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4103 Orlando Dr - 02-000666 (7-11) (Documents) Under Ground Tanksew -L! _.'•'' r ,,,. r -• -' L.: - ry '{,-'-- r :J , .`Ky"'- '{ ,,, h .r . r. ... -,r..''r '""''r ; `:LE :.-.,2'Sr:--•. +r-'.: .,n+'t-t .,.,.n + n....,r. a+ri,Y• - 7; 1.,4,S t t PERMIT ADDRESS +103 K L4yvAO ) CONTRACTOR (n ADDRESS I J Zyn!`" FL- 32-7c-)3 PHONE NUMBER " s55 SDI. PROPERTY OWNER ADDRESS Lag, !C ' In U L PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE . FEE SUBDIVISION PERMIT # DATE PERMIT DESCRIPTION 60-1,to PERMIT VALUATION lo, SQUARE FOOTAGE En En 7 a ui Owd 0 CITY OF SANFORD. FLORIDA APPLICATION FOR THE DEMOLITION AND REMOVAL ^ DOFBUILDINGSANDSTRUCTURES PERMIT ADDRESS 4Q3 S. C>%"VjW D2 PERMIT NUMBER ©a'646 TOTAL CONTRACT PRICE OF DEMOLITION 4 1 '' TOTAL SQUARE FT. TAX PARCEL NUMBER tL4 " '7 `"' 3O S O I OO —' C>e 17?> yOWNERI " F-L-Egf , t4 I tic * PHONE NUMBER "C l Z" 2C3 ADDRESS 15CX2 L_t_E CITY (301_ALAr)C9 STATE %LA _L ZIP Z. A& 10 CON*tACTOR ., QutNhi PHONE NUMBER •. - i ADDRESS -ZL—jflL j=jhjjjAA '/o ST. LICENSE NUMBER CGO O CITY AAOOV-A . STATE f: C01z wa ZIP 2Z Ct 3 TYPE OF STRUCTURE TO BE DEMOLISHED: 1%tMr/7YpQQ FRAME CONCRETE BLOCK /SST'EELOTHER 0 PREVIOUS` PAEVISUSE OF BUILDING OR STRUCTURE pvE(l, C^hrm-. Q fr t S ` Q E( PROPOSED USE OF THE SITE G-- p{l E .r SY h(CrGAS COMPANY DISCONNECT NUMBER (IF APPLICABLE) GAS COMPANY PERSONNEL ISSUING NUMBER NOTE: GAS COMPANY SECTION MUST BE COMPLETED BEFORE dEMOLITION PERMIT WILL BE ISSUED. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 100 DAYS AT ANYTIME AFTER THE WORK IS COMMENCED. IN ADDITION TO THE REQUIREMENTS OK THIS PERMIT."THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY'THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND' THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. THE NAIAD CONTRACTOR/OWNER BUILDER TO WHOM THE PERMIT IS ISSUED SHALL HAVE THE RESPONSIBILITY FOR SUPERVISION, DIRECTION, MANAGEMENT. AND CONTROL OF THE CONSTRUCTION ACTIVITIES ON THE PROJECT FOR WHICH THE BUILDING PERMIT WAS ISSUED. OWNEA' S AFFIDAVITr I CERTIFY THAT ALL THE FOREGOING INFORMATION IS ACCURATE AND THAT ALL WORK WILL BZ DONE IN COMPLIANCE WITH ALL APPLICABLE LAWS REGULATING CONSTRUCTION AND ZONING. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SITE WITH PERMITS NO LATER'THAM SEVEN (7) DAYS AFTER THE PERMIT WAS BEEN ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ASBESTOS NOTIFICATION STATEMENT (SEC. 557:79(11), PL STATUTES) FOR FACILITIES OTHER THAN SINGLE FAMILY OR DUPLEX HOUSING. I HEREBY AFFIRM THAT I HAVE COMPLIED WITH THE PROVISIONS OF SECTION 455-302. FL STATUTES, AND.HAVE NOTIFIED THE DEPARTMENT OF ENVIRON!(ENTAL REGULATION OF MY INTENTION 6 REMOVE SRSTO7f' IF I I ICAB%^' 1 SIGNATUR OF ON 19 A/ GENTi DATE 1- 02 i DATE TYPE ORI PRINT OWNER/AGENT NAME TYPE OR PRINT CONTRA R'S NAME jleml , Pam• ,•ea a z B, SIGNATURE OF NOTARY i DATE SIGNATURZ OF NO?ARY i DATE^ OFFICIAL SEAL) OFFICIAL SEAL) Eleanor Bernice Tweevv My COMMiSftn Cf.% 3174 o„,;." Expires August ?5. 1U; . r Eleanor Bernme Twee* MY 0 CC770170179 o' iM, Expires August 25, 2002 APPLICATION APPROVED BY DATE FEES: BUILDING g)l / APPL TION AQ - OTHER PERMIT VALIDATION: CHECK CASH ORIGINAL ( BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4, Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: —1`L Z2 '38 440 5 r,...FtirzrJ c-• Additional Comments: S. 1? S)MfPonrs '-/7/02 J SEE PARTIAL/ / 0 PLANS'FOR // NEW WOW -IN THIS ARpA v 16,0,e L. 9N8S GUY RARE (TYPICAL). AaANDOME CONC PAD wxa- POLE—' d' Cot* I - 6* c4Rel4cumBRICK OVE104EAD PCU EA LM (TY114CAL " UTILITY PC I TYPICAL.' UTILITY -- VALVE& A*". 4' BRICK COLUMN 0 A TOP ELIVA wAl N.- 61 C442NOW711 NE. INV. w 0 E_ -^-.40eam INV. lb-C L. VA.3) DOUBLE LkWi T4Wjf!NT 0e4RMJC. POLE (TYPICAL! 46*3b*36- E 4, C 5y K ASPWALT Y % b EME) w- ENIC r - ft rc- 5CONCRETE FLUME A( A*A* wALT 4-1 e=t LL Qn, T_ CONCRETE CURB z -) Nr "22538 Cc _ R iE BL K an L 6"ARED ACCE- AS AMA 1-11 STORE UTW BRICK FASCIA FNWED FLOOR CONCRETE-„ "\ A DUM" TER 5LEV4TION 1012-1 1 o)Y 403 POWT OFE6GIrNIW, PAD ORL-V4DO DRIvE fi I woo FEIIE FLORIDA 1 /OF1..l A9f"WALT N! !_ l A* it 11 DART AUITO DEALEotROwiP L AlS x CURB IR A URB -)D 5UI`IER TE 3' V " Y GUTTER CAkvz ' GUTTER DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street S. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: `1— E UNM4 4 22 Additional Comments: 0 03 S - J 4 N SEE PARTIAL] \; ' - - • PLANS FOR. o NEW WORK IN %i •^> / THIS ARF/.l1 ; % / uuY wRg (TYPICAL2.. 2' CURB A\4Q,GUT*ER 3a'X3,a' BRICK v' \ TOP EVATIOtI99.11 !// GCNCRE PAD OvERNEADPOUEAWER sdTE NE. N. Is•cml- L. -A 2 LM (TYPICAL , d3• : /`• 8' X12• :TA POLE — FOR I 8f ^UTILITY FOLE 3' vAL Y GUTTSR BLOCK uLLT T, \ s• crt CRetE cu e . ., r\.:' ca2M A 1D LATTER j L7 •' UTILITY vALvEO CoLi . 4' DRIGC • CaLur' N o TOP ELEVA W.91 /1 / NE. NV. N' EL. 9O.4ID au " v. is- EL. ".33 1Aft TAWmENT EIEARW, POLE( TYPICAL! O 6'pD'M' E c i ASP IALT E 1POL/1 TPIGAI! i 3 Il1iON 6 \ f Ev O' C40NCWTE FLUME py il r- C TF POOP I \ /\\ 1\) A- PNALT Via\ •% / "• \`%`"`\` ' ' aIYI i J .w. t- % "" CL IOZ SLR 6.. G IGRETE BLOCK . l- II STORE UATW / ^•<.. I 6uAREDACGE33AREA % rf.'' y BRICK FASCIA FINI" D FLOOR C474: RETE-.: 6LEvAtION 1012.1 pP1 FE ER • 4103POINT OFDEG1rNING Pc:RLiNDO DRIvE/01SA. 0 l' tX ` r- \ '•.544JFORD, FLORIDA t .+P DIRT AUTo \ DEALERe" IP J 3 \ 6q / ? LOT /• 3• DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: 7 - fLC\1f114 22 536 4I.03 S _ - 0QLA,.-- 0 -J SEE PARTIAL%` . i ,' t PLANS FOR./ NEW WOW ty THIS ARF,/4' N ,%GUY IURE (TYPICAL! . r CURB _' Jt .:IVY ER 11 - C j 7j/ laX3.+'Ei10CK 104' ` COLLti+ RAR41Csc-TD _— d. \ r R TE TOP Ev,>11CN 99.11 // _ CCNCRE PAD _ _ — OVEI IEAD POWER ~., j !If+fa9+ '•• NE. v. ia•CT•TP TEi.. 1D.52 ! L !TYPICAL , '9. : T• \ i My Id'C+"IP LL 9EDS f X 77 D'XV• HETAAyy POLE•' 1 OR T I alai / I —UTILITY L \ Y vZ Y GUTTER :. t0 a• GONG T I T7 PIGAL! ' "I"/• T/, ' BLOCK INN b' O kRETE;CUM . \ ' `„—.' CUM ACID GUTTER UTILITY VALVES -ol) C'x.1' eft" COLUMN e ' TOPELllA "tl:•. / NE. Mv.W EL'56.40 d'o am NV. Is- EL. ".33 tAH3ETrT Ef2aRwKsQ / / I POLEfTYPICAL! S D +D"'>d' E VV7111 ` \ l v 46P% 4ALT 1 POLE A \ It i 1j/ aCONCRSTEFLUIE COTp,STOOP 122538y / ` A. rS / 6CONCRETrrvRB _ \C "'CONCRETE BLOGIC i OWARED ACCE33 AgEA /' ` 1-11 57012E UATN BRICK FASCIA FINU NEC, FLOOR I CONCRETE—..`' I-LEvATION IQ12Y ,01111 DUYTP9TER 4103 1 - POINT OF DECiklIING \ PAD ;' • pRL,iNDO DRIVE/', /OF 1.1-. W OOpF EFORD, FLOWDA sE ipF. '' ASPHALT R' \ \ _.' . ti ''.= I /' 'i DIRT AUTOss LOT DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: 7 — fLC4Q 4 22 536 4 03 S _ Additional Comments: cc m%v- , J SEE PARTIAL:` PLANS' FOR NEW WORK 1N t/ GUY WRE (TYPICAL).. ?' CURB AIIrl GLTIERZy THIS ARF?/A yj 34 X3.i' "CK T. / \ J // o84NNE y CoLur" 1 10 ' ' RAMAGc // 25 t ' . S Ir TE TOP EVATION 9.11 i CCIiCRt PAD 'CN001WEAD PIOUER ~\ j N! L. IS'Cr1P F,-. 91.9) L E tTl'P1CAL •3r`TJ\ \\. adv 16-CMFI 96d" 6-XQ- P¢TA POLE•"^ ; \ — IJTILfTY PALE ` 3' vALY GUTTERE-00NC T 'TYPICAL: -OAK CLOCK uLL *• ONLRelE;CUIIe! . I T -.' Ca1RD t1D GUTTER UTILITY COLLM TOP ELEvA Ne. "V. W EL. r..40 am °+V. a- eL. $5.33 ,1 I / I GCICLE LbNT TANilNT Dl4RNG I POLE (TYPICAL- 6 A8*36'36- E cy / \ J'S-IALT \ N` T POLE', 47 lb EMEivpENGY V' 6' WhICRETE FLOIE . v h - CO ..JlETEy6TOOP 46P++ALr , .; J o J / - `• 4-1 L...J ' "L.L ..L iw.i 1..l 6' CArCREYc ..URB ' fsi; i \ CONCRETE BLOCK 6"AJW0 ACCESS AMA ' `, 1-11 STORE UATN BRICK FASCIA q / FINIBHEG FLOOR . j- CON.;R£TE ELEVATION 10IIY ,nP/ DLfYP9TER •103 POINT OF BEGtrINING p4D ! C:RLANDO DRIVE Y' WL OD f E----_..•' N 3=•fFORD. FLORIDA A9P+ALt ``'` •;. ,', •- I _+F OF 6.wC IX, AUTO DEA LER nP I Ve" DEMOLITION OP Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: — L 22 "3 44O-j S . J we. INV. w L. Sk-AD M INV. W:cc;r :L. 1A.33 W, I SEE PARTIAL " / PLANS FOR/ NEW UJOW-IN THIS A71, r GUY UPW (TYPICAL! 34X31AADRICK qE CoLuri4 2btaum cCNC PAD, V OVERHEAD POUMR 1g:74.32\ )e-) — --,A — _17 — — — — LM (TYT*"L N lb,cmp L W5bt &"XQ':%2 POLE—' UTILITY POLE 3' VA\LL'F\Y GUTTER E- C40MC I (TYPICAL.' BLOCK L c CAMMGLITTER UTILITY VALVE SAA*x5.41 MCK COLUMN 00 06 E CONCRETE FIAM A-A-WALT 6, ca)CRETE CURB N. lARED ACCE&S AIQEA 1 OF E600WIW- AgeWALT f AUTO A DEALERL16WIP LOT CCLlrLI LklWT 46*-kb*3*- EPOLE (7110CA0 ASMWALT 3 WAol ft T'bib EmE ENC-,r N. swut got 25-38rn-746TOOPA —20, 0 T-1Z CONCRETE BLCV-'K "12 11 5TORE UTW BRICK FA60A FINk1%4ED FLOOR CONCRETE 0111"TER '403 / / PAD ORL.-v4DO DRIVE COD FiNPE ,AIIFORD, FLORIDA el fDIRT 7-Eleven, Inc. February 4, 2002 Mr. Richard Quinn Petropac Solutions, Inc. 2173 Platinum Road Apopka, FL 32703 RE: 7-Eleven *: 22538 4103 S. Orlando Dr., Sanford,FL Facility #: 598516522 Dear Mr. Quinn: Your firm has been selected to perform the work described in the attached proposal at the cost of $26,484.00 Avoiding any unforeseen problems, no add-ons will be accepted. Work should be scheduled to begin on February 18 2002. and must be completed no later than February 23. 2002. Please notify Jack Wright, in our Gasoline Department (407) 532-2038, five (5) days before work is scheduled to begin. He will make the necessary arrangements to have remaining gasoline inventory removed. David Petersen, Fluor Daniel G11, will be responsible for completion of the Tank Closure Report. He can be reached at (813) 626-2336. Please give him a call to arrange to have a representative present during excavation. When submitting your invoice, please provide a detail list of all equipment removed from the site. Indicate whether the equipment was destroyed or is being held at your facility. Should a problem arise with this date or should you have any questions, please give me a call. will4Sinreily'ithEnvironmental Manager, Southeast/ Central Region F a 5 cc: John Harris Homer Rodriguez David Harrell TONY FRiCK. Jack WrightJimChadwickTonyEdwardsSandraShaver Laura Foster Bill Sowl ; Ranea Wilson Dawn McLaughlin, FDGTI Mike Zarrella, Inc. Mr. Ron Cardoza, P.E. C., Inc Ross Arbelius, Seminole County Department of Public Safety Environmental Services, Southeast/Central Region 1300 Lee Road, Orlando, FL 32810 Phone #: (407) 532-2039 / eFax #: (707) 897-1755 f 7-Eleven Inc. - P/OM© r EIFYEit 7-Eleven, Inc. Underground Storage Tanks Removal Date: 1 /10/02 Company: Mr. Richard Quinn, Vice President Petropac Solutions, Inc. Address. 2173 Platinum Road Apopka, FL 32703 January 31, 2001 Willo A. Smith Region Environmental Manager, Southeast/Central Region 7-Eleven, Inc., Environmental Services 1300 Lee Road Orlando, Florida 32810 Phone #: 407-532-2039 Fax #: 707-897-1755 Project Site Location 7-Eleven #: 225M Facility #: 598516522 4103 S. Orlando Dr.,FI Project Description Removal of 12] USTs, piping, dispenser island, and canopy with site restoration. Health and Safety Plan, supplied by IT Corporation, must be reviewed and signed. Contractor will assist IT Corporation personnel in collection of soil samples for UST closure. Changes in Scope of Work due to site conditions MUST be communicated offeror within 2 hours of discovery. Change orders must be submitted and approved prior to work completion. Desired Start Date To be determined Tank Size/Quantity 10,000 gallons / 3 Tank Material Single Wall Fiberglass Piping Material Double -walled Enviroflex Canopy Remove Island s - # Remove Assumed Dimensions Width ft Len ft Depth ft Tank Field 40 45 12 Product Line Trench Remove Primary Leave Secondary 4 Canopy 241 241 6 Islands 2 Dogbone 12 ft each 1 Note: The assumed dimensions are stated to standardize bids and are based on the best available information available. All measurements referenced in the remainder of this bid are based on the aboe dimensions. Any changes in scope of work due to unforeseen site conditions can be addressed in a change order using the proposed unit prices on the last page of this form. Change orders must be approved and submitted prior to completion of work. Revision DF-04 January 2002 Pagel loommonewone WW WONUNWIllUlm Permit Number Parcel Identification Number 't -3y- 501-0Gfj0-0UW Prepared by: t-'j EgZrgT- FA 5 Retum to: CQ v I r4 N L 113 'j->Lra-1` I 41.3 M RAbW , AVVnV- 4 - OA 3z-703 NOTICE OF COMMENCEMENT State of t 0 County of tIEN MXE WI Y CLERK of CIRWIT MURT SK 04319 PG 1767 CLERK' S * 2002828508 RECORDED Ott/07/ii00E 0105t07 PN RECORDING FEES LOO WXDRDED BY N Nolden CERTIFIED COPY MARYANNE MORSE CLERK OF CIRCUIT COURT ZSEINOLE COUNTY. FLORIDA DEPUTY CLF-7 ffB.1' 7 20 The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in. accordance with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement. 1. Description of property (legal description of the property, and street address if available) 14- -- 740- 30- 501--06r 00-- Ot>3o -7 - SIG *4 4 2 2 53 u - 01 4103 S n - 2. General descriptio of im rov a t() rcNlpVryL 3. Owner information - 7 E; • y G Name /goo LSE loiter- Telephone Number Address . 5/07- 53Z - 20 39 FaxNumbervQc-A"d re- 37-71 v 4. Fee Simple Title Holder (if other than owner shown above) Name Telephone Number Address / Fax Number 0 Contractor I r-4a-242 4 . (FAJ f N 00 Name *7/ 7 3 .) My go" Telephone Number Add ressFax Number 6. Surety (if any) , Name lJ , Telephone Number Address Fax Number Amount of bond S 7. Lender (if any) Name /- Telephone Number Address l Fax Number / 8. Persons within the State of Florida designated by Owner upon whom notices or other documents maybeservedasprovidedby §713.13(1)(a)7., Florida Statutes. Name Telephone Number Address Fax Number 9. In addition to himself, Owner designates the following to receive a copy of the Lienoes Notice as providedin §713 13(1)(b), Florida Statutes. Name / 2t C4a;) ownrl Telephone Number q07 ._ Cea --c&50 Address 917.3 p t-D-- lALclvvt. le Fax Number _ O 3 . i'4 • r-t , 327 v:, 07 - 1' 0. Exp,ratlon date of notice of comineiscement (the expiration date is one year from the oate of recordingunlessadifferentdateisspecified): 2I- z l92- Date Signed Signature of Swom to and subscribed b9fore me this = day of _ •- OQ- by 1on " L-Jr c,l-. who is > 4personally known to me OR _produced as identification. , Eleanor Bempce TW99dr M, ==ion CC770179 Signature of Notary (notarial seal to appea below) Forth RWeed. PIN 3n«..r Exv : , 25. 2002