Laserfiche WebLink
<br />5 J ~ " <br />.¡- <br />SECTION I. APPLICATION CHECKLIST ~ <br /> <br />Please .revie.w your application for co~pl:ten~ss, clarity, and legibility p~or to submittal. The following f <br />checklIst will ensure that your applIcatlOn IS complete and processed ill the most expedient manner <br />possible. Your application will not be reviewed until it is complete and all relevant materials are <br />received. Improperly completed or incomplete applications may be returned, resulting in a f <br />processing delay. <br /> <br />All applications for reimbursement must be submitted with the following infonnation. Complete the application I <br />checklist to determine if your application is complete. <br /> <br />1. À( V Proof of payment for all claimed expenses (Section II, Page 7, Item 12). r--- I <br />I <br />2. 1i ~ Annual tank registration fees due since September 1, 1987 have been paid in full (Section II, Page: I <br />8, Item 13). <br /> <br />3. i V Certification Affidavit signed by the Owner/Operator, Application Preparer, and Prime I <br />Contractor and/or Prime Corrective Action Specialist (Section II, Page 9). <br />.- . <br /> <br /> <br />4. 1i- / A technical report addressing the remedial activities for which you are seeking reimbursement I <br />has been received by both the appropriate TNRCC Regional Field Office and the PST Division, J <br />Responsible Party Remediation Section in Austin. <br /> <br />~ <br />5. 11- V Release Incident Swnrruuy (Section III, Pages 11-12). . <br /> <br />6. "Ii vi' Technical Report Summary (Section N, Pages 13). . <br /> <br />7. "" / Reimbursement Claim Swnmary (Section Y, Page 14). <br /> <br />8. ~ / Reimbursement Activity Summary Cost Worksheet (Schedule A) with attached invoices, . <br />subcontractor invoices. and pre-approval documentation (Section VI, Attaclunents). . <br /> <br /> <br /> <br /> <br />Applications will not be reviewed until they are complete and all relevant materials are received. . <br /> <br />. <br />. <br />. . <br />. <br /> <br /> <br /> <br />TNRCC APPLICATION FOR REIMBURSEMENT E-Z FORM 2 . <br />TNRCC.{)230-EZ (ll-Dl-94) <br />