PERMFILE124793

• Permit No: C1980003
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Doc Name: IDENTIFICATION OF OTHER LICENSES AND PERMITS
• Section_Exhibit Name: APPENDIX K
• Media Type: D
• Archive: No

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STORAGE FACILITY DATA /Mutt Dr completed (f erp7os7s•e mar<rla4 wi1(be rrorrd/
22. Section 8d2111. 16 US.C. Drovides "It shall be unlawful for any person to store any eaDlosive material in a manner not in con/armiry with
gula[ions promulgated by the Secretary." Before aDPlying for a permit, the applicant must read and be familiar with the requirements ;
~
sct forth in 27 CFR, Part 181 Subpart J -Storage. An application for a Dermit will be denied it upon an investigation it is found that
:a5z facilities are inadequate. _
23. ALL OF THE STQRAGE FACILITIES LISTED ON THE ATTACHED SHEETS, IF ANY, MEET THE MINIMUM REQUIREMENTS AS SET
FORTH IN 27 CF ART 161, SUBPART J -STORAGE. '
]~ YES NO (IJ "NCf`~ipbin on reparar yrtetJ ~ . ~. T,, • I
24. LOCATION AND SCRIPFIOMUF EACH PERMANENT STORAGE FACILITY (Attach reparase sheet/sJ -Srr Insmrcrfont 1, 8 and IJJ
See attAcl~ed sheeia SOUTH
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25. TYPE AND DE~C9IPTION~Ofj~ACH PORTABLE OR M(~iiTlt r= yI J~~~t~gACl LITY /Attach reparate:heet(r)-Srr lnssn.crionr f, Band 13J
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See attaCi?ed sheet
Ct> ~~ RESPONSIBLE PERSONS INFORMATION
26. LIST INFO.MATION REOUIR ED FOR EACH INDIVIDUAL OWNER, PARTNER, AND OTHER RESPONSIBLE PERSONS IN THE
APPLICANT BUSINESS (See fntrrucdan 6 - I/ addidonaf :pace Lt needed, urr a rrparv rr rhertJ
'
FULL NAME POSITION .r1ND
SOCIAL $ECV RITV NO.
(Voluntary tee fart page/
NOME ADDRESS
/Include Zip Code)
PLACE OF
BIRTH
DATE OF
BIRTH '
41i11iam J. Deasy President 3770 Coventry Dr. Neo-f York 6/22/37
053-30-1949 Boise, ID 83704 City, NY
Dick L. Finger Vice President 5431 No. 5 toile Rd. Lakeland, 8/4/27
353-12-3586 Boise, ID 83702 FL
Glenn E. tlcCullough Vice President 7300 Dellwood Dr. Arma, KS 8/10/31
515-28-7389 Boise, ID 83704
ri. Crossland Secretary 3531 Hillcrest Dr. Tulsa, OK 8/30/29
44424-6125 Boise, ID 83705
E.~r. Aiken Treasurer 3624 Hillcrest Dr. Portage, WI
~ 3/15/20
390-12-9922 Boise, IO 83705 _
R. 41. Dougherty General t4anager 435 Clover Circle Loveland, 1/2/39
544-38-7859 Hayden, CO 81639 CO
GIVE FULL DETAILS ON SEPARATE SHEET FOR ALL "Vei' ANSWERS IN ITEMS 27 & 28 YE$ NO
A. Charged by In formation or antler Indlc[mani in any court far a <rlma punhhabla Dy imprisonment far • X
27
IS APPLICANT term eaceeaing one year
.
OR ANY pERSnN
` e. A ruq!t ive f.om justice I x ,
NAMED 1.
J
ITEM 26 A90V E
C. Untler 37. fears o: aqr

D. An unlawful user of or adtllctetl to marihuana Or any deprersanL rilmulant Or narcotic tlruq v
X
28. HAS APP LICA `1T q, Seen convicted In any court Dr a crime punishable Dy Imprisonment for a term axceetllnq ono year x
OR ANY PERSON
NAh1ED IN
ITEM 26 EVER: 8. Been atljutllcatetl as a mental tlefectlva or Deen rnmmlttetl to any mental Inrtlt utlon X '
29. CERTIFICATION: Under the Penalties imposed by 18 U.S.C. 844, I declare that I have examined this apPlio[ion ono documents submittal
in support thereof, and to the best of my knowledge and belief, they are true, correct, and complete. I also certify [ha[ I am familiar with
all published State laws and local ordinances relating to explosive materials tar the location in which I intend to do bueiness.
APPLICA.•;T'S 1GN N E TITLE - - ~ DATE
7-2
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_ f~i ,,~_Yf .~ Executive Vice President '
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r, ~ ~ I FOR USE OF BUREAU OF ALCOHOL, TOBACCO AND FIREARh75
A.F'eLICATION I$ RE.40N5 FOR TERMINATED OR DISAPPROV ED APPLICATION ___
APPROVED / ~ - -
TER"INA7ED ~ ~. --
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