ÿWPC[ ûÿ2 ZB0­œ ISAcrobat DistillerXNô\  PXP«XNô\  PXP(ÈhH  Z6Times New Roman RegularXÐÐ#|xÐ °°XX ÐÁ`^(#<ÁFor Sample Use Onlyƒ Á`¨(#4ÁComparable Wording Acceptableƒ Áà0ìÁI R R E V O C A B L E S T A N D B Y L E T T E R O F C R E D I Tƒ ÁàÊ ìÁU.S. Environmental Protection Agencyƒ Áàì ÁUnderground Injection Controlƒ Áàþ ìÁFinancial Responsibility Requirementƒ To:ÁÁRegional Administrator ÁÁEnvironmental Protection Agency Region _____ ÁÁ_____________________________________________________________________ Áà¡ìÁ(address of EPA Regional Office)ƒ Dear Sir or Madam: ÁÁWe hereby establish our Irrevocable Standby Letter of Credit No. ________________ in your favor, at the request and for the account of ____________________________________________________________________________ Áà£ìÁ(legal name of owner or operator)ƒ ____________________________________________________________________________ ÁྠìÁ(business address of owner or operator)ƒ up to the aggregate amount of ___________________________________________________ ÁÁÁÁÁÁÁÁÁÁÁÁ(dollar amount in words) U.S. dollars ($ ), available upon presentation of: ÁÁ1.Â` ` ` ÂYour sight draft, bearing reference to this letter of credit No. _____________, and ÁÁ2.Â` ` ` ÂYour signed statement reading as follows: À ÀI certify that the amount of the draft is payable pursuant to regulations issued under authority of the Safe Drinking Water Act." ÁÁThis letter of credit is effective as of __________________________ and shall expire on ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ(date) ____________________________ but such expiration date shall be automatically extended for a (date at least 1 year later) period of ___________________________ on ________________ and each successive ÁÁÁÁ(at least one year)ÁÁÁÁÁÁ(date) expiration date, unless, at least 120 days before the current expiration date, we notify both you and ________________________________________ by certified mail that we have decided not ÁÁÁÁ(owner's or operator's name) to extend this letter of credit beyond the current expiration date. In the event you are so notified, any unused portion of the credit shall be available upon presentation of your sight draft for 120 days after the date of receipt by both you and _______________________________________, ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ(owner's or operator's name) as shown on the signed return receipts. Œ™Á`^(#<ÁFor Sample Use Onlyƒ Á`¨(#4ÁComparable Wording Acceptableƒ ÁÁWhenever this letter of credit is drawn on under and in compliance with the terms of this credit, we shall duly honor such draft upon presentation to us, and we shall deposit the amount of the draft directly into the standby trust fund of ____________________________ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ(ownerÀÀs or operatorÀÀs name) in accordance with your instructions. ____________________________________________ÁÁ________________________ ÁÁÁÁ(Signature)ÁÁÁÁÁÁÁÁÁÁÁÁ(Date) ____________________________________________ÁÁ________________________ ÁÁÁÁ(Name)ÁÁÁÁÁÁÁÁÁÁÁÁ(Title) This credit is subject to: ( )ÂÂthe most recent edition of the Uniform Customs and Practice for Documentary Credits, published by the International Chamber of Commerce, ÁÁÁÁÁÁOR ( )ÂÂthe Uniform Commercial Code.