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<br /> 53'1 . <br /> ' . <br />:CTION m. RELEASE INCIDENT SUM1v!ARY (continued) S- <br /> . St <br /> í <br />YES / NO For YES or NO answers, plea.5ê circle response in the left hand column. y( <br />§NO 15. Have monitor wells been installed at this site? If yes: . C(' <br /> a. Number of monitor wells installed to date: 34-active . <br /> b. Number of monitor wells installed during the billing period of this application: none <br /> c. Diameter of monitor wells installed: N/A . <br /> d. Depth of monitor wells installed: N/A <br /> ( <br />§) rt <br />ŒS NO 16. Has a soil and/or groundwater remediation systems been installed at this site? <br /> a. Type of system installed: P\Jrr~ treated (2 svstEmS) <br /> b. Date system installed: I 04 / 92 . <br /> . <br /> c. System start up date: I 05 I 92 . <br /> .. <br />~NO 17. Have any technical reports been prepared for this site? . <br />§NO 18. Has a technical report been prepared and submitted to the TNRCC for the phase of work completed for the <br /> billing period of this application? If yes, complete Section IV, Technical Report Summary. <br /> .. <br /> 19. Provide a brief summary of the activities that have been performed to date and for activities for which <br /> reimbursement is sought in this application: ~ <br /> : <br /> <br /> i <br /> . <br /> <br /> I <br /> .. : <br /> t <br /> . <br /> . <br /> <br /> ¡ <br /> U <br /> <br /> <br /> <br /> <br />YES/(§) 20. Have new tanks or lines been installed at this site? If yes, indicate date(s) of installation: <br />ŒS@ 21. Will new tanks be installed at this site? If yes, indicate proposed date: . <br />ŒS§ 22. Were the activities and costs being submitted in this claim pre-approved by the TNRCC? If yes, by <br /> W~Œ . . <br /> - <br />TNRCC APPUCATION FOR REIMBURSEMENT E-Z FORM 12 <br />TNRCC-0230-EZ (1 HH-94) <br />