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<br /> Please check the appropriate Reimbursement Activity Sununary Cost Sheet boxes you have completed for tlús application for reimbursement <br /> Provide the subtotal cost for each Cost Sheet (Schedule A) subnùtted. Please see the back of Schedu]e A (Reimbursement Activity Summary <br /> Cost Sheet) for additional instructions. <br /> 0 ACTIVITY - 00: TANK REMOVAL. .. . .. . . . . . .. . .. ... . . .. . . ... ..... SUBTOTAL $ <br /> <br /> ] ACTIVITY. 01: INITIAL ABATEMENT. . .... ., ... . . ... . . . . ., ....... SUBTOTAL $. <br /> <br /> L.J ACTlVITY-02:PSHREMOVAl.................................. SUBTOTAL$ <br /> 0 ACTIVITY - 03: EXCAVATION/WASTE MANAGEMENT............... SUBTOTAL$: . . <br /> <br /> 0 ACTIVITY. 04: SITE ASSESSMENT. . .. . . .. . . . .. . .. . . .. . .. . .. .... SUBTOTAL $~" <br /> <br /> 0 ACTIVITY-05:RISKASSESSMENT ........,..................... SUBTOTALS <br /> 0 ACTIVITY - 06: RAP FEASIBIUTY TESTING. . . . .. . .. . . . .. . .. . .. . '" SUBTOTAL $ <br /> ~ACTlVlTY 07' GW MONITORING SUBTOTAl $ .~~~\~"'i~)"jt:,;~1RI"1'1:;;'>i.~- <br /> -. ...........................,.... A,g"","'"è'~"'f"..:.:v,"""""'~ '. <br /> 0 ACTIVITY - 08: REMEDIAL ACTION PLAN PREPARATION. . . . . . . . . ... SUBTOTAL $ . .' ":"'".,".,.,.".",' <br /> <br /> 0 ACTIVITY - 09: REMEDIATION SYSTEM INSTAlLATION. . . . . . . . . . . .. SUBTOTAL $ <br /> ~CTlVITY - 10: OPERATION AND MAINTENANCE. . . . . . . . . . . . . . . .. SUBTOTAl $' . . ..""'" <br /> 9.676.36 <br /> <br /> J ACTIVITY-11:SITECLOSURE .............................,... SUBTOTAL$ <br /> <br /> TOTAL AMOUNT REQUESTED IN THIS APPUCA TION ......................... $ 15.846.36 <br /> TNRCC APPUCA -nON FOR REIMBURSEMENT E-Z FORM 13 <br /> TNRCC-O230-EZ (Revised 09-01-95) <br />