35 Ill. Adm. Code 807.APPENDIX A
A Financial Assurance Forms
Section 807.APPENDIX AĀ Ā
Financial Assurance Forms
Section 807.ILLUSTRATION GĀ Ā Owner's
or Operator's Bond Without Surety
Owner's or Operator's Bond Without Surety
Date bond executed:
Effective date:
Owner or Operator:
Owner's or Operator's address:
Site:
Site address:
Penal Sum:
$
The owner or operator promises to pay the penal sum to the
Illinois Environmental Protection Agency unless the owner or operator provides
closure and post-closure care of the site in accordance with the closure and
post-closure care plans for the site.
Owner or Operator
Signature
Typed Name
Title
Date
Corporate Seal