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<br /> SECTION VI. APPLICATION CHECKLIST (Please read carefully) <br /> Please review your application for completeness, clarity, and legibility prior to submittal. The following checklist will <br /> ensure that your application is complete and processed in the most expedient manner possible. Your application will <br /> DQI be reviewed until it is complete and all relevant materials are received. Improperly completed or incomplete <br /> applications may be returned, resulting in a processing delay. <br /> All applicaùons for reimbursement must be submitted with the following infonnation. Complete the application checklist to <br /> detennine if your application is complete. <br /> 1. X Proof of payment for all claimed expenses (Section I, Page 3, Item 7). <br /> 2. X Annual tank registration fees due since September I, 1987 have been paid in full (Section I, Page 3, Item 9). <br /> 3. X Certification Affidavit signed by the Owner/Operator, Application Preparer, and Prime Contractor and/or <br /> Prime Corrective Action Specialist (Section I, Page 5). <br /> 4. X A technical report addressing the remedial activities for which you are seeking reimbursement has been <br /> received by IIßth the appropriate TNRCC Regional Field Office and the PST Division, Responsible Party <br /> Remediation Section in Austin. <br /> 5. X Release Incident Summary (Section II, Pages 7-8). <br /> 6. X Technical Report Summary (Section ill, Pages 9). <br /> 7. X Total Reimbursement Request (Section IV, Page 10-12). <br /> 8. X Reimbursement Claim Summary (Section V, Page 13). <br /> 9. X Reimbursement Activity Summary Cost Sheet (Schedule A) for each activity with attached invoices, ùme <br /> sheets. subcontractor invoices, and preapproval documentation (Section VI, Attachments). <br /> 10. 0 If applicable, the Notice of Assignment and Assignment Contract (including proof of security interest such <br /> as a copy of the Mechanics Lien or Deed of Trust, etc.) (Section I, Page 3, Item 8). <br /> Applications wiD .om be reviewed until they are complete and all relevant materials are received. <br /> 1NRCC APPUCA TION FOR REIMBURSEMENT E-Z FORM 14 <br /> 1NRCC-O230-EZ (RevisedOlJ-Ol-95) <br /> ~~- <br />