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<br /> I <br /> I Please check the appropriate Reimbursement Activity Summary Cost Sheet boxes you have completed for this application for reimbursement. <br /> Provide the subtotal cost for each Cost Sheet (Schedule A) submitted. Please see the back of Schedule A (Reimbursement Activity Summary <br /> Cost Sheet) for additional instructions. <br /> I <br /> I <br /> 0 ACTIVITY - 00: TANK REMOVAL. . . . . . . . . . . . . . . .. . . . . . .. . . . . .. ... SUBTOTAL <br /> I <br /> 0 ACTIVITY-01:INITIALABATEMENT ............................. SUBTOTALS <br /> <br /> 0 ACTIVITY - 02: PSH REMOVAL. . . . . .. . .. . . . . . .. .. . . . . . .. . . . . .... SUBTOTAL S <br /> . <br /> t 0 ACTIVITY - 03: EXCAVATIONlWASTE MANAGEMENT. . . . . . . . . . . . . .. SUBTOTAL S <br /> <br /> 0 ACTIVITY - 04: SITE ASSESSMENT. . . . . . . . . . .. . . . . . . .. . .. . . . . ... SUBTOTAL $ <br /> I 0 ACTIVITY - 05: RISK ASSESSMENT.. . .. . . . . . . .. . . . . .. .. . .. . . . ... SUBTOTAL S <br /> <br /> I 0 ACTIVITY - 06: RAP FEASIBILITY TESTING. . . . . . . . . . . . . . . . . . . . . . .. SUBTOTAL S <br /> <br /> ~CTlVITY - 07' GW MONITORING SUBTOTAL $li;r¡¡¡¡:¡¡1!¡MiWi~~¡~;~~!(@¡¡¡¡¡¿M~%- <br /> I . ................................ . .)i!iL'w,",,""Úm¿,...,.........w...,........,....w.w". <br /> 0 ACTIVITY - 08: BEMEDIAL ACTION PLAN PREPARATION. . . . . . . . . . .. SUBTOTAL $ <br /> I 0 ACTIVITY - 09: REMEDIATION SYSTEM INSTALLATION. . . . . . . . . . . .. SUBTOTAL <br /> <br /> I rslACTIVITY - 10: OPERATION AND MAINTENANCE. . . . . . . . . . . . . . . .. SUBTOTAL <br /> 0 ACTIVITY-11:SITECLOSURE """""""""""""""'" SUBTOTAL <br /> f <br /> I <br /> I <br /> I TOTAL AMOUNT REQUESTED IN TH IS APPLICATION. . . . .. . . . . .. . . . . . . . . . . . . .. $ 6.045.49 <br /> I <br /> I <br /> I TNRCC APPUCA TION FOR REIMBURSEMENT E-Z FORM 13 <br /> TNRCC-O230-EZ (Revised 09-01-95) <br />