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<br />.' í , 33 l: .- <br />SECTION V. REIMBURSEl\tŒNT CLAIM: SUMl\fARY" .. -' .- . <br /> <br />Please chèck the appropriate Reimbursement Activity Summary Cost Sheet boxes you have completed for this application for .. <br />reimbursement. Provide the subtotal cost for each Cost Sheet (Schedule A) submitted. Please see the back of Schedule A <br />(Reimbursement Activity Summary Cost Sheet) for additional instructions. . <br /> <br /> <br />" <br /> <br /> <br />. <br />0 ACTIVITY - 01: INITIAL ABATEMENT. . . . . . . . . . . . . . . . . . . . . . . .. SUBTOTAL $ ~:~;t~~~~~~~~~~~:~:~:~:~:~~:~~W~?J~~7~~~~:~~~~i!:~t~~~~~~~~~'!¥~~~ . <br />0 ACTIVITY-OZ, TANK REMOVAL ............................ SUBTOTAL$~ ~ <br />'" ..................................... ... """""" """""" <br /> <br /> <br />0 ACTIVITY - 03: EXCAVATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. SUBTOTAL $ ~~@W~~:~~?M~~~~~~?%-¥:~~I~~!~~~~~;¥¡~~~~~~~~~~~~ ~ <br /> <br />0 ACTIVITY - 04: WASTE TREATMENT. . . . . . . . . . . . . . . . . . . . . . . .. SUBTOTAL $ ~~t@@~H~å~ij¥liWJ**~JJ~~itt~¡'*~*~~;¡¡:IJi~}'$J~i . <br /> <br />0 ACTIVITY - 05: SITE ASSESSMENT. . . . . . . . . . . . . . . . . . . . . . . . .. SUBTOTAL $ :~:WM:¡~~:¡~¡~JtiflW¡~fff~~~t;t4f.m~~~~~¡¥~~~~r~f~~ . <br /> <br /> <br /> <br />~ ::::::::::::':E:S::::::T.::::::.:.::: :::::::.::':'. :~:::::~:= . <br />i . <br />0 ACTIVITY - 08: SOIL VAPOR EXTRACTION PILOT TEST. . . . . . . . . . .. SUBTOTAL $ i~~:i~~~~~:i:i~:~~nmNHt~~~w.¥~j!~~~¡J~~~i~~tW~ <br /> <br />Œl ACTIVITY - 09: QUARTERLY MONITORING. . . . . . . . . . . . . . . . . . . .. SUBTOTAL $ ~~@~:Z,l27airS~IJff¡rl:::tl~Jfl~:ltlWm:f* . <br /> <br /> <br />: ::::::: :~: :::::::: ::~O:::::,:: :::::M~~T' : : : : : :: :~:::::~: == ~ <br /> <br /> <br /> <br />:J ACTIVITY - 12: SOIL VAPOR EXTRACTION. . . . . . . . . . . . . . . . . . . .. SUBTOTAL $ ¡r?J~f~rr1~?-?1~~~~W?~~:~~?:I~fr*ß~'~~~f:~ I -- <br /> <br /> <br />.3 ACTIVITY - 13: OPERATION AND MAINTENANCE. . . . . . . . . . . . . . .. SUBTOTAL $ v2wê:g~Æ~ßg:g@i:¥g¡fÆ'.:*@@t~¡mm~ . <br /> <br /> <br />] ACTIVITY - 14: SITE CLOSURE. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. SUBTOTAL $ ~~:ffæfitttW~~$.¥*E:g?¥I?E:t¥mM@li.m . <br /> <br /> <br />TOTAL AMOUNT REQUESTED IN THIS APPLICATION. ... .. . . . .. $12,915.60 ...- <br />WRITE OUT THE TOTAL REIM~URSEMENT REQUESTED AMOUNT: . .... <br />"" J "'" 'T'homamJ n i '" hundred h £teen and 6 0 /l 00 -------ÐGLtARS- . <br /> <br /> <br /> <br /> <br /> <br />TNRCC APPUCATION FOR REIMBURSEMENT E-Z FORM 14 ... <br />TNRCC-0230-EZ (11-Û1-94) . <br />I <br />