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ContractMidland • May 14th, 2012
Midland Soils Cleanup Activities Agreement Form1008 Jefferson AvenueMidland, MI 48640 Contact InformationProperty Owner & Phone Number Property Address Contact Person & Phone Number Description of Service Agreements:(Activities that will be performed on property by Dow and its contractors: ) Remove 12-inches of soil from property Soil removal will be cut 1 foot (12-inches) from permanent structures including sidewalks, driveways and decks Backfill with six-inches of clean screen borrow and six-inches of topsoil Special Conditions I (we) on , andProperty Owner Date on , agree to allowAdditional Property Owner DateThe Dow Chemical Company and it's Contractor(s)to implement the activities described above and perform follow up as necessary. I (we) understand the MDEQ may be present during these activities. I (we) on , andProperty Owner Date on , decline to allowAdditional Property Owner DateThe Dow Chemical Company and it's Contractor(s)to implement cleanup activities . Dow Representa
