply) <br />Private Owner ^Publk: Owner ^In Bankruptcy B]Abandoned Inactive ^Under <br />Environmental Documentatbn Submitted for Review: (Check all that apply) <br />Phase i Envronmental Site Assessment-After 11/1/06 must comply with federal All Appt <br />^Sampfing Results ^Further Site Charecterization ^Other (please specfy) <br />'contact the Indiana &pwnflelds m H have uestlons <br />The Site wiN be: <br />QSokl ^Leased QUsed by governmental entity ^Gifted Q Other (please specfy) Uncertain at this time. ^ Undedded <br />Potential or intended reuse of property: (Check aN that apply) <br />[~]Commerdal ©Industrial QResidential ^Mixed Use ^ Park ^Green Space ^Other (please specify) ^ Undecided <br />Community InvoNement/Publk: Participation: (Check aN that apply) <br />^Community notification by news media ^Public Meeting(s) ^ Letter(s) of community support ^Community work group <br />^+ Community input was not sought <br />How did you hear about the Indiana Brownflekta Program? (Check aN that apply) <br />~Irxilana BrowMields Program stag, brochure, or web site Q Other Slate Program/Agency ^ EPA ^ Consultant ^Other (please specify) <br />I heroby roquest an Indiana Brownfleids Program: OComfort Letter ^Site Status Letter <br />Signaturo of Letter Recipbnt or Authorized Reprosentative Date (month, day, year) <br /> <br />