Laserfiche WebLink
<br /> SECTION V. REThIBURSEMENT CLAIM SUMMARY :; .,t; ¡v'\ <br /> . <br /> Pkase 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 ~k of Schedule A (Reimbursement Activity Summary <br /> Cost Sheet) for additional instructions. <br /> 0 .ACTIVITY-OO:TANKREMOVAL.................................. SUBTOTAL $ :~fJ~1t#tt.~!&%f}f~tTtfittWffi1r.n.'Wt'tB$l1%*"!t'i_1;i <br /> 0 ACTIVITY-O1:INITIALABATEMENT .......,....................... SUBTOTAL $ W1iJ~~~c;i'~fftØfÆ¡iV&r~[_s.~~~~-~~;;P <br /> <br /> 0 ACTIVITY-02:PSHREMOVAL.................................... SUBTOTAL $ WW;jtæg¡¡q~11J,~'W}~'8.~'$;\~m~'¡¡~1t.r;t7W~ <br /> <br /> 0 ACTIVITY-03:EXCAVATIONIWASTEMANAGEMENT ................ SUBTOTAL $ fÆ?:K~1Wf4f~jlWffãW'@.fiW~lt-m~.$¡%'J.i%;¡ <br /> <br /> 0 ACTIVITY-O4:SITEASSESSMENT ...-............................. SUBTOTAL $¡'c1*:~?:",,'t¥I'!f?;;FWt"f,,!y,t\1:;;£(:WJfJ1it~t"$.1~~7f,NF <br /> <br /> 0 .ACTIVITY-05:RISKASSESSMENT............................... SUBTOTAL $ )jit'Ç:1"è:;;~r11r;rßfffi#.Jp:j*.jj**,%W$%~~f,~f&pJ!~ <br /> <br /> 0 ACTIVITY - 06: RAP FEASIBILITY TESTING .....,................... SUB TOTAL $ $:~n?'if't?l¡,'g1("tlø!l$i.5if~~.~~$f~~~ <br /> . <br /> 0 ACTIVITY - 07: GW MONITORING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SUBTOTAL $ #:$"F;:7&{fit*_~ifgi;~';"¥ffiì'õ;95S:ÕÕ <br /> 0 ACTIVITY - 08: REMEDIAL ACTION PLAN PREPARATION. . . . . . . . . . . .. SUBTOTAL $ i\J.X'ir:7;;;;Wtí~$W~~ffi"'¡1~W;= <br /> <br /> 0 ACTIVITY - 09: REMEDIATION SYSTEM INSTALLATION...... ... ...... SUBTOTAL $ ;r#'o'??t*(~5:5~fP/T¥7t'ti¡(;J'f{;~~~~~: <br /> 0 ACTIVITY -10: OPERATION AND MAINTENANCE..................... SUBTOTAL $:;;rr"'::'<;:¡r'fJ'W:'f:P.*,,1~WW;¥lRttlXt"1Ò~92¿55 <br /> 0 ACTIVITY-11:SITECLOSURE.................................... SUBTOTAL $ ?;;~""-:-~. "'"?:~è".<:",,,1""':.?'?"'F<';;'Jg'5;o/'2.:;:~~~gW~:""~:-. <br /> - <br /> TOTAL AMOUNT REQUESTED IN THIS APPLICATION ......................... $ 21.883.55 <br /> TNRCC APPLICATION FOR REIMBURSEMENT E.Z FORM 12 <br /> TNRCC-O230-EZ (Revised 09-01-95) <br />