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<br /> Y3f ~I <br />SEC1:1.oN I. APPLICATION CHECKLIST <br /> '. <br />Please review your application for completeness, clarity, and legibility prior to submittal. The following I <br />checklist will ensure that your application is complete and processed in the most expedient manner <br />possible. Your application will not be reviewed until it is complete and all relevant materials are I <br />received. Improperly completed or incomplete applications may be returned, resulting in a <br />processing delay. <br />All applications for reimbursement must be submitted with the following infonnation. Complete the application I <br />checklist to detennine if your application is complete. <br />1. 0 Proof of payment for all claimed expenses (Section II, Page 7, Item 12). I <br />2. 0 Annual tank registration fees due since September 1, 1987 have been paid in full (Section II, Page I <br /> 8, Item 13). <br />3. 0 Certifi<::ation Affidavit signed by the Owner/Operator, Application Preparer, and Prime I <br /> Contractor and/or Prime Corrective Action Specialist (Section II, Page 9). <br />4. 0 A technical report addressing the remedial activities for which you are seeking reimbursement I <br /> bas been received by both the appropriate TNRCC Regional Field Office and the PST Division, I <br /> Responsible Party Remediation Section in Austin. <br /> i <br />5. 0 Release Incident Summary (Section ill, Pages 11-12). . <br />6. 0 Technical Report Summary (Section IV, Pages 13). <br /> . <br />7. 0 Reimbursement Claim Swnrnary (Section V, Page 14). <br />8. 0 Reimbursement Activity Summary Cost Worksheet (Schedule A) with attached invoices, . <br /> subcontractor invoices, and pre-approval docÚInentation (Section VI, Attachments). . <br />Applications will not be reviewed until they are complete and all relevant materials are received. . <br /> . <br /> " <br />TNRCC APPLICATION FOR REIMBURSEMENT E-Z FORM 2 <br />TNRCC-û230-EZ (Il-DI-941 <br />