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<br /> 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 /> 0 ACTIVITY - 00: TANK REMOVAL.... .. ... """ .... .. ........ . ... SUBTOTAL $ <br /> ] ACTIVITY - 01: INITIAL ABATEMENT. . . .. . . . . .. . .. .. . . .. .. . . . . ... SUBTOTAL <br /> 0 ACTIVITY-02:PSHREMOVAL.................................. SUBTOTAL$ <br /> <br /> 0 ACTIVITY -03: EXCAVATIONlWASTE MANAGEMENT............... SUBTOTAL$ <br /> <br /> 0 ACTIVITY - 04: SITE ASSESSMENT. .... .. .. . ... .. ... . ..... ...... SUBTOTAL $ <br /> <br /> 0 ACTIVITY - 05: RISK ASSESSMENT. . . . . . . . . . . . . .. . . . . . . .. . . . . ... SUBTOTAL $ <br /> <br /> 0 ACTIVITY - 06: RAP FEASIBILITY TESTING. . . . . . . . . . . . . . . . . . . . . . .. SUBTOTAL $ <br /> <br /> ri'ACTIVITY-07:GWMONITORING ................................SUBTOTAL <br /> 0 ACTIVITY - 08: REMEDIAL ACTION PLAN PREPARATION. . . . . . . . . . .. SUBTOTAL $ <br /> 0 ACTIVITY - 09: REMEDIATION SYSTEM INSTALLATION. . . . . . . . . . . .. SUBTOTAL $ <br /> ~TIVITY -10: OPERATION AND MAINTENANCE. . . . . . . . . . . . . . . . .. SUBTOTAL <br /> 0 ACTIVITY-11:SITECLOSURE ................................. SUBTOTAL <br /> TOTAL AMOUNT REQUESTED IN THIS APPLICATION .......................... $ 11.338.95 <br /> lNRCC APPUCA110N FOR REIMBURSEMENT E-Z FORM 13 <br /> TNRCC-O230-EZ (Revised 09-01-95) <br />