Res 1998-049 - Laserfiche WebLink

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I SECTION IV. TOTAL REIMBURSEMENT REQUEST I 1. YES 'lSO Is this the flfSt request for reimbursement of corrective action expenses incurred in response to this release incident? I a. If yes: I i. Enter the total costs for work performed: ............................................................... . Please note that costs for work perfonned prior to September 1, 1987 are not reimbursable. For invoices that overlap this date, costs must be separated as to the date work was performed and not by invoke date or date , paid. b. If no: I i. How many previous claims for reimbursement for this release incident have been submitted? I Twenty-four (24) I Provide die total of all corrective action expenses previously submitted for reimbursement for this release incident to.date:. I ............................................................... ü. Have any expenses listed on this application for reimbursement been previously submitted for reimbursement? I If yes, identify these costs by item and previous application: I I I I I I I I TNRCC APPUCAll0N FOR REIMBURSEMENT E-Z FORM 11 TNRCC-0230-EZ (Revised 09-01-9S)