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<br /> ! <br /> I : ~6L <br /> SECTION VI. APPLICATION CHECKLIST (Please read carefully) <br /> , <br /> j Please review your application for completeness, clarity, and legibility prior to submittal. The following <br /> checklist will ensure that your application is complete and processed in the most expedient manner possible. <br /> " Your application ruJl not be reviewed until it is complete and all relevant materials are received. Improperly <br /> i completed or incomplete applications may be returned, resulting in a processing delay. <br /> . <br /> . <br /> I <br /> . All applications for reimbursement must be subnùtted with the following information. Complete the application checklist to <br /> I cietP.rmine if your application is complete. <br /> I <br /> X Proof of payment for all claimed expenses (Section I, Page 3, Item 7). <br /> I <br /> ¡ <br /> 1. X Annual tank registration fees due since September 1, 1987 have been paid in full (Section I, Page 3, Item 9). <br /> ! 3. X Certificat.io~ Affidavit signed by the Owner/Operator, Application Preparer, and Prime Contractor and/or <br /> . Prime Corrective Action Specialist (Section I, Page 5). <br /> J <br /> 4. X A technical report addressing the remedial activities for which you are seeking reimbursement has been <br /> 1 received by hath the appropriate TNRCC Regional Field Office and the PST Division, Responsible Party <br /> Remediation Section in Austin. <br /> & . <br /> j 5. X Release Incident Summary (Section II, Pages 7-8). <br /> j 6. X Technical Report Summary (Section III, Pages 9). <br /> " <br /> 1 7. X Total ReimbUIsement Request (Section IV, Page 10-11). <br /> .. X Reimbursement Claim Summary (Section V, Page 13). <br /> 1 <br /> 1 9. X Reimbursement Activity Summary Cost Sheet (Schedule A) for each activity with attached invokes, time <br /> sheets, subcontractor invoices, and preapproval documentation (Section VI, Attachments). <br /> . <br /> J 10. X If applicable, the Notice of Assignment and Assignment Contract (including proof of security interest such as <br /> a copy of the Mechanics Lien or Deed of Trust, etc.) (Section I, Page 3, Item 8). <br /> 1 <br /> 1 <br /> Applications will not be re'\-'Îewed until they are complete and all relevant materials are received. <br /> 1 <br /> ] TNRCC APPUCATION FOR REIMBURSE.>vIE:-'ï E-Z FOR.\.f 13 <br /> TNRCC-O:!.3O-EZ (Revised 09-01-95) <br />