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FRANKLIN STREET DEP UST1 FORMUST1 – 2/24 Cover Sheet/Certification • Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Air & Waste Underground Storage Tank (UST) Program UST1 – Cover Sheet/Certification UST Facility UST Facility ID # Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Notes: If this is a new facility registration, MassDEP will provide you with a Facility Account Number A New Facility must be registered within 30 days of the tank(s) receiving regulated product. A New Owner must be registered within 30 days of taking ownership. Check the appropriate category(s). Complete and attach ONLY the required forms. Register a New Facility and/or Owner Register a UST System Removal/Closure & Assessment UST2–Owner/Operator & Facility Registration Attached UST3–Financial Responsibility Registration Attached UST4–Tank, Piping & Component Registration Attached UST 6–UST System Removal/Closure in Place Attached Update Existing Owner/Operator/Facility Information (Not a New Owner) UST2–Owner/Operator/Facility Registration Attached Register a New UST System & Components UST4–Tank, Piping & Component Registration Attached Update Financial Responsibility Information UST3–Financial Responsibility Registration Attached Register a Change of Tank Status/Product Update Existing UST System/Component Information UST5–Change of Tank Status/Product Attached UST4–Tank, Piping & Component Registration Attached A. Legal Owner Of UST(s) Bay View Station, LLC a. Individual/Entity Name Marc Tranos b. Contact Name marc@juniperpointinvestment.com c. Contact Email Address 886 Hale Street d. Address 1 – Note: Enter Mailing Address of the Owner Contact e. Address 2 Beverly f. City/Town MA g. State 01915 h. Zip Code B. UST Facility Information Former Auto Salvage Yard a. Facility Name 16, 18, 20R Franklin Street b. Address 1 – Note: Enter Physical Street Address (No P.O. Boxes). c. Address 2 Salem d. City/Town MA e. State 01970 f. Zip Code Continue to Next Page ► Former Auto Salvage Yard UST1 – 2/24 Cover Sheet/Certification • Page 2 of 2 Massachusetts Department of Environmental Protection Bureau of Air & Waste Underground Storage Tank (UST) Program UST1 – Cover Sheet/Certification UST Facility UST Facility ID # Notes: The Owner must retain a copy of the registration until the UST system is removed or permanently closed in accordance with 310 CMR 80.43(2) or (3). Forms may be scanned and submitted electronically to dep.ust@mass.gov or mailed to: MassDEP UST Program Data Management 100 Cambridge Street 9th Floor Boston, MA 02114 C. Certification Statement Important: A new Facility registration and new Owner registration must be certified only by the Owner. The Owner may designate the Operator to certify updated registration submittals. “I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including possible fines and imprisonment.” I am the Facility’s Owner Operator Marc Tranos 1. Print Name Bay View Station, LLC 2. Owner/Operator Entity Name 3. Signature 1/20/2026 4. Date Signed (MM/DD/YYYY) 5.Source of Signatory Authority (check only one box below): If a Corporation or Non-Profit Corporation: a. President b. Secretary c. Treasurer d. Vice President (if authorized to bind the corporation) e. Employee of the Corporation (if authorized to bind the corporation) If a Limited Liability Company (LLC): f. Person authorized to bind the company If a Partnership: g. General Partner (if authorized to bind the partnership) If a Sole Proprietorship: h. Proprietor If a Municipality or Public Agency: i. Principal Executive Officer j. Ranking Elected Official (if authorized to bind the municipality or public agency) If a Trust: k. Trustee or Other Person authorized to bind the trust Former Auto Salvage Yard