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MailingAddress W +    C  City,State  W +  ZipCode  W +  ContactPerson M!!   9 # Phone  M!$ Fax#X0X,, #  M!% aXX0ApplicantIsthe: C& TankOwner0 @ 0@H&@H&TankOperator0H H&H&0H H&H H&FacilityOwner0PH&H&0PH&PH&LandOwner0XH&H&0XH&XH&FormerTankOwnerS(H&H& FormerTankOperator0  FormerFacilityOwner0H&H&FormerLandOwner#X0Xa\ # 4dddd!*H&H& 94aXX0 AgentorAssigneeInformation #X0Xay #aXX0Ԁ(IfthereisanAgentorAssignee,CompleteandIncludeAssignment)#X0Xa # 0& + 9 dddd 0, ,XX0AgentorAssignee#X0X,, # &,   p- , ,XX0MailingAddress .   0 City,State  1 ZipCode  2 ContactPerson 3   5 Phone  6 Fax#X0X,,  #  7 aXX0AgentorAssigneeisthe: 8 Insurer0  0@H&H&0@H&@H&LendingInstitution0H H&H&0H H&H H&PurchaseroftheProperty0H&H&PurchaseroftheTanks0H&H&D:H&H& Contractorwhoperformedworkatsiteandisfinancingcorrectiveaction#X0Xa<# %dddd T< % aXX0SiteInformation#X0Xa&# +!=dddd +, ,XX0FacilityName  >   Z!. ? FacilityAddress d"8!@   P#$"B City,State  d"8!C ZipCode#X0X,, #  d"8!D , ,XX0_LPST_ԀIDNumber Z$.#E   F%$G FacilityRegistrationNumber  Z$.#H OwnerIDNumber#X0X,, # "dddd Z$.#I " aXX0PayeeIdentificationNumbers#X0XaȚ# 'P&$%Jdddd 'aXX0Applicant 'V&K FederalEmployersIdentification(_FEI_)Number ('M SocialSecurityNumber(_SSN_) \)0(N ComptrollersAssignedNumber#X0Xa"# )(O aXX0TexasTaxpayerNumber#X0Xa~#  *l)P aXX0Number:#X0Xa#___________________________________________________  F*)T aXX0AgentorAssignee +*U FederalEmployersIdentification(_FEI_)Number -+W SocialSecurityNumber(_SSN_) -x,X ComptrollersAssignedNumber#X0Xaȋ# B.-Y aXX0TexasTaxpayerNumber#X0Xa#  .-Z aXX0Number:#X0Xag#___________________________________________________.b-^    /.^  OWNER/OPERATORCONTRIBUTIONORDEDUCTIBLE ,  @Arequiredowner/operatorcontributionor"deductible"mustbemetbeforecostscanbereimbursed.Therequired D deductibleisbasedon: k?   0  howmanysinglepetroleumstoragetankstheapplicantownsoroperatesinTexas;f&&   0  ifspecificcorrectiveactionmilestonesaremet;and&&   0  thenumberofoccurrenceswhentheapplicationisdeterminedtobeadministrativelycompleteatthe  _TCEQ_.&& @0  AninitialdeductibleisrequiredforeachOccurrence(_LPST_ԀIDNumberthedeductiblemayincrease .  baseduponthefailuretomeetspecificcorrectiveactionmilestones). Thedeductible,or"owner/operator   contribution"willbeasfollows: ~ && T*U+ dd[dd [ dd  " dd " V,&,&,E d ,gtd ,-td ,td ,\t +  6'V * V *  6@OOaXX0NUMBEROF   @ SINGLE  a  @66PETROLEUM   @STORAGETANKS   @APPLICANTOWNS : @ OR  @""OPERATESIN X, @ TEXAS ;V,! ;@ , REQUIRED   @q q , DEDUCTIBLE  a  @ , ($) ;V,! V ; @WW#FAILURETO   @$SUBMITA  a  @]]&SITE   @<<#ASSESSMENT   @$PRIORTO : @$12/23/96 2V#V 2 @1FAILURETO   @~~3SUBMIT  a  @1ANDRECEIVE   @2APPROVAL   @5FOR :! @1CORRECTIVE " @1ACTIONPLAN X,# @==2PRIORTO $ @36/23/98 6V#vJ%V 6 @@ FAILURETO  & @C MEET  a ' @? THEGOALSIN  ( @? THEAPPROVED  ) @@ CORRECTIVE :* @@ ACTIONPLAN + @9 9 D BY X,, @A 12/23/99 JV;#-  V <J#X0Xa# PXX0lessthan13tanks; 2VV#p.V 2@0 0 , $1,000 2VV#p/VV 2@%$2,000 2VV#p0VV 2@3$4,000 6VV#p1VV 6@B $8,000 JV;#p2 < VV <J13to99tanks,inclusive; 2VV#3V 2@0 0 , $2,500 2VV#4VV 2@%$5,000 2VV#5VV 2@uu3$10,000 6VV#6VV 6@B $20,000 JV;#7 < VV <J100to999tanks,inclusive;or 2VV#48V 2@0 0 , $5,000 2VV#49VV 2@%$10,000 2VV#4:VV 2@uu3$20,000 6VV#4;VV 6@B $40,000 JV;#4< < VV <J1,000ormoretanks. 2VV#T=V 2@  , $10,000 2VV#T>VV 2@%$20,000 2VV#T?VV 2@uu3$40,000 6VV#T@VV 6@B $80,000 NV;#TA < VV lNIfasitehasreceivedaclosureletteronorafter9/1/95#X0X P[%# PXX0Ԁandhasasubsequentrelease,thedeductiblewillbe$50,000.6,*B 0 l  V 60   && 0  NumberofsinglepetroleumstoragetanksownedoroperatedinTexasbyapplicant:_______________________________________&&R&&& \0C 0  Enterrequireddeductible:hE&& *,- ddE d E gtd g-td -td \t \U+,&,&,l , +  1'0F0 h10  0040 440      0  0040 44#A.   # )@ H )$___________________3)'J h @ 30  Forthecorrectiveactionexpensesrequestedtobereimbursedinthisapplication,providetheamountofanyprivateinsurance ,K reimbursementthathasalreadybeenreceivedfortheseexpensesorforwhichaclaimwasfiledpriortoJuly17,1990:L&& *r]^ ddl l ,-,&,&r,l , +  1'd8Md8 h10  0040 440      0  0040 44#A.   # )@ O )$___________________3)'Q h @ 3    Insurername:&&R& ` 4R     Policynumber:&&R& !l T 0    Asof________/________/________(date),insurancereimbursementhasbeen(checkone):receivedclaimed"!V&&  Thetotalcostssubmittedintheapplicationforreimbursementistobereducedbythedeductibleamountandanyamountof $"X reimbursementreceivedfromaprivateinsurer: $w#Y *r_` ddl l ]^,&,&r,00 ,00 +  1t&H%\t&H% 01#X0X P3,# *(83."/3"  /372  A  .3  0    TotalCostofActivitiesSubmittedinthisApplication: PXX0/377݌&x%] Ќ  8@#!`'4&^ 8$ @-?'&` 00 @ 0@"/3"  /3)92  B  .3  0    DeductibleAmount:/3)9V9݌(V'a Ќ  8@#!)'b 8$ @-)'d 00 @ 0@"/3"  /3~:2  C  .3  0    ReimbursementreceivedfromInsurer:/3~::݌?*)e Ќ  8@#!*)f 8$ E2*)h 00 @ 0ED.0  0 0d  TOTALREIMBURSEMENTREQUEST(A)(B)_(C_):#A.  =dd# A@,!,k+j A$___________________3)',l+l 00   @ 3#X0X PJ8#   (.,m T T,,X, T  TRX3'Avery 12-294/295 Laser TaX3' Letter3'Avery 5159 Addressser TaX3'3'LetterT*x?VMdd00 00 _`,&,&x,%dd +  $ddd,, $  REIMBURSEMENTAFFIDAVIT  d    PXX0Stateof________________#X0X P@# PXX0 L     @     Countyof_______________ V #X0X Px@#aXX0 #X0XaCA# PXX0 BEFOREME,theundersignedauthority,onthisdayappeared_______________________________,knowntobethepersonwhosename o issubscribedtothefollowinginstrumentandhavingbeenbymedulysworn,uponhisoathdeposesandstatesasfollows: 7    Mynameis_____________________________.Iamovertheageofeighteen(18)years,amanadult,andamcompetentandable  totestifyherein.Iamfullyawarecognizant,andhavepersonalknowledgeofallfactssetforthinthisaffidavit,andamabletoswear,andI oC  _do_Ԁswear,thatallfactsandstatementshereincontainedaretrueandcorrect.    Thisaffidavitpertainstothefollowing: C   _LPST_ԀIDNo: ___________________0 H 0H H&H H&0H&H&0PH&H& 򀀀RequestedAmount: _________________{ OPH&PH& FacilityAddress:_________________________________________________________   City________________________County_______________________________,Texas   #X0X PA#aXX0  #X0XaȭF# PXX0Icertifythatthisreimbursementapplicationandallattachmentswerepreparedundermydirectionorsupervisionandthatqualifiedpersonnel  w  properlymanagedorperformedapplicableremedialactivitiesand/orgatheredandevaluatedtheinformationsubmitted. ?  Iaffirmthatthisclaimdoesnotseekreimbursementforthelease/rentalorthepurchaseofanyequipmentforwhichtheeligiblepurchasecost wK hasalreadybeenpaidfromthePetroleumStorageRemediation(_PSTR_)Accountaspartofareimbursementclaimpertainingtothisoranyother  _LPST_Ԁsite,orforwhichtheeligiblepurchasecostiscurrentlybeingclaimedaspartofanotherpendingreimbursementclaimpertainingtothis  oranyother_LPST_Ԁsite. K IagreetoreturntotheTexasCommissiononEnvironmentalQuality(_TCEQ_),uponitsdemand,alloranypartofthereimbursedamount,asthe W _TCEQ_Ԁconsidersappropriate,ifIknowinglyfalsified,misrepresented,oromittedanyfactrelevanttothedeterminationsmadebythe_TCEQ_Ԁor  theExecutiveDirector,oralorwritten.  Astheclaimantforreimbursementfromthe_PSTR_ԀAccount,IcertifythatIhavepaid,orensuredpaymentthroughthepostingofabond,all ! contractorsand/orsubcontractorsincompliancewithTitle30,TexasAdministrativeCode(TAC),334.306(b)(7),334.306(b)(10),and c" 334.309(d)#X0X PF# PXX0.Ifurthercertifythat:(clearlymarkoneofthefollowing): +# ____0  IamtheeligibleowneroroperatorofthereferencedLeakingPetroleumStorageTank(_LPST_)siteasdescribedatTitle30TAC c7% 334.304.IhavepaidallamountsowedtotheprimecontractorinfullorIhaveensuredthatthoseamountswillbepaidinfullthrough & thepostingofapaymentbondintheamountnotyetpaidinfull;oro'H&H& ____0  Iamaninsurerwhohaspaidclaimsforremediationcostsforthereferenced_LPST_Ԁsiteorapersonwhoholdslegalorequitabletitle ) tothereferenced_LPST_ԀsitewhohasbeenproperlyassignedtherighttoacceptpaymentonbehalfofthatowneroroperatorunderTitle oC* 30TAC,334.302(j)&(k).Thecompleteassignmentdocumentissubmittedwiththisapplicationorisonfilewiththe_TCEQ_.Ihave  + paidallamountsowedtotheprimecontractorinfullorIhaveensuredthatthoseamountswillbepaidinfullthroughthepostingofa {, paymentbondintheamountnotyetpaidinfull;orC-H&H& ____0  Iamproperlyregisteredwiththe_TCEQ_Ԁasa_LPST_ԀCorrectiveActionSpecialistinaccordancewiththerequirementsofTitle30,TAC, {O/ Chapter334,_Subchapter_ԀJ.Ihavebeenhiredbytheeligibleowneroroperatorofthereferenced_LPST_Ԁsitetoperformcorrectiveaction 0 activitiesandhavebeenproperlyassignedtherightbythatowner/operatortoacceptpaymentonbehalfoftheowneroroperatorunder 1 Title30,TAC,334.302(j)&(k).Thecompleteassignmentdocumenthasbeensubmittedwiththisapplicationorisonfilewiththe O#2 _TCEQ_.Ialsoaffirmthattheeligibleowneroroperatorofthereferenced_LPST_Ԁsiteisawareoftheworkperformedandtheamounts 3 requestedforthisapplication.IhavepaidallamountsowedtothesubcontractorsinfullorIhaveensuredthatthoseamountswillbe  [4 paidinfullthroughthepostingofapaymentbondintheamountnotyetpaidinfull.#!5H&H& 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Incompleteapplicationswillbereturnedforcompletionandsubsequent  _resubmission_.  p ?V2' X[ (#dE,%?  Allapplicationsforreimbursement must besubmittedwiththefollowinginformation.Completetheapplicationchecklisttodetermineifyour  applicationiscomplete. }Q CheckBoxWhenVerified    <(Uh88*@Ӏ1.AllappropriatespacescompletedintheApplicationForm(Page1and2).   Ѐ0  , 2.  TheReimbursementAffidavitsignedbytheeligibleowner,operatororassigneeandnotarized(Originalmustbesubmittedcopynot   acceptable). && Ѐ̀3.0  AllappropriatespacescompletedontheReimbursementClaimSummary. && Ѐ̀4.0  AcompletedReimbursementActivitySummaryCostSheetforeachcompletedphaseorpreapprovedactivity.t && # P5#5 PԀ5.0  AttachedtoeachcompletedSummaryCostSheetarecopiesofallreferencedinvoicesandsubcontractorinvoices.Atminimum,all ^ invoicesmustcontainadescriptionoftheworkperformed,whoperformedthework,thedatestheworkwasperformed,wherethe S workwasperformed,theunitcostoftheworkperformedandthetotalcostofthework.Iftheprovideddetailisinsufficientfor tH review;timesheets,costbreakdownsandotherinformationmayberequestedduringthecourseofthereimbursementreviewprocess. i= Ifmultipleactivitiesaresubmittedinanapplication,copiesofappropriateinvoicesshouldbeattachedtoeachSummaryCostSheet. ^2 Identifywhichcostsontheinvoiceapplytoeachactivity.S'&& Ѐ     4  H Ѐ6.0  AttachedtoeachcompletedSummaryCostSheetarecopiesofallcostproposalsandpreapprovaldocumentationandacompleted = ReimbursementPreapproval/ActualCostComparisonForm# P5;#.2&& Ѐ ' Ѐ7.0  Attachedtotheapplicationisacopyofthetechnicalreport(s)thatdocumenttheperformanceofthecorrectiveactionforwhich  reimbursementissought.Thereport(s)mustcontainallappropriateattachmentssuchasboringlogs,waterwelldrillersreports,   laboratorysamplesandchainofcustody,wastemanifestsandallappropriatemaps,graphs,andtables.!&& Ѐ̀8.0   Assignees/Agents 󀄀anoriginaloftheAssignmentContractmustalreadybeonfilewiththeagency.Ifnot,itmustbesubmittedwith # thisapplication5 P. 4  $&& *eV;dd%dd %=VC,&,&e,%dd +  % WehavereviewedtheapplicationforreimbursementandallofitsattachmentsusingthisApplicationChecklistasaguideandwehave @ & verifiedthatthisapplicationcont# P5#5 Painsalloftheinformationrequiredforreview.Weunderstandthatiftheapplicationdoesnotcontainthe 5! ' abovereferencedinformation,theapplicationwillbereturnedandmayberesubmittedwhenitcontainsalltherequiredinformation. *" ( _________________________________________________ $"* Applicant(Date)  %#+ __________________________________________________________________________________________ &%- ApplicationPreparer0  0 H&H&(Date)(PhoneNumber)(FaxNumber)'&. H& H&    @     H      P   _________________________________________ )(0    @     H      P   (EmailAddress) *)1  ,+3 # P5# 1?nX P -,3 ЇREIMBURSEMENTCLAIMSUMMARY  X, Pleasechecktheappropriateactivitybox,providethepreapprovedcost,andprovidethesubtotalcostforeachReimbursementActivity {O SummaryCostSheet(ScheduleA)submittedforreimbursement.PleaseseethebackofScheduleAforadditionalinstructions. rF ?V2' X (#dE,h%? i= 0  0&&04&&0 4&4&0 & &0< & &0<&<&0&&_PREAPPROVED_ԀCOSTS󀀀REQUESTEDCOSTS{O&& 'X` X'# P1?nW#3?n Py0VVVV=-)Z \ @@E,b ,,,y߀ACTIVITY00:TANKREMOVAL::0&. SUBTOTAL$ _______________________  i= y0VVVV=-)Z \ @@E, ,= ,,y߀ACTIVITY01:INITIALABATEMENT||&. %$ ______________________ SUBTOTAL$ _______________________    y0VVVV=-)Z \ @@E,, ,,y߀ACTIVITY02:_PSH_ԀRECOVERY||&. $ ______________________ SUBTOTAL$ _______________________    y0VVVV=-)Z \ @@E,K,,,y߀ACTIVITY03:EXCAVATION/WASTEMANAGEMENT||&./$ ______________________ SUBTOTAL$ _______________________  R&  y0VVVV=-)Z \ @@E,,&,,y߀ACTIVITY04:SITEASSESSMENT||&. #$ ______________________ SUBTOTAL$ _______________________    y0VVVV=-)Z \ @@E,,,,y߀ACTIVITY05:RISKASSESSMENT||&. #$ ______________________ SUBTOTAL$ _______________________  l  y0VVVV=-)Z \ @@E,4,l,,y߀ACTIVITY06:CAPFEASIBILITYTESTING||&.::+$ ______________________ SUBTOTAL$ _______________________  ; y0VVVV=-)Z \ @@E,,,,y߀ACTIVITY07:GWMONITORING||&.b b !$ ______________________ SUBTOTAL$ _______________________   y0VVVV=-)Z \ @@E,z,,, y߀ACTIVITY08:CORRECTIVEACTIONPLANPREPARATION||&.LL6$ ______________________ SUBTOTAL$ _______________________  U y0VVVV=-)Z \ @@E,!,U ,, y߀ACTIVITY09:REMEDIATIONSYSTEMINSTALLATION||&.((3$ ______________________ SUBTOTAL$ _______________________  $  y0VVVV=-)Z \ @@E,#,",, y߀ACTIVITY10:OPERATION,MONITORING&PERFORMANCE||&.7$ ______________________ SUBTOTAL$ _______________________  "! y0VVVV=-)Z \ @@E,c&,%,, y߀ACTIVITY11:SITECLOSURE||&.p p $ ______________________ SUBTOTAL$ _______________________  j%>$ # P3?n#1?n P*e6V7dd%dd %V;,&,&e,%dd +   (& (& TotalCosts:0  0 H&H&$$#q(E' H& H& ##1XEU1?n}##X0XU1XE#  D+* XXXX0  X,X,X,_)e_*_ dd%dd %6V7X%X%_, d ,dd ,dt ,dd ,dd ,d +  >+XX > }XX# Gy }#  Gy@ ReimbursementActivitySummaryCostSheet#X~U ##X0XUX~ #XEUXX0Ԉ MV>&   PM?nUXE 0V#pV 0 6VV#pV 6 :V'pVV :@:BillingPeriod M>&p P V PxM y_LPST_ԀIDNo.: 4V# 4 6V#V 6 -#V -From: %V   % 6# V 6 J;#  x P  PxJyFacilityRegistrationNo.: 4V#T  4 6V#T V 6 -#TV -To: %V T % 6#TV 6 H7#T x P  pxH 4#J 4 6V#J 6 4#JV 4 :'J :6,*J x0 p   6* ! dd d dd dt dd dd d X%X%,d ,xt +  4# h h 4ACTIVITY 6V#h   63)'h   0  V 3*xtuddd xt x !X%X%x, d ,pt +  4# 7  7  4TitleandDateofApplicableReport(s) 6V#7  63)'7  0  V 3*r"# dd d pt ptuX%X%r, d ,td ,etd ,'td ,rt +  6'^ ^  86@zzCompany 2V#  2@// InvoiceNo. 2V# V 2@-Invoice   @.Date 2V# !V 2@  8Invoice  " @8Amount 6V# #V 6@)!)!E7"Amount  $ @ D7"Requested JV;# % 8 V PJ 2VV#K&V 2 2VV#K'VV 2 2VV#K(VV 2$ 6VV#K)VV 6$ JV;#K* P VV PJ 2VV#A+V 2 2VV#A,VV 2 2VV#A-VV 2$ 6VV#A.VV 6$ JV;#A/ P VV PJ 2VV#0V 2 2VV#1VV 2 2VV#2VV 2$ 6VV#3VV 6$ JV;#4 P VV PJ 2VV#55V 2 2VV#56VV 2 2VV#57VV 2$ 6VV#58VV 6$ JV;#59 P VV PJ 2VV#+:V 2 2VV#+;VV 2 2VV#+<VV 2$ 6VV#+=VV 6$ JV;#+> P VV PJ 2VV#y?V 2 2VV#y@VV 2 2VV#yAVV 2$ 6VV#yBVV 6$ JV;#yC P VV PJ 2VV#DV 2 2VV#EVV 2 2VV#FVV 2$ 6VV#GVV 6$ JV;#H P VV PJ 2VV#mIV 2 2VV#mJVV 2 2VV#mKVV 2$ 6VV#mLVV 6$ JV;#mM P VV PJ 2VV#cNV 2 2VV#cOVV 2 2VV#cPVV 2$ 6VV#cQVV 6$ JV;#cR P VV PJ 2VV# SV 2 2VV# TVV 2 2VV# UVV 2$ 6VV# VVV 6$ JV;# W P VV PJ 2VV#WXV 2 2VV#WYVV 2 2VV#WZVV 2$ 6VV#W[VV 6$ JV;#W\ P VV PJ 2VV#M]V 2 2VV#M^VV 2 2VV#M_VV 2$ 6VV#M`VV 6$ JV;#Ma P VV PJ 2VV# bV 2 2VV# cVV 2 2VV# dVV 2$ 6VV# eVV 6$ JV;# f P VV PJ 2VV#A"gV 2 2VV#A"hVV 2 2VV#A"iVV 2$ 6VV#A"jVV 6$ JV;#A"k P VV PJ 2VV##7!lV 2 2VV##7!mVV 2 2VV##7!nVV 2$ 6VV##7!oVV 6$ JV;##7!p P VV PJ 2VV#$"qV 2 2VV#$"rVV 2 2VV#$"sVV 2$ 6VV#$"tVV 6$ JV;#$"u P VV PJ 2VV#+&#vV 2 2VV#+&#wVV 2 2VV#+&#xVV 2$ 6VV#+&#yVV 6$ HV7#+&#z P VV H 4VV#y'!%{V 4 4VV#y'!%|VV 4 4VV#y'!%}VV 4$ 6VV#y'!%~VV 6$3)'y'!% 0   VV 3*$% dd d td etd e'td 'rt r"#X%X%,d ,rt +  4#(H&(H& 4TotalAmountRequestedforActivityA. ) 6V#H)& 6$3)'H)& 0  V 3Attachtothisformallreferencedcontractorinvoices,associatedsubcontractorinvoices# P?n#Ԁandpreapprovaldocumentationforthisactivity. o*( *x'(ddd rt r$%X%X%x,d ,rt +  4#f+)f+) 4TotalAmountPreapprovedforthisActivityA.1 6V#,) 6$ :)#,) 0  V :DateActivityApproved(approvaldateindicatedontheCorrectiveActionResponseForm_CARF_) -V-R+ -.$"-R+ 0  V .#X0X P# XX0@* .w, @ HowtocompletetheReimbursementActivitySummaryCostSheet#X0X#  X &O%XX01.0  FillintheLeakingPetroleumStorageTank(_LPST_)identificationnumberandfacilityregistrationnumberinthespecified  blanks.%% 2.0  Completethebillingperioddates.Thisprovidesthe_TCEQ_Ԁwiththetimeperiodfortheworkperformedatyourfacility.%% 3.0  Fillintheappropriateactivitydescription.Additionally,oneReimbursementActivitySummaryCostSheetmustbe   completedforeachactivityforwhichyouareseekingreimbursement.Forexample,ifyouarerequestingreimbursement ,  foratankremovalandasiteassessment,thenoneformforeachoftheseactivitiesmustbesubmitted(i.e.,oneformfor :  thetankremovalcostsandoneformforthesiteassessmentcosts).Youshouldonlysubmitaclaimwhentheactivity H  iscompleteorattheendofapreapprovalperiod.V %% 4.0  ForeachSummaryCostSheet,listtheinvoicesforwhichyouareseekingreimbursement.Detailthefollowing:(1) r  Companyperformingwork,(2)theirinvoicenumber,(3)invoicedate,(4)totalinvoiceamount,and(5)theamountyou ( arerequestingforreimbursementfromthatinvoice.6%% 5.0  AttachtoeachSummaryCostSheetacopyofthereferencedcontractorinvoices,associatedsubcontractorinvoices,cost R proposalandpreapprovaldocumentation,andproofofpayment.Ataminimum,allinvoicesmustcontainadescription ` oftheworkperformed,whoperformedthework,thedatestheworkwasperformed,wheretheworkwasperformed,the n unitcostoftheworkperformedandthetotalamountofthework.Iftheinvoiceslacksufficientdetailforreview,time | sheets,costbreakdownsandotherinformationmayberequestedduringthecourseofthereimbursementreviewprocess.5&#Z%%&OԀ   %% 0  Whenrequestingreimbursementformorethanoneactivityinanapplication,oneinvoicemaycontaincostsformorethan  oneactivity.Whenthisoccurs,attachacopyofthatinvoicetoeachappropriateSummaryCostSheet.Thenidentify(i.e..   useahighlighterorbyunderlining)whichcostsontheinvoiceapplytotheactivityidentifiedontheSummaryCostSheet.  Forexample,oneinvoicecontainscostsforthetankremovalandaportionofthesiteassessment.Inthiscase,acopy ( oftheinvoice(identifyingallcostsassociatedwiththetankremoval)mustbeattachedtotheSummaryCostSheetfor 6 theTankRemovalActivityandacopyoftheinvoice(identifyingallcostsassociatedwiththesiteassessment)#&O%%5&#Z"#5&#Z%%&OԀmustbe D  attachedtotheSummaryCostSheet#&O%%5&#Z&#5&#Z%%&OԀfortheSiteAssessmentActivity.#&O%%5&#Z '#5&#Z%%&OR!%% ! ! 8(Eh88<"/3"  /3O(2Eh  6  .3  0    #&O%%5&#Zn'#Encloseacopyofthetechnicalreport(s)thatdocument(s)theperformanceofthecorrectiveactionactivityforwhich n#! costsarebeingrequestedintheapplication.Thereport(s)mustcontainallappropriateattachmentssuchasboringlogs, |$$"  waterwelldrillersreports,laboratorysamplesandchainofcustody,wastemanifestsandallappropriatetables,maps, %2#! andgraphs.Submissionofdeficientreportswillresultinadelayintheprocessingoftheapplicationuntilsufficient &@$" informationisprovidedormayresultinthereturnoftheapplicationforreimbursement./3O(|(݌'N%#%% Ќ  #X0X%&O\#     w.,) Ї@#5X+XXX05 X5X+Reimbursement ' @ Preapproval/ActualCost  @ "ComparisonForms 9 #X ! 51,#_"!X #XEU"_P,# +^# UXEThePreapproval/ActualCostComparisonFormsaremodifiedcostproposalformsthatarenormallysubmittedwiththe_workplan_   totheResponsiblePartyRemediation(_RPR_)Sectioninthepreapprovalprocess.Onlycompleteandsubmittheformorforms   thatcorrespondstotheactivityoractivitiesbeingsubmittedintheapplication.Pleasedonotsubmitanyblankorunusedforms   withtheapplication.Tocompletetheform,intheleftcolumnofeachpagefillintheunitsofpreapprovedscopeofworkand   costsfortheactivityandintherightcolumnofeachpagefillintheactualunitsandcostsfortheworkperformed.Forolder   submittedpreapprovedactivities,wherethelineitemdetailoncostsisunavailable,thentheunitsoftheapprovedscopeofwork   shouldbecompletedalongwiththepreapprovedbottomlinecosts.# $ #  +^/-##X0X$  q-#     .8,# Ї  THISPAGELEFTBLANKINTENTIONALLY  z" , ,XX0*xqsddd rt r'(X%X%x,r , ,,,D,$,, ,L ,J, , $,$, ,K, ,,X +  5+XX 5#X0X,, 2#H+ 4 <DL!X` hH DX%XXX0ReimbursementApplicationCostComparison:_Preapproved_ԀtoActual D,(',%XDX Md< X   $M#DX%X',D,(E6# .6#X0X%XDX5#DX%XXX0Activity01&02InitialAbatement/_PSH_ D Removal @d/$kd @ _LPST_Ԁ# =d,!D3d =#X0X%XDX7#DX%XXX0 Kda6!D3d ddK#X0X%XDX_8#_)_DX%XXX0 Uda@+D3dadd ddU Kd:+Ddadd K FacilityID:  @ #X0X%XDX!9#, ,XX0D,(',,,  Rda=$D3d ddR#DX%X',D,(:#D,(',%XDX ^T9D 3 $  dadd $ ^#DX%X',D,(:#Dh|(%XDX#a(Dh|>:#Dh|(aResponsibleParty:#a(Dh|;#Dh|(a NV99!G  ddN XV9C+G 3V9dd ddX XV9C+G 3V9dd ddX XV9C+G 3V9dd ddX XV9C+G3V9dd ddX XV9C+G3V9dd ddX G=+G3V9dd GЀFacilityNameandAddress: @  @  @ #a(Dh|<#Dh|(a QVa<$G3 ddQ XVaC+G3Vadd ddX XVaC+G3Vadd ddX XVaC+G3Vadd ddX XVaC+G3Vadd ddX XVaC+G3Vadd ddX XVaC+G3Vadd ddX XN6G3 $  Vadd X 'E3 ' 'E3 ' 'E3 ' 'E3 ' 'E3 ' 'E3 ' 'E3 ' 'E 3 ' 'E!3 ' 'E"3 ' 'E#3 ' 'E$3 ' 'E%3 ' 'E&3 ' 'E'3 ' 'E(3 ' 'E)3 ' ?5E*3   ?Markappropriateactivity: '+ ' <Va', dd< D:+-3Vadd DЀ011InitialAbatement * . * <Va'/3 d< UVa@+03Vad dU @6+13Vad @  Ӏ021_PSH_ԀRemoval 2 Ѐ02_MDPE_ 'T3 ' '43 ' '53 ' '63 ' '73 ' '83 ' '93 ' F>5:3  $F#DX%X(Dh|r;##X0X%XDX>#DX%XXX0_Preapproved_Dh|(%XDX A>0!R;> AHDateApproved:#a(Dh|rH#Dh|(a @>/$R<3> @ O>a:!R=3> dO J>9.R>3>ad J 6,!R?3> 6 .>R@3 . A>0!RA3> A#DX%X(Dh|H#ReimbursementApplicationDh|(%XDX QG/RB $  > Q 'b C3 ' 'b D3 ' 'b E3 ' 'b F3 ' 'b G3 ' 'b H3 ' 'b I3 ' * b J3 * 6,!b K3 6 'b L3 ' 'b M3 ' 'b N3 ' 'b O3 ' 'b P3 ' 'b Q3 ' 'b R3 ' 'b S3 ' JVVV9b T3   J #a(Dh|xI#Dh|(aInterimCorrectiveActionPlan  #a(Dh|N#Dh|(a @VV/$, UVVV @ =VV,!, V3VV = =VV,!, W3VV = KVVVa6!, X3VV ddK  $#a(Dh|IO#Dh|(a C9+, YVVVadd C 6,!, Z3 6 2VVV!, [3 2 InterimCorrectiveActionPlan @VV/$, \VVV @ =VV,!, ]3VV = =VV,!, ^3VV = KVVVa6!, _3VV ddK  $ _>N6, `  VVVadd $_#a(Dh|P#Dh|(a =>,! a3> = =>,! b3> = =>,! c3> = =>,! d3> = =>,! e3> = =>,! f3> = =>,! g3> = 9/! h3> 9 =>,! i3 = =>,! j3> = =>,! k> = =>,! l3> = =>,! m3> = =>,! n3> = =>,! o3> = =>,! p3> = =>,! q3> = RH, r3 $  > R #a(Dh|S#Dh|(aInitialAbatement/Manual_PSH_ԀRemoval #a(Dh|W#Dh|(a *  > s * ' > t3 ' *  > u3 * 6,! > v3 6 +! > w3 + #a(Dh|HX#Dh|(aInitialAbatement/Manual_PSH_ԀRemoval   > x   #a(Dh|iY#Dh|(a * ^  y * ' > z3 ' ' > {3 ' ' > |3 ' B8 > }3   B #a(Dh|Z#Dh|(aA.Personnel 9/! ~ 9#a(Dh|9[#Dh|(a 9/!  9 9/! 3 9 9/! 3 9 9/! 3 9 9/! 3 9 9/! 3 9 9/! 3 9 6,! 3 6 ' 3 ' #a(Dh|[#Dh|(aA.Personnel *   *#a(Dh|]#Dh|(a 9/!  9 9/! 3 9 9/! 3 9 9/! 3 9 9/! 3 9 9/! 3 9 SVVD, 3    S <V/! X 3VV < <V/! X 3V < <V/! X 3V < <V/! X 3V < <V/! X 3V <Sub. <V/! X "V < BVV/! X "V BTotal 9/! X "VV 9 6,! X 3 6 ,VV X 3 , <V/! X VV < <V/! X 3V < <V/! X 3V < <V/! X 3V < <V/! X 3V <Sub. <V/! X "V < BVV/! X "V BTotal VVG, X "  VV VReportPreparation 9/!a V 9 9/!a  9 9/!a 3 9 9/!a 3 9 KVa6!a 3 ddK% C9+a 3Vadd C= KVVa6!a " ddK  $ C9+a VVadd C 6,!a 3 6 /V a 3 /ReportPreparation 9/!a V 9 9/!a  9 9/!a 3 9 9/!a 3 9 KVa6!a 3 ddK% C9+a 3Vadd C= KVVa6!a " ddK  $ `VQ6a   VVadd `OfficePersonnel 9/! V 9 9/!  9 9/! 3 9 9/! 3 9 KVa6! 3 ddK% C9+ 3Vadd C= NVVa9! " ddN  $ C9+ VVadd C 6,! 3 6 /V  3 /OfficePersonnel 9/! V 9 9/!  9 9/! 3 9 9/! 3 9 KVa6! 3 ddK% C9+ 3Vadd C= NVVa9! " ddN  $ `VQ6   VVadd `FieldPersonnel 9/!= V 9 9/!=  9 9/!= 3 9 9/!= 3 9 KVa6!= 3 ddK% C9+= 3Vadd C= NVVa9!= " ddN  $ C9+= VVadd C 6,!= 3 6 /V = 3 /FieldPersonnel 9/!= V 9 9/!=  9 9/!= 3 9 9/!= 3 9 KVa6!= 3 ddK% C9+= 3Vadd C= NVVa9!= " ddN  $ dVU6=   VVadd dPI7Exemption NVa9$/ V dN C9+/ "Vad C 9/!/ 3 9 9/!/ 3 9 NVVa9!/ " ddN  $ C9+/ VVadd C 6,!/ 3 6 3V$/ 3 3PI7Exemption NVa9$/ V ddN C9+/ "Vadd C 9/!/ 3 9 9/!/ 3 9 NVVa9!/ " ddN  $ dVU6/   VVadd dSubtotalSubcontractedPersonnel NVa9$qV dN  $ C9+qVad C 9/!q3 9 9/!q3 9 BV/!q" B 9/!q"V 9 6,!q3 6 3V$q3 3SubtotalSubcontractedPersonnel NVa9$qV ddN  $ C9+qVadd C 9/!q3 9 9/!q3 9 BV/!q" B VVG,q"  V VSubcontractorMarkup 9/!c V 9 9/!c  9 KVa6!c 3 dK% C9+c 3Vad C 9/!c 3 9 9/!c 3 9= KVVa6!c " ddK  $ C9+c VVadd C 6,!c 3 6 3V$c 3 3SubcontractorMarkup NVa9$c V ddN% C9+c 3Vadd C 9/!c 3 9 9/!c 3 9= KVVa6!c " ddK  $ bVVQ6c   VVadd  bCostProposalPreparation @V/!VV @ @V/!V @ @V/!3V @ @V/!3V @ @V/!3V @ @V/! 3V @= NVVa9! "V ddN  $ C9+ VVadd C 6,! 3 6 5VV$ 3 5CostProposalPreparation CV2$VV C @V/!3V @ @V/!3V @ @V/!3V @= NVVa9!"V ddN  $ bVVQ6  VVadd  b #a(Dh|o^#Dh|(aA.TotalPersonnel @V/!WVV @#a(Dh|#Dh|(a @V/!WV @ @V/!W3V @ @V/!W3V @ @V/!W3V @ @V/!W3V @ NVVa9!W3V ddN  $#a(Dh|C#Dh|(a C9+WVVadd C#a(Dh| #Dh|(a 6,!W3 6 1VV W3 1 #a(Dh|#Dh|(aA.TotalPersonnel @V/!WVV @#a(Dh|Q#Dh|(a @V/!WV @ @V/!W 3V @ @V/!W!3V @ @V/!W"3V @ @V/!W#3V @#a(Dh|#Dh|(a NVVa9!W$3V ddN  $#a(Dh|j#Dh|(a XN6W%  VVadd X#a(Dh|#Dh|(a '[&3 ' '['3 ' '[(3 ' '[)3 ' '[*3 ' '[+3 ' '[,3 ' * [-" * 6,![.3 6 '[/3 ' '[0 ' '[13 ' '[23 ' '[33 ' '[43 ' '[53 ' '[63 ' ?5[7"   ? #a(Dh|#Dh|(aB.Equipment '8 '#a(Dh|΍#Dh|(a '9 ' ':3 ' ';3 ' * <3 * 6,!=3 6 '>3 ' * ?" * 6,!@3 6 'A3 ' #a(Dh|F#Dh|(aB.Equipment 'B '#a(Dh|#Dh|(a 'C ' 'D3 ' 'E3 ' * F3 * 6,!G3 6 'H3 ' DVV5I"   D 9V,!aJ3VV 9ЀUnits 9V,!aK"V 9 9V,!aL"V 9$/Unit 9V,!aM"V 9 9V,!aN"V 9Sub. 9V,!aO"V 9 ?VV,!aP"V ?Total 9/!aQ"VV 9 9/!aR3 9 ;VV,!aS3 ; 9V,!aTVV 9Units 9V,!aU"V 9 9V,!aV"V 9$/Unit 9V,!aW"V 9 9V,!aX"V 9Sub. 9V,!aY"V 9 ?VV,!aZ"V ?Total SVD,a["  VV S_Bailers_ KVa6!S\V ddK @6+S]3Vadd @x <Va'S^" dd<  $ @6+S_Vadd @ <Va'S`3 dd<% @6+Sa3Vadd @= <VVa'Sb" dd<  $ C9+ScVVadd C 6,!Sd3 6 ,VSe3 ,_Bailers_ KVa6!SfV ddK @6+SgVadd @x <Va'Sh" dd<  $ @6+SiVadd @ <Va'Sj3 dd<% @6+Sk3Vadd @= <VVa'Sl" dd<  $ ]VN6Sm  VVadd ]SmallItems KVa6!nV ddK @6+o3Vadd @x <Va'p" dd<  $ @6+qVadd @ <Va'r3 dd<% @6+s3Vadd @= ?VVa*t" dd?  $ C9+uVVadd C 6,!v3 6 ,Vw3 ,SmallItems KVa6!xV ddK @6+yVadd @x <Va'z" dd<  $ @6+{Vadd @ <Va'|3 dd<% @6+}3Vadd @= ?VVa*~" dd?  $ ]VN6  VVadd ]Drums KVa6!/V ddK @6+/3Vadd @x <Va'/" dd<  $ @6+/Vadd @ <Va'/3 dd<% @6+/3Vadd @= ?VVa*/" dd?  $ C9+/VVadd C 6,!/3 6 ,V/3 ,Drums KVa6!/V ddK @6+/Vadd @x <Va'/" dd<  $ @6+/Vadd @ <Va'/3 dd<% @6+/3Vadd @= ?VVa*/" dd?  $ ]VN6/  VVadd ]_Skimmers_Ԁ(sm.) KVa6!!V ddK @6+!3Vadd @x <Va'!" dd<  $ @6+!Vadd @ <Va'!3 dd<% @6+!3Vadd @= ?VVa*!" dd?  $ C9+!VVadd C 6,!!3 6 ,V!3 ,_Skimmers_Ԁ(sm.) KVa6!!V ddK @6+!Vadd @x <Va'!" dd<  $ @6+!Vadd @ <Va'!3 dd<% @6+!3Vadd @= ?VVa*!" dd?  $ ]VN6!  VVadd ]_Skimmers_Ԁ(lg.) KVa6!cV ddK @6+c3Vadd @x <Va'c" dd<  $ @6+cVadd @ <Va'c3 dd<% @6+c3Vadd @= ?VVa*c" dd?  $ C9+cVVadd C 6,!c3 6 ,Vc3 ,_Skimmers_Ԁ(lg.) KVa6!cV ddK @6+cVadd @x <Va'c" dd<  $ @6+cVadd @ <Va'c3 dd<% @6+c3Vadd @= ?VVa*c" dd?  $ ]VN6c  VVadd ]Canisters KVa6!UV ddK @6+U3Vadd @x <Va'U" dd<  $ @6+UVadd @ <Va'U3 dd<% @6+U3Vadd @= ?VVa*U" dd?  $ C9+UVVadd C 6,!U3 6 ,VU3 ,Canisters KVa6!UV ddK @6+UVadd @x <Va'U" dd<  $ @6+UVadd @ <Va'U3 dd<% @6+U3Vadd @= ?VVa*U" dd?  $ ]VN6U  VVadd ]_Sorbents_ KVa6!V ddK @6+3Vadd @x <Va'" dd<  $ @6+Vadd @ <Va'3 dd<% @6+3Vadd @= ?VVa*" dd?  $ C9+VVadd C 6,!3 6 ,V3 ,_Sorbents_ KVa6!V ddK @6+Vadd @x <Va'" dd<  $ @6+Vadd @ <Va'3 dd<% @6+3Vadd @= ?VVa*" dd?  $ mVVaX6  VVadd ddm_MDPE_ԀEquipment UVa@+1VVadd ddU @6+13Vadd @x <Va'1" dd<  $ @6+1Vadd @ <Va'13 dd<% @6+13Vadd @= ?VVa*1" dd?  $ C9+1VVadd C 6,!13 6 <VVa'13 dd<  _MDPE_ԀEquipment UVa@+1VVadd ddU @6+1"Vadd @x <Va'1" dd<  $ @6+1Vadd @ <Va'13 dd<% @6+13Vadd @= ?VVa*1" dd?  $ mVVaX61  VVadd ddmHoldingtank UVa@+#VVadd ddU @6+#3Vadd @x <Va'#" dd<  $ @6+#Vadd @ <Va'#3 dd<% @6+#3Vadd @= ?VVa*#" dd?  $ C9+#VVadd C 6,!#3 6 <VVa'#3 dd<Holdingtank UVa@+#VVadd ddU @6+#"Vadd @x <Va'#" dd<  $ @6+#Vadd @ <Va'#3 dd<% @6+#3Vadd @= ?VVa*#" dd?  $ mVVaX6#  VVadd ddmConstructionCosts UVa@+eVVadd ddU @6+e3Vadd @x <Va'e" dd<  $ @6+eVadd @ <Va'e3 dd<% @6+e3Vadd @= ?VVa*e" dd?  $ C9+eVVadd C 6,!e3 6 <VVa'e3 dd<ConstructionCosts UVa@+eVVadd ddU @6+e "Vadd @x <Va'e " dd<  $ @6+e Vadd @ <Va'e 3 dd<% @6+e 3Vadd @= ?VVa*e" dd?  $ mVVaX6e  VVadd ddm UVa@+W"VVadd ddU @6+W3Vadd @x <Va'W" dd<  $ @6+WVadd @ <Va'W3 dd<% @6+W3Vadd @= ?VVa*W" dd?  $ C9+WVVadd C 6,!W3 6 <VVa'W3 dd< UVa@+W"VVadd ddU @6+W"Vadd @x <Va'W" dd<  $ @6+WVadd @ <Va'W3 dd<% @6+W3Vadd @= ?VVa*W " dd?  $ mVVaX6W!  VVadd ddm UVa@+""VVadd ddU @6+#3Vadd @x <Va'$" dd<  $ @6+%Vadd @ <Va'&3 dd<% @6+'3Vadd @= ?VVa*(" dd?  $ C9+)VVadd C 6,!*3 6 <VVa'+3 dd< UVa@+,"VVadd ddU @6+-"Vadd @x <Va'." dd<  $ @6+/Vadd @ <Va'03 dd<% @6+13Vadd @= ?VVa*2" dd?  $ aVR63  VVadd aSubtotalSubcontractedEquipment= NVa9$Z4V ddN  $ @6+Z5Vadd @ 'Z63 ' 'Z73 ' 3V Z83 3 9/!Z9"V 9 6,!Z:3 6 0V!Z;3 0SubtotalSubcontractedEquipment= NVa9$Z<V ddN  $ @6+Z=Vadd @ 'Z>3 ' 'Z?3 ' 3V Z@3 3 UVVD,ZA"  V  USubcontractorMarkup =V,!LBVV = =V,!LC3V = KVa6!LD3V ddK% GV6+LE3Vadd G =V,!LF3V = =V,!LG3V == NVVa9!LH"V ddN  $ C9+LIVVadd C 6,!LJ3 6 2VV!LK3 2SubcontractorMarkup NVa9$LLVV ddN% GV6+LM3Vadd G =V,!LN3V = =V,!LO3V == NVVa9!LP"V ddN  $ bVVQ6LQ  VVadd  b #a(Dh|#Dh|(aB.TotalEquipment @V/!RVV @ @V/!S3V @ @V/!T3V @ @V/!U3V @ @V/!V3V @ @V/!W3V @ NVVa9!X3V ddN  $ C9+YVVadd C#a(Dh|#Dh|(a 9/!Z3 9 @VV/![3 @ #a(Dh|#Dh|(aB.TotalEquipment @V/!\VV @ @V/!]V @ @V/!^3V @ @V/!_3V @ @V/!`3V @ @V/!a3V @ NVVa9!b3V ddN  $ XN6c  VVadd X#a(Dh|#Dh|(a 'Rd3 ' 'Re3 ' 'Rf3 ' 'Rg3 ' 'Rh3 ' 'Ri3 ' 'Rj3 ' * Rk3 * 6,!Rl3 6 'Rm3 ' 'Rn ' 'Ro3 ' 'Rp3 ' 'Rq3 ' 'Rr3 ' 'Rs3 ' 'Rt3 ' ?5Ru3   ? #a(Dh|`#Dh|(aC.WasteManagement 'Dv '#a(Dh|#Dh|(a 'Dw3 ' 'Dx3 ' 'Dy3 ' 'Dz3 ' 'D{3 ' 'D|3 ' * D}3 * 6,!D~3 6 'D3 ' #a(Dh| #Dh|(aC.WasteManagement 'D '#a(Dh|#Dh|(a 'D ' 'D3 ' 'D3 ' * D3 * 6,!D3 6 'D3 ' DVV5D3   D 9V,!3VV 9ЀUnits 9V,!"V 9 9V,!"V 9$/Unit 9V,!"V 9 9V,!"V 9Sub. 9V,!"V 9 ?VV,!"V ?Total 9/!"VV 9 6,!3 6 ,VV3 , 9V,!VV 9Units 9V,!"V 9 9V,!"V 9$/Unit 9V,!"V 9 9V,!"V 9Sub. 9V,!"V 9 ?VV,!"V ?Total SVD,"  VV SVacuumTruck KVa6! >V ddK @6+ >3Vadd @ <Va' >" dd< @6+ >"Vadd @ <Va' >3 dd< @6+ >3Vadd @ <VVa' >3 dd< C9+ >"VVadd C 6,! >3 6 ,V >3 ,VacuumTruck Ka6! >V ddK_____ @6+ >3add @ <Va' >" dd< @6+ >"Vadd @ <Va' >3 d< @6+ >3Vad @ <VVa' >" dd< ]VN6 >"  VVadd ]FluidsDisposal KVa6!0!V ddK @6+0!3Vadd @x <Va'0!" dd<  $ @6+0!Vadd @ <Va'0!3 dd<% @6+0!3Vadd @= <VVa'0!3 dd<  $ C9+0!VVadd C 6,!0!3 6 ,V0!3 ,FluidsDisposal Ka6!0!V ddK_____ @6+0!3add @x <Va'0!" dd<$󀀀 @6+0!"Vadd @ <Va'0!3 d<% @6+0!3Vad @= <VVa'0!" dd<  $ ]VN60!  VVadd ]DischargePermit KVa6!!rV ddK @6+!r3Vadd @x <Va'!r" dd<  $ @6+!rVadd @ <Va'!r3 dd<% @6+!r3Vadd @= <VVa'!r3 dd<  $ C9+!rVVadd C 6,!!r3 6 ,V!r3 ,DischargePermit Ka6!!rV ddK_____ @6+!r3add @x <Va'!r" dd<$󀀀 @6+!r"Vadd @ <Va'!r3 d<% @6+!r3Vad @= <VVa'!r" dd<  $ aVR6!r  VVadd aSubtotalSubcontractedWaste_Mgmt_. 9/$d" V 9= <Va'd" " dd<  $ @6+d" Vadd @ 'd" 3 ' 'd" 3 ' 0Vd" 3 0 9/!d" "V 9 6,!d" 3 6 0V!d" 3 0SubtotalSubcontractedWaste_Mgmt_.#a(Dh|A#Dh|(a#DX%X(Dh|QK#Dh|(%XDX 9/$d" V 9= <Va'd" " dd<$ @6+d" "Vadd @ 'd" 3 ' * d" 3 * 6V#!d" " 6 LVV;#d"   V  LSubcontractorMarkup =V,!" VV = =V,!" 3V = KVa6!" 3V ddK% GV6+" 3Vadd G =V,!" 3V = =V,!" 3V == KVVa6!" 3V ddK  $ C9+" VVadd C 6,!" 3 6 .VV" 3 .SubcontractorMarkup =V,!" VV = =V,!" V = KVa6!" 3V ddK% GV6+" 3Vadd G =V,!" 3V = =V,!" 3V == KVVa6!" "V ddK  $ fVVU6"   VVadd  f #a(Dh|#Dh|(aC.TotalWasteManagement  #a(Dh|#Dh|(a CV2$#c!VV C @V/!#c!3V @ @V/!#c!3V @#a(Dh|O#Dh|(a NVVa9!#c!3V ddN  $#a(Dh|T#Dh|(a C9+#c!VVadd C#a(Dh|#Dh|(a 9/!#c!3 9 DVV3!#c!3 D #a(Dh|v#Dh|(aC.TotalWasteManagement   #a(Dh|8#Dh|(a CV2$#c!VV C @V/!#c!3V @ @V/!#c!3V @#a(Dh|#Dh|(a NVVa9!#c!3V ddN  $#a(Dh|#Dh|(a XN6#c!  VVadd X#a(Dh|D #Dh|(a 'g$"3 ' 'g$"3 ' 'g$"3 ' 'g$"3 ' 'g$"3 ' 'g$"3 ' 'g$"3 ' * g$"" * 6,!g$"3 6 'g$"3 ' 'g$" ' 'g$" 3 ' 'g$" 3 ' 'g$" 3 ' 'g$" 3 ' 'g$" 3 ' 'g$"3 ' ?5g$""   ? #a(Dh| #Dh|(aD.Travel '%" '#a(Dh| #Dh|(a '%"3 ' '%"3 ' '%"3 ' * %"3 * 6,!%"3 6 '%"3 ' * %"" * 6,!%"3 6 '%"3 ' #a(Dh| #Dh|(aD.Travel '%" '#a(Dh|H#Dh|(a '%" ' '%"3 ' '%"3 ' * %"3 * 6,!%"3 6 '%" 3 ' DVV5%"!"   D 9V,!%r#"3VV 9Units 9V,!%r##"V 9 9V,!%r#$"V 9$/Unit 9V,!%r#%"V 9 9V,!%r#&"V 9Sub. 9V,!%r#'"V 9 ?VV,!%r#("V ?Total 9/!%r#)"VV 9 6,!%r#*3 6 ,VV%r#+3 , 9V,!%r#,VV 9Units 9V,!%r#-"V 9 9V,!%r#."V 9$/Unit 9V,!%r#/"V 9 9V,!%r#0"V 9Sub. 9V,!%r#1"V 9 ?VV,!%r#2"V ?Total SVD,%r#3"  VV S_MDPE_ԀPersonnelTravel d& $4 Subcontractor KVa6!$'$5V ddK @6+d& $63Vadd @ <Va'd& $7" dd< @6+d& $8"Vadd @ <Va'd& $93 dd< @6+d& $:3Vadd @ <VVa'd& $;" dd< C9+d& $<"VVadd C 6,!d& $=3 6 ,Vd& $>3 ,_MDPE_ԀPersonnelTravel d& $? Subcontractor KVa6!$'$@V ddK @6+d& $A3Vadd @ <Va'd& $B" dd< @6+d& $C"Vadd @ <Va'd& $D3 dd< @6+d& $E3Vadd @ <VVa'd& $F" d< ]VN6d& $G"  VVad ]_MDPE_ԀPersonnelPrime 'f%H Contractor KVa6!~(&&IV ddK @6+'f%J3Vadd @ <Va''f%K" dd< @6+'f%L"Vadd @ <Va''f%M3 dd< @6+'f%N3Vadd @ <VVa''f%O" dd< C9+'f%P"VVadd C 6,!'f%Q3 6 ,V'f%R3 ,_MDPE_ԀPersonnelPrime 'f%S Contractor KVa6!~(&&TV ddK @6+'f%U3Vadd @ <Va''f%V" dd< @6+'f%W"Vadd @ <Va''f%X3 dd< @6+'f%Y3Vadd @ <VVa''f%Z" d< ]VN6'f%["  VVad ]GaugingVisits KVa6!)&\V ddK @6+)&]3Vadd @ <Va')&^" dd< @6+)&_"Vadd @ <Va')&`3 dd< @6+)&a3Vadd @ <VVa')&b" dd< C9+)&c"VVadd C 6,!)&d3 6 ,V)&e3 ,GaugingVisits KVa6!)&fV ddK @6+)&g3Vadd @ <Va')&h" dd< @6+)&i"Vadd @ <Va')&j3 dd< @6+)&k3Vadd @ <VVa')&l" d< ]VN6)&m"  VVad ]Mileage(>100_r.t._) KVa6!)`'nV ddK @6+)`'o3Vadd @x <Va')`'p" dd<  $ @6+)`'qVadd @ <Va')`'r3 dd<% @6+)`'s3Vadd @= <VVa')`'t" dd<  $ C9+)`'uVVadd C 6,!)`'v3 6 ,V)`'w3 ,Mileage(>100_r.t._) KVa6!)`'xV ddK @6+)`'y3Vadd @x <Va')`'z" dd<  $ @6+)`'{Vadd @ <Va')`'|3 dd<% @6+)`'}3Vadd @= <VVa')`'~" d<  $ ]VN6)`'  VVad ]Onewaymileagetosite 6,!R*'V 6 'R*'3 ' <Va'R*'3 dd< @6+R*'3Vadd @ 'R*'3 ' 'R*'3 ' 0VR*'3 0 9/!R*'"V 9 6,!R*'3 6 ,VR*'3 ,Onewaymileagetosite 6,!R*'V 6 'R*'3 ' <Va'R*'3 dd< @6+R*'3Vadd @ 'R*'3 ' 'R*'3 ' 0VR*'3 0 SVD,R*'"  V STravelTime KVa6!*(V ddK @6+*(3Vadd @x <Va'*(" dd<  $ @6+*(Vadd @ <Va'*(3 dd<% @6+*(3Vadd @= <VVa'*(" dd<  $ C9+*(VVadd C 6,!*(3 6 ,V*(3 ,TravelTime KVa6!*(V ddK @6+*(3Vadd @x <Va'*(" dd<  $ @6+*(Vadd @ <Va'*(3 dd<% @6+*(3Vadd @= <VVa'*(" dd<  $ ]VN6*(  VVadd ]PerDiem KVa6!+.)V ddK @6++.)3Vadd @x <Va'+.)" dd<  $ @6++.)Vadd @ <Va'+.)3 dd<% @6++.)3Vadd @= <VVa'+.)" dd<  $ C9++.)VVadd C 6,!+.)3 6 ,V+.)3 ,PerDiem KVa6!+.)V ddK @6++.)3Vadd @x <Va'+.)" dd<  $ @6++.)Vadd @ <Va'+.)3 dd<% @6++.)3Vadd @= <VVa'+.)" dd<  $ ]VN6+.)  VVadd ]Airfare KVa6! ,)V ddK @6+ ,)3Vadd @x <Va' ,)" dd<  $ @6+ ,)Vadd @ <Va' ,)3 dd<% @6+ ,)3Vadd @= <VVa' ,)" dd<  $ C9+ ,)VVadd C 6,! ,)3 6 ,V ,)3 ,Airfare KVa6! ,)V ddK @6+ ,)3Vadd @x <Va' ,)" dd<  $ @6+ ,)Vadd @ <Va' ,)3 dd<% @6+ ,)3Vadd @= <VVa' ,)" dd<  $ ]VN6 ,)  VVadd ]EquipmentTruck KVa6!,b*V ddK @6+,b*3Vadd @x <Va',b*" dd<  $ @6+,b*Vadd @ <Va',b*3 dd<% @6+,b*3Vadd @= <VVa',b*" dd<  $ C9+,b*VVadd C 6,!,b*3 6 ,V,b*3 ,EquipmentTruck KVa6!,b*V ddK @6+,b*3Vadd @x <Va',b*" dd<  $ @6+,b*Vadd @ <Va',b*3 dd<% @6+,b*3Vadd @= <VVa',b*" dd<  $ aVR6,b*  VVadd aSubtotalSubcontractedTravel 9/$T-*V 9= <Va'T-*" dd<  $ @6+T-*Vadd @ 'T-*3 ' 'T-*3 ' 0VT-*3 0 9/!T-*"V 9 6,!T-*3 6 0V!T-*3 0SubtotalSubcontractedTravel 9/$T-*V 9= <Va'T-*3 dd<  $ @6+T-*Vadd @ 'T-*3 ' 'T-*3 ' 0VT-*3 0 UVVD,T-*"  V  USubcontractorMarkup @V/!-+VV @ @V/!-+V @ NVa9!-+3V ddN% JV9+-+3Vadd J @V/!-+3V @ @V/!-+3V @= NVVa9!-+3V ddN  $ C9+-+VVadd C 6,!-+3 6 .VV-+3 .SubcontractorMarkup @V/!-+VV @ @V/!-+V @ NVa9!-+3V ddN% JV9+-+3Vadd J @V/!-+3V @ @V/!-+3V @= NVVa9!-+"V ddN  $ bVVQ6-+  VVadd  b #a(Dh|#Dh|(aD.TotalTravel @V/!.S,VV @#a(Dh|yI#Faa @V/!.S,V @ @V/!.S,3V @ @V/!.S,3V @#aFa J#Dh|(a @V/!.S,3V @#a(Dh|K#Faa @V/!.S,3V @#aFaȑK#Dh|(a NVVa9!.S,3V ddN  $#a(Dh|L#Dh|(a C9+.S,VVadd C#a(Dh|L#Dh|(a 6,!.S,3 6 1VV .S,3 1 #a(Dh|5M#Dh|(aD.TotalTravel @V/!.S,VV @#a(Dh|M#Faa @V/!.S,V @ @V/!.S,3V @ @V/!.S, 3V @#aFauN#Dh|(a @V/!.S, 3V @#a(Dh|wO#Faa @V/!.S, 3V @#aFaO#Dh|(a NVVa9!.S, 3V ddN  $#a(Dh|{P#Dh|(a\R6.S,   VVadd  \#DX%X(Dh|#D,(',%XDX #, ,',D,(Q#D,(',,, NReimbursementApplicationCostComparison:_Preapproved_ԀtoActual#, ,',D,(Q#D,(',,,  #DX%X',D,(Q#D,(',%XDX -#X  - 9/!X3 9 9/!X3 9 9/!X3 9 9/!X3 9 YdH,X"   $Y#DX%X',D,(S# R#X0X%XDXR#DX%XXX0Activity01&02InitialAbatement/_PSH_ z Removal @d/$d @ _LPST_Ԁ# #X0X%XDXT#DX%XXX0 Kda6!z 3d ddK Uda@+z dadd ddU#X0X%XDXV#DX%XXX0 Uda@+z 3dadd ddU Kd:+z dadd K FacilityID:  @ #X0X%XDXV#, ,XX0D,(',,,  Rda=$z 3d ddR ^T9z3 $  dadd $ ^#DX%X',D,(W#Dh|(%XDX#a(Dh|X#Dh|(aResponsibleParty:#a(Dh|5Y#Dh|(a NVa9!- ddN XVaC+-3Vadd ddX XVaC+-3Vadd ddX XVaC+-3Vadd ddX XVaC+-3Vadd ddX XVaC+-3Vadd ddX G=+-3Vadd GЀFacilityNameandAddress: @  @  @ #a(Dh|Y#Dh|(a QVa<$-3 ddQ XVaC+-3Vadd ddX C9+-3Vadd C NVa9!-3 ddN XVaC+-3Vadd ddX XVaC+-3Vadd ddX XVaC+-3Vadd ddX [Q6-3 $  Vadd  [ 9/!3 9 9/!3 9 9/! 3 9 9/!!3 9 9/!"3 9 9/!#3 9 9/!$3 9 9/!%" 9 6,!&3 6 * '3 * 9/!( 9 9/!)3 9 9/!*3 9 9/!+3 9 9/!,3 9 9/!-3 9 9/!.3 9#a(Dh|T\#Dh|(a ND,/"    N #a(Dh|b#Dh|(aE.Analytical 'y!0 '#a(Dh|}c#Dh|(a 'y!1 ' 'y!23 ' 'y!33 ' * y!43 * 6,!y!53 6 'y!63 ' * y!7" * 6,!y!83 6 'y!93 ' #a(Dh|c#Dh|(aE.Analytical 'y!: '#a(Dh|e#Dh|(a 'y!; ' 'y!<3 ' 'y!=3 ' * y!>3 * 6,!y!?3 6 'y!@3 ' DVV5y!A"   D 9V,!1B3VV 9Units 9V,!1C"V 9 9V,!1D"V 9$/Unit 9V,!1E"V 9 9V,!1F"V 9Sub. 9V,!1G"V 9 ?VV,!1H"V ?Total 9/!1I"VV 9 6,!1J" 6 ,VV1K" , 9V,!1LVV 9Units 9V,!1M"V 9 9V,!1N"V 9$/Unit 9V,!1O"V 9 9V,!1P"V 9Sub. 9V,!1Q"V 9 ?VV,!1R"V ?Total cVVaN,1S"  VV ddc UVa@+sTVVadd ddU @6+sU3Vadd @ <Va'sV" dd< @6+sW"Vadd @ <Va'sX3 dd< @6+sY3Vadd @ <VVa'sZ" dd< C9+s["VVadd C 6,!s\3 6 <VVa's]3 dd< UVa@+s^VVadd ddU @6+s_3Vadd @ <Va's`" dd< @6+sa"Vadd @ <Va'sb3 dd< @6+sc3Vadd @ <VVa'sd" dd< ]VN6se"  VVadd ]_TPH_ԀAir KVa6!kfV ddK @6+kg3Vadd @x <Va'kh" dd<  $ @6+kiVadd @ <Va'kj3 dd<% @6+kk3Vadd @= <VVa'kl" dd<  $ C9+kmVVadd C 6,!kn3 6 ,Vko3 ,_TPH_ԀAir KVa6!kpV ddK @6+kq3Vadd @x <Va'kr" dd<  $ @6+ksVadd @ <Va'kt3 dd<% @6+ku3Vadd @= <VVa'kv" dd<  $ ]VN6kw  VVadd ]_BTEX_ԀWater KVa6! xV ddK @6+ y3Vadd @x <Va' z" dd<  $ @6+ {Vadd @ <Va' |3 dd<% @6+ }3Vadd @= <Va' ~" dd<  $ C9+ Vadd C 6,! 3 6 ,V 3 ,_BTEX_ԀWater KVa6! 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GV ddK @6+ G3Vadd @x <Va' G" dd<$ @6+ GVadd @ <Va' G3 dd<% @6+ G3Vadd @= <Va' G" dd<  $ ]VN6 G  Vadd ]_BTEX_Ԁw/_MTBE_ԀWater KVa6!9 V ddK @6+9 3Vadd @x <Va'9 " dd<  $ @6+9 Vadd @ <Va'9 3 dd<% @6+9 3Vadd @= <Va'9 " dd<  $ C9+9 Vadd C 6,!9 3 6 ,V9 3 ,_BTEX_Ԁw/_MTBE_ԀWater KVa6!9 V ddK @6+9 3Vadd @x <Va'9 " dd<  $ @6+9 Vadd @ <Va'9 3 dd<% @6+9 3Vadd @= <Va'9 " dd<  $ ]VN69   Vadd ]TotalLead KVa6! {V ddK @6+ {3Vadd @x <Va' {" dd<  $ @6+ {Vadd @ <Va' {3 dd<% @6+ {3Vadd @= <Va' {" dd<  $ C9+ {Vadd C 6,! {3 6 ,V {3 ,TotalLead KVa6! {V ddK @6+ {3Vadd @x <Va' {" dd<  $ @6+ {Vadd @ <Va' {3 dd<% @6+ {3Vadd @= <Va' {" dd<  $ mVVaX6 {  Vadd ddm  _Tedlar_ԀBags UVa@+m  VVadd ddU @6+m  3Vadd @x <Va'm  " dd<  $ @6+m  Vadd @ <Va'm  3 dd<% @6+m  3Vadd @= <Va'm  " dd<  $ C9+m  Vadd C 6,!m  3 6 <VVa'm  3 dd<  _Tedlar_ԀBags UVa@+m  VVadd ddU @6+m  3Vadd @x <Va'm  " dd<  $ @6+m  Vadd @ <Va'm  3 dd<% @6+m  3Vadd @= <Va'm  " dd<  $ mVVaX6m    Vadd ddm  Shipping UVa@+ VVadd ddU @6+ 3Vadd @x <Va' " dd<  $ @6+ Vadd @ <Va' 3 dd<% @6+ 3Vadd @= <Va' " dd<  $ C9+ Vadd C 6,! 3 6 <VVa' 3 dd<  Shipping UVa@+ VVadd ddU @6+ 3Vadd @x <Va' " dd<  $ @6+ Vadd @ <Va' 3 dd<% @6+ 3Vadd @= <Va' " dd<  $ ]VN6   Vadd ] KVa6! 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V  USubcontractorMarkup =V,!pVV = =V,!pV = KVa6!p3V ddK% GV6+p3Vadd G =V,!p3V = =V,!p3V == KVVa6!p"V ddK  $ C9+pVVadd C 6,!p3 6 .VVp3 .SubcontractorMarkup =V,!pVV = =V,!pV = KVa6!p3V ddK% GV6+p3Vadd G =V,!p3V = =V,!p3V == KVVa6!p"V ddK  $ bVVQ6p  VVadd  b #a(Dh|ȳ#Dh|(aE.TotalOtherExpenses @V/!z"VV @#a(Dh|#Faa @V/!z"V @ @V/!z"3V @ @V/!z"3V @ @V/!z"3V @ @V/!z"3V @#aFaȘ#Dh|(a NVVa9!z"3V ddN  $#a(Dh|#Dh|(a C9+z"VVadd C#a(Dh|#Dh|(a 6,!z"3 6 1VV z"3 1 #a(Dh|<#Dh|(aE.TotalOtherExpenses @V/!z"VV @#a(Dh|#Faa @V/!z"V @ @V/!z"3V @ @V/!z"3V @ @V/!z"3V @ @V/!z"3V @#aFaȄ#Dh|(a NVVa9!z"3V ddN  $#a(Dh|#Dh|(a XN6z"  VVadd X  &   &   &   & #a(Dh|#Dh|(a  &  '&3 ' '&3 ' '&3 ' '&3 ' '&3 ' '&3 ' '&3 ' '&3 ' '&3 ' '&3 ' '&3 ' * &3 *#DX%X(Dh|q##X0X%XDX#aXX0Dh|(a ND,&3   N '3 ' '3 ' 0!3 0  #DX%X(Dh|#ԀTotal_Preapproved_ԀCost Dh|(%XDX#a(Dh|.#Dh|(a UVa@$ dU#DX%X(Dh|#  $D,(',%XDX C9.Vad C ?53  ? '3 ' '3 ' 0!3 0#DX%X',D,(k#  ӀTotalApplicationCostDh|(%XDX#a(Dh|#Dh|(a UVa@$ dU#DX%X(Dh|#  $D,(',%XDX C9.Vad C ?53  ? 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[Vadd @ <V9'! \3 dd<% @6+! ]3V9dd @= <VVa'! ^" dd<  $ C9+! _VVadd C ;V,!! `3 ;VOCWater 6,!! aV 6 * ! b * KV96!! c3 ddK @6+! d3V9dd @x ?Va*! e" dd?  $ @6+! fVadd @ <V9'! g3 dd<% @6+! h3V9dd @= <VVa'! i" dd<  $ aVR6! j  VVadd a8RCRAMtlsSoil <2$c kV < KV96!c l3 ddK @6+c m3V9dd @x ?Va*c n" dd?  $ @6+c oVadd @ <V9'c p3 dd<% @6+c q3V9dd @= ?VVa*c r" dd?  $ C9+c sVVadd C ?V0!c t3 ?8RCRAMtlsSoil <2$c uV < KV96!c v3 ddK @6+c w3V9dd @x ?Va*c x" dd?  $ @6+c yVadd @ <V9'c z3 dd<% @6+c {3V9dd @= ?VVa*c |" dd?  $ ]VN6c }  VVadd ]SoilParameters 6,!U ~V 6 * U  * KV96!U 3 ddK @6+U 3V9dd @x ?Va*U " dd?  $ @6+U Vadd @ <V9'U 3 dd<% @6+U 3V9dd @= <VVa'U " dd<  $ C9+U VVadd C ;V,!U 3 ;SoilParameters 6,!U V 6 * U  * KV96!U 3 ddK @6+U 3V9dd @x ?Va*U " dd?  $ @6+U Vadd @ <V9'U 3 dd<% @6+U 3V9dd @= <VVa'U " dd<  $ mV9X6U   VVadd  ddm @6+ 3V9dd @ *  3 * KV96! 3 ddK @6+ 3V9dd @x ?Va* " dd?  $ @6+ Vadd @ <V9' 3 dd<% @6+ 3V9dd @= ?VVa* " dd?  $ C9+ VVadd C KVV96! 3 ddK @6+ 3VV9dd @ *  3 * KV96! 3 ddK @6+ 3V9dd @x ?Va* " dd?  $ @6+ Vadd @ <V9' 3 dd<% @6+ 3V9dd @= ?VVa* " dd?  $ ]VN6   VVadd ]Shipping 6,!=V 6 * = * KV96!=3 ddK @6+=3V9dd @x ?Va*=" dd?  $ @6+=Vadd @ <V9'=3 dd<% @6+=3V9dd @= ?VVa*=" dd?  $ C9+=VVadd C ;V,!=3 ;Shipping 6,!=V 6 * = * KV96!=3 ddK @6+=3V9dd @x ?Va*=" dd?  $ @6+=Vadd @ <V9'=3 dd<% @6+=3V9dd @= ?VVa*=" dd?  $ aVR6=  VVadd aSubtotalSubcontractedAnalytical 9/$/V 9= ?Va*/" dd?  $ @6+/Vadd @ '/3 ' '/3 ' 0V/" 0 9/!/"V 9 ?V0!/3 ?SubtotalSubcontractedAnalytical 9/$/V 9= ?Va*/" dd?  $ @6+/Vadd @ '/3 ' '/3 ' 0V/" 0 WVH,/"  V WSubcontractorMarkup% 9/$qV 9 ?9*q3 dd?% @6+q39dd @ 'q" ' 'q3 '= ?VVa*q" dd?  $ C9+qVVadd C ?V0!q3 ?SubcontractorMarkup% 9/$qV 9 ?9*q3 dd?% @6+q39dd @ 'q" ' 'q3 '= ?VVa*q" dd?  $ cVVVR6q  VVadd  c #a(Dh|ȭ#Dh|(aD.TotalAnalytical @VV/$oVVV @ @VV/!o3VV @ =VV,!o3VV = =VV,!o3VV = =VV,!o3VV = NVVa9!o3VV ddN  $ C9+oVVadd C#a(Dh|#Dh|(a AVVV0!o3 A #a(Dh|+#Dh|(aD.TotalAnalytical @VV/$oVVV @ @VV/!o3VV @ =VV,!o3VV = =VV,!o3VV = =VV,!o3VV = NVVa9!o3VV ddN  $ \R6o  VVadd \#DX%X(Dh|K##X0X%XDX#aXX0Dh|(a B8     B #a(Dh|?#Dh|(aE.Travel 'c '#a(Dh|#Dh|(a 'c ' 'c3 ' 'c3 ' * c3 * =V,!c3 = 6,!c3V 6 'c3 ' 'c3 ' * c" *#a(Dh|;#Dh|(a 6,!c3 6 #a(Dh| #Dh|(aE.Travel 'c '#a(Dh| #Dh|(a 'c ' 'c3 ' 'c3 ' * c3 * =V,!c3 = 6,!c3V 6 'c3 ' 'c3 ' DVV5c"   D 9V,!s3VV 9 9V,!s3V 9 9V,!s3V 9Units 9V,!s"V 9 <V/!s"V <$/Unit 9V,!s"V 9 9V,!s"V 9Sub. 9V,!s"V 9 ?VV,!s"V ?Total 9/!s "VV 9 ;VV,!s " ; 9V,!s "VV 9 9V,!s "V 9 9V,!s "V 9Units 9V,!s"V 9 <V/!s"V <$/Unit 9V,!s"V 9 9V,!s"V 9Sub. 9V,!s"V 9 ?VV,!s"V ?Total SVD,s"  VV SEquipmentTruck 6,! 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V ddK#a(Dh|m#Dh|(a @6+ V9dd @#a(Dh|I#Dh|(a ' " ' ' " ' ?V9* 3 dd?% @6+ 3V9dd @= <VV9' " dd<$ ]VN6   VV9dd ]AquiferPumpTest 6,! 9 V 6 ' 9  ' ' 9 " ' ' 9 " ' ' 9 3 ' ' 9 3 ' 0V 9 " 0 9/! 9 "V 9 ;V,! 9 3 ;AquiferPumpTest 6,! 9 V 6 ' 9  ' ' 9 " ' ' 9 " ' ' 9 3 ' ' 9 3 ' 0V 9 " 0 SVD, 9 "  V  SЀ1st.sixhours 6,!+ V 6 '+  ' '+ " ' '+ " ' ?V9*+ 3 dd?  % @6++ 0V9dd @= <VV9'+ " dd<$ C9++ VV9dd C ;V,!+ 3 ;Ѐ1st.sixhours 6,!+ V 6 '+  ' '+ " ' '+ " ' ?V9*+ 3 dd?  % @6++ 0V9dd @= <VV9'+ " dd<$ ]VN6+   VV9dd  ]ЀAdd.hours>6#a(Dh|˷#Dh|(a KV96! y V ddK#a(Dh|#Dh|(a @6+ y V9dd @#a(Dh|A#Dh|(a ' y " ' ' y " ' ?V9* y 3 dd?% @6+ y 3V9dd @= <VV9' y " dd<$ C9+ y VV9dd C#a(Dh|#Dh|(a ;V,! y 3 ;ЀAdd.hours>6#a(Dh|T#Dh|(a KV96! y V ddK#a(Dh|#Dh|(a @6+ y V9dd @#a(Dh|r#Dh|(a ' y " ' ' y " ' ?V9* y 3 dd?% @6+ y 3V9dd @= <VV9' y " dd<$ ]VN6 y   VV9dd ]SoilVaporExtraction 6,!w  V 6 'w   ' 'w  " ' 'w  " ' 'w  3 ' 'w  3 ' 0Vw  " 0 9/!w  "V 9 ;V,!w  3 ;SoilVaporExtraction 6,!w  V 6 'w   ' 'w  " ' 'w  " ' 'w  3 ' 'w  3 ' 0Vw  " 0 SVD,w  "  V  SЀ1st.sixhours 6,! V 6 '  ' ' " ' ' " ' ?V9* 3 dd?  % @6+ 0V9dd @= <VV9' " dd<$ C9+ VV9dd C ;V,! 3 ;Ѐ1st.sixhours 6,! V 6 '  ' ' " ' ' " ' ?V9* 3 dd?  % @6+ 0V9dd @= <VV9' " dd<$ ]VN6   VV9dd  ]ЀAdd.hours>6#a(Dh|#Dh|(a KV96!_ V ddK#a(Dh|#Dh|(a @6+_ V9dd @#a(Dh|r#Dh|(a '_ " ' '_ " ' ?V9*_ 3 dd?% @6+_ 3V9dd @= <VV9'_ " dd<$ C9+_ VV9dd C#a(Dh|#Dh|(a ;V,!_ 3 ;ЀAdd.hours>6#a(Dh|#Dh|(a KV96!_ V ddK#a(Dh|#Dh|(a @6+_ V9dd @#a(Dh|#Dh|(a '_ " ' '_ " ' ?V9*_ 3 dd?% @6+_ 3V9dd @= <VV9'_ " dd<$ ]VN6_   VV9dd ]DualPhaseExtraction 6,!] V 6 ']  ' '] " ' '] " ' '] 3 ' '] 3 ' 0V] " 0 9/!] "V 9 ;V,!] 3 ;DualPhaseExtraction 6,!] V 6 ']  ' '] " ' '] " ' '] 3 ' '] 3 ' 0V] " 0 SVD,] "  V  SЀ1st.sixhours 6,! V 6 '  ' ' " ' ' " ' ?V9* 3 dd?  % @6+ 0V9dd @= <VV9' " dd<$ C9+ VV9dd C ;V,! 3 ;Ѐ1st.sixhours 6,! V 6 '  ' ' " ' ' " ' ?V9* 3 dd?  % @6+ 0V9dd @= <VV9' " dd<$ ]VN6   VV9dd  ]ЀAdd.hours>6#a(Dh|%#Dh|(a KV96!EV ddK#a(Dh|#Dh|(a @6+EV9dd @#a(Dh|#Dh|(a 'E" ' 'E" ' ?V9*E 3 dd?% @6+E!3V9dd @= <VV9'E"" dd<$ C9+E#VV9dd C#a(Dh|'#Dh|(a ;V,!E$3 ;ЀAdd.hours>6#a(Dh|#Dh|(a KV96!E%V ddK#a(Dh|I#Dh|(a @6+E&V9dd @#a(Dh|#Dh|(a 'E'" ' 'E(" ' ?V9*E)3 dd?% @6+E*3V9dd @= <VV9'E+" dd<$ mVV9X6E,  VV9dd ddmOther(specify) @6+C-VV9dd @ 'C. ' 'C/" ' 'C0" ' 'C13 ' 'C23 ' 0VC3" 0 9/!C4"V 9 KVV96!C53 ddKOther(specify) @6+C6VV9dd @ 'C7 ' 'C8" ' 'C9" ' 'C:3 ' 'C;3 ' 0VC<" 0 SVD,C="  V  SЀ1st.sixhours 6,!>V 6 '? ' '@" ' 'A" ' ?V9*B3 dd?  % @6+C0V9dd @= <VV9'D" dd<$ C9+EVV9dd C ;V,!F3 ;Ѐ1st.sixhours 6,!GV 6 'H ' 'I" ' 'J" ' ?V9*K3 dd?  % @6+L0V9dd @= <VV9'M" dd<$ ]VN6N  VV9dd  ]ЀAdd.hours>6#a(Dh|X#Dh|(a KV96!+OV ddK#a(Dh|q#Dh|(a @6++PV9dd @#a(Dh|#Dh|(a '+Q" ' '+R" ' ?V9*+S3 dd?  % @6++T0V9dd @= <VV9'+U" dd<$ C9++VVV9dd C#a(Dh|#Dh|(a ;V,!+W3 ;ЀAdd.hours>6#a(Dh|#Dh|(a KV96!+XV ddK#a(Dh|#Dh|(a @6++YV9dd @#a(Dh|;#Dh|(a '+Z" ' '+[" ' ?V9*+\3 dd?  % @6++]0V9dd @= <VV9'+^" dd<$ aVR6+_  VV9dd  aPI7StandardExemption(ifrequired) 9/$)`V 9 ?V9*)a3 dd?% @6+)b3V9dd @= <VV9')c" dd<$ C9+)dVV9dd C ?V0!)e3 ?PI7StandardExemption(ifrequired) 9/$)fV 9 ?V9*)g3 dd?% @6+)h3V9dd @= <VV9')i" dd<$ aVR6)j  VV9dd aSubtotalSubcontractedPersonnel= QV9<$wkV ddQ$ @6+wlV9dd @ 'wm3 ' 'wn3 ' 0Vwo" 0 9/!wp"V 9 ?V0!wq3 ?SubtotalSubcontractedPersonnel= QV9<$wrV ddQ$ @6+wsV9dd @ 'wt3 ' 'wu3 ' 0Vwv" 0 SVD,ww"  V  SSubcontractorMarkup% 6,!ixV 6 'iy ' <V9'iz" dd<% @6+i{3V9dd @ 'i|3 ' 'i}3 '= <VV9'i~" dd<$ C9+iVV9dd C ;V,!i3 ;SubcontractorMarkup% 6,!iV 6 'i ' <V9'i" dd<% @6+i3V9dd @ 'i3 ' 'i3 '= <VV9'i" dd<$ ]VN6i  VV9dd ]CostProposalPreparation 6,!V 6 ' ' '" ' '" ' '3 ' '3 '= ?V9*" dd?$ C9+V9dd C ;V,!3 ;CostProposalPreparation 6,!V 6 ' ' '" ' '" ' '3 ' '3 '= ?V9*" dd?$ _VVVN6  V9dd  _ #a(Dh|#Dh|(aA.TotalPersonnel =VV,!]VVV =#a(Dh|)#Dh|(a =VV,!]VV = =VV,!]"VV = =VV,!]"VV = =VV,!]3VV = =VV,!]3VV = KVVV96!]"VV ddK#a(Dh|#Dh|(a  $ C9+]VVV9dd C#a(Dh|{#Dh|(a =VVV,!]3 = #a(Dh| #Dh|(aA.TotalPersonnel =VV,!]VVV =#a(Dh|#Dh|(a =VV,!]VV = =VV,!]"VV = =VV,!]"VV = =VV,!]3VV = =VV,!]3VV = KVVV96!]"VV ddK#a(Dh|# #Dh|(a  $ [Q6]  VVV9dd  [#a(Dh| #Dh|(a 9/!m3 9 9/!m3 9 9/!m" 9 9/!m" 9 9/!m3 9 9/!m3 9 9/!m" 9 9/!m" 9 9/!m3 9#a(Dh| #Dh|(a 9/!m3 9 9/!m3 9 9/!m" 9 9/!m" 9 9/!m3 9 9/!m3 9 9/!m" 9 ND,m"   N #a(Dh| #Dh|(aB.Equipment ' '#a(Dh| #Dh|(a ' ' '" ' '" ' '3 ' '3 ' '" ' * " *#a(Dh|h #Dh|(a 6,!3 6 #a(Dh| #Dh|(aB.Equipment ' '#a(Dh|9 #Dh|(a ' ' '" ' '" ' '3 ' '3 ' '" ' DVV5"   DItem 9V,![VV 9Units 9V,!["V 9 9V,!["V 9$/Unit 9V,!["V 9 9V,!["V 9Sub. 9V,!["V 9 ?VV,!["V ?Total 9/!["VV 9 ;VV,![3 ;Item 9V,![VV 9Units 9V,!["V 9 9V,!["V 9$/Unit 9V,!["V 9 9V,!["V 9Sub. 9V,!["V 9 ?VV,!["V ?Total SVD,["  VV  SDatalogger(2chan.) NV99!MV ddN @6+MV9dd @x ?V9*M" dd?$ @6+MV9dd @ ?V9*M3 dd?  % @6+M0V9dd @= <VV9'M" dd<$ C9+MVV9dd C ;V,!M3 ;Datalogger(2chan.) NV99!MV ddN @6+MV9dd @x ?V9*M" dd?$ @6+MV9dd @ ?V9*M3 dd?  % @6+M0V9dd @= <VV9'M" dd<$ ]VN6M  VV9dd  ]Datalogger(8chan.) NV99!V ddN @6+V9dd @x ?V9*" dd?$ @6+V9dd @ ?V9*3 dd?  % @6+0V9dd @= <VV9'" dd<$ C9+VV9dd C ;V,!3 ;Datalogger(8chan.) NV99!V ddN @6+V9dd @x ?V9*" dd?$ @6+V9dd @ ?V9*3 dd?  % @6+0V9dd @= <VV9'" dd<$ ]VN6  VV9dd  ]Generator(3500watt) NV99!OV ddN @6+OV9dd @x ?V9*O" dd?$ @6+OV9dd @ ?V9*O3 dd?% @6+O3V9dd @= <VV9'O" dd<$ C9+OVV9dd C ;V,!O3 ;Generator(3500watt) NV99!O V ddN @6+O V9dd @x ?V9*O " dd?$ @6+O V9dd @ ?V9*O 3 dd?% @6+O3V9dd @= <VV9'O" dd<$ ]VN6O  VV9dd  ]Compressor(5hp.) NV99!MV ddN @6+MV9dd @x ?V9*M" dd?$ @6+MV9dd @ ?V9*M3 dd?  % @6+M0V9dd @= <VV9'M" dd<$ C9+MVV9dd C ;V,!M3 ;Compressor(5hp.) NV99!MV ddN @6+MV9dd @x ?V9*M" dd?$ @6+MV9dd @ ?V9*M3 dd?  % @6+M0V9dd @= <VV9'M " dd<$ ]VN6M!  VV9dd  ]PressureTransducer NV99!"V ddN @6+#V9dd @x ?V9*$" dd?$ @6+%V9dd @ ?V9*&3 dd?  % @6+'0V9dd @= <VV9'(" dd<$ C9+)VV9dd C ;V,!*3 ;PressureTransducer NV99!+V ddN @6+,V9dd @x ?V9*-" dd?$ @6+.V9dd @ ?V9*/3 dd?  % @6+00V9dd @= <VV9'1" dd<$ ]VN62  VV9dd  ]185cfmCompressor NV99!A3V ddN @6+A4V9dd @x ?V9*A5" dd?$ @6+A6V9dd @ ?V9*A73 dd?% @6+A83V9dd @= <VV9'A9" dd<$ C9+A:VV9dd C ;V,!A;3 ;185cfmCompressor NV99!A<V ddN @6+A=V9dd @x ?V9*A>" dd?$ @6+A?V9dd @ ?V9*A@3 dd?% @6+AA3V9dd @= <VV9'AB" dd<$ ]VN6AC  VV9dd  ]Regen.Blower(1.5hp.) NV99!?DV ddN @6+?EV9dd @x ?V9*?F" dd?$ @6+?GV9dd @ ?V9*?H3 dd?  % @6+?I0V9dd @= <VV9'?J" dd<$ C9+?KVV9dd C ;V,!?L3 ;Regen.Blower(1.5hp.) NV99!?MV ddN @6+?NV9dd @x ?V9*?O" dd?$ @6+?PV9dd @ ?V9*?Q3 dd?  % @6+?R0V9dd @= <VV9'?S" dd<$ ]VN6?T  VV9dd  ]LiquidRingPump NV99!UV ddN @6+VV9dd @x ?V9*W" dd?$ @6+XV9dd @ ?V9*Y3 dd?  % @6+Z0V9dd @= <VV9'[" dd<$ C9+\VV9dd C ;V,!]3 ;LiquidRingPump NV99!^V ddN @6+_V9dd @x ?V9*`" dd?$ @6+aV9dd @ ?V9*b3 dd?  % @6+c0V9dd @= <VV9'd" dd<$ ]VN6e  VV9dd  ]SVETrailer(selfcont.) NV99!3fV ddN @6+3gV9dd @x ?V9*3h" dd?$ @6+3iV9dd @ ?V9*3j3 dd?% @6+3k3V9dd @= <VV9'3l" dd<$ C9+3mVV9dd C ;V,!3n3 ;SVETrailer(selfcont.) NV99!3oV ddN @6+3pV9dd @x ?V9*3q" dd?$ @6+3rV9dd @ ?V9*3s3 dd?% @6+3t3V9dd @= <VV9'3u" dd<$ ]VN63v  VV9dd  ]AirStripper. NV99!1wV ddN @6+1xV9dd @x ?V9*1y" dd?$ @6+1zV9dd @ ?V9*1{3 dd?  % @6+1|0V9dd @= <VV9'1}" dd<$ C9+1~VV9dd C ;V,!13 ;AirStripper. NV99!1V ddN @6+1V9dd @x ?V9*1" dd?$ @6+1V9dd @ ?V9*13 dd?  % @6+10V9dd @= <VV9'1" dd<$ ]VN61  VV9dd  ]Holdingtank(1000gal.) NV99!V ddN @6+V9dd @x ?V9*" dd?$ @6+V9dd @ ?V9*3 dd?  % @6+0V9dd @= <VV9'" dd<$ C9+VV9dd C ;V,!3 ;Holdingtank(1000gal.) NV99!V ddN @6+V9dd @x ?V9*" dd?$ @6+V9dd @ ?V9*3 dd?  % @6+0V9dd @= <VV9'" dd<$ ]VN6  VV9dd  ]Holdingtank(5000gal.) NV99!}%V ddN @6+}%V9dd @x ?V9*}%" dd?$ @6+}%V9dd @ ?V9*}%3 dd?% @6+}%3V9dd @= <VV9'}%" dd<$ C9+}%VV9dd C ;V,!}%3 ;Holdingtank(5000gal.) NV99!}%V ddN @6+}%V9dd @x ?V9*}%" dd?$ @6+}%V9dd @ ?V9*}%3 dd?% @6+}%3V9dd @= <VV9'}%" dd<$ ]VN6}%  VV9dd  ]CarbonCanister NV99!# V ddN @6+# V9dd @x ?V9*# " dd?$ @6+# V9dd @ ?V9*# 3 dd?  % @6+# 0V9dd @= <VV9'# " dd<$ C9+# VV9dd C ;V,!# 3 ;CarbonCanister NV99!# V ddN @6+# V9dd @x ?V9*# " dd?$ @6+# V9dd @ ?V9*# 3 dd?  % @6+# 0V9dd @= <VV9'# " dd<$ ]VN6#   VV9dd  ]SmallItems NV99! qV ddN @6+ qV9dd @x ?V9* q" dd?$ @6+ qV9dd @ ?V9* q3 dd?  % @6+ q0V9dd @= <VV9' q" dd<$ C9+ qVV9dd C ;V,! q3 ;SmallItems NV99! qV ddN @6+ qV9dd @x ?V9* q" dd?$ @6+ qV9dd @ ?V9* q3 dd?  % @6+ q0V9dd @= <VV9' q" dd<$ ]VN6 q  VV9dd  ]MiscellaneousSupplies NV99!o!V ddN @6+o!V9dd @x ?V9*o!" dd?$ @6+o!V9dd @ ?V9*o!3 dd?  % @6+o!0V9dd @= <VV9'o!" dd<$ C9+o!VV9dd C ;V,!o!3 ;MiscellaneousSupplies NV99!o!V ddN @6+o!V9dd @x ?V9*o!" dd?$ @6+o!V9dd @ ?V9*o!3 dd?  % @6+o!0V9dd @= <VV9'o!" dd<$ mVV9X6o!  VV9dd  ddm XV9C+"3VV9dd ddX @6+"V9dd @x ?V9*"" dd?$ @6+"V9dd @ ?V9*"3 dd?  % @6+"0V9dd @= <VV9'"" dd<$ C9+"VV9dd C KVV96!"3 ddK XV9C+"3VV9dd ddX @6+"V9dd @x ?V9*"" dd?$ @6+"V9dd @ ?V9*"3 dd?  % @6+"0V9dd @= <VV9'"" dd<$ mVV9X6"  VV9dd  ddm XV9C+"c 3VV9dd ddX @6+"c V9dd @x ?V9*"c " dd?$ @6+"c V9dd @ ?V9*"c 3 dd?% @6+"c 3V9dd @= <VV9'"c " dd<$ C9+"c VV9dd C KVV96!"c 3 ddK XV9C+"c 3VV9dd ddX @6+"c V9dd @x ?V9*"c " dd?$ @6+"c V9dd @ ?V9*"c 3 dd?% @6+"c 3V9dd @= <VV9'"c " dd<$ aVR6"c   VV9dd aSubtotalSubcontractedEquipment = QV9<$a# !V ddQ$ C9+a# !V9dd C 6,!a# !3 6 'a# !3 ' 0Va# !" 0 9/!a# !"V 9 ?V0!a# !3 ?SubtotalSubcontractedEquipment= QV9<$a# !V ddQ$ C9+a# !V9dd C 6,!a# !3 6 'a# ! 3 ' 0Va# ! " 0 SVD,a# ! "  V SSubcontractorMarkup% 6,!#! V 6 '#!  ' <9'#!" dd<% @6+#!39dd @ '#!3 ' '#!3 '= ?V9*#!" dd?$ C9+#!V9dd C ;V,!#!3 ;SubcontractorMarkup% 6,!#!V 6 '#! ' <9'#!" dd<% @6+#!39dd @ '#!3 ' '#!3 '= ?V9*#!" dd?$ _VVVN6#!  V9dd  _ #a(Dh| #Dh|(aB.TotalEquipment =VV,!$I"VVV =#a(Dh|f #Dh|(a =VV,!$I"VV =#a(Dh|f #Dh|(a =VV,!$I""VV = =VV,!$I" "VV = =VV,!$I"!3VV = =VV,!$I""3VV = KVVV96!$I"#"VV ddK  $#a(Dh|'g #Dh|(a C9+$I"$VVV9dd C#a(Dh|h #Dh|(a =VVV,!$I"%3 = #a(Dh|:i #Dh|(aB.TotalEquipment =VV,!$I"&VVV =#a(Dh|i #Dh|(a =VV,!$I"'VV =#a(Dh|Pj #Dh|(a =VV,!$I"("VV = =VV,!$I")"VV = =VV,!$I"*3VV = =VV,!$I"+3VV = KVVV96!$I","VV ddK  $#a(Dh|j #Dh|(a [Q6$I"-  VVV9dd  [#a(Dh|]l #Dh|(a 9/!Y%#.3 9 9/!Y%#/3 9 9/!Y%#0" 9 9/!Y%#1" 9 9/!Y%#23 9 9/!Y%#33 9 9/!Y%#4" 9 9/!Y%#5" 9 9/!Y%#63 9#a(Dh|l #Dh|(a 9/!Y%#73 9 9/!Y%#83 9 9/!Y%#9" 9 9/!Y%#:" 9 9/!Y%#;3 9 9/!Y%#<3 9 9/!Y%#=" 9 ND,Y%#>"   N #a(Dh|=o #Dh|(aC.WasteManagement '%#? '#a(Dh|_q #Dh|(a '%#@ ' '%#A" ' '%#B" ' '%#C3 ' '%#D3 ' '%#E" ' * %#F" *#a(Dh|q #Dh|(a 6,!%#G3 6 #a(Dh|4s #Dh|(aC.WasteManagement '%#H '#a(Dh|s #Dh|(a '%#I ' '%#J" ' '%#K" ' '%#L3 ' '%#M3 ' '%#N" ' DVV5%#O"   D 9V,!&G$P3VV 9Units 9V,!&G$Q"V 9 9V,!&G$R"V 9$/Unit 9V,!&G$S"V 9 9V,!&G$T"V 9Sub. 9V,!&G$U"V 9 ?VV,!&G$V"V ?Total 9/!&G$W"VV 9 ;VV,!&G$X3 ; 9V,!&G$Y3VV 9Units 9V,!&G$Z"V 9 9V,!&G$["V 9$/Unit 9V,!&G$\"V 9 9V,!&G$]"V 9Sub. 9V,!&G$^"V 9 ?VV,!&G$_"V ?Total SVD,&G$`"  VV  SVacuumTruck NV99!9'$aV ddN @6+9'$bV9dd @x ?V9*9'$c" dd?$ @6+9'$dV9dd @ ?V9*9'$e3 dd?  % @6+9'$f0V9dd @= <VV9'9'$g" dd<$ C9+9'$hVV9dd C ;V,!9'$i3 ;VacuumTruck NV99!9'$jV ddN @6+9'$kV9dd @x ?V9*9'$l" dd?$ @6+9'$mV9dd @ ?V9*9'$n3 dd?  % @6+9'$o0V9dd @= <VV9'9'$p" dd<$ ]VN69'$q  VV9dd  ]FluidsDisposal NV99!'%rV ddN @6+'%sV9dd @x ?V9*'%t" dd?$ @6+'%uV9dd @ ?V9*'%v3 dd?% @6+'%w3V9dd @= <VV9''%x" dd<$ C9+'%yVV9dd C ;V,!'%z3 ;FluidsDisposal NV99!'%{V ddN @6+'%|V9dd @x ?V9*'%}" dd?$ @6+'%~V9dd @ ?V9*'%3 dd?% @6+'%3V9dd @= <VV9''%" dd<$ aVR6'%  VV9dd aSubtotalSubcontractedWasteMgmt. = QV9<$(-&V ddQ$ C9+(-&V9dd C 6,!(-&3 6 '(-&3 ' 0V(-&" 0 9/!(-&"V 9 ?V0!(-&3 ?SubtotalSubcontractedWasteMgmt.= QV9<$(-&V ddQ$ C9+(-&V9dd C 6,!(-&3 6 '(-&3 ' 0V(-&" 0 SVD,(-&"  V SSubcontractorMarkup% 6,!)&V 6 ')& ' <9')&" dd<% @6+)&39dd @ ')&3 ' ')&3 '= ?V9*)&" dd?$ C9+)&V9dd C ;V,!)&3 ;SubcontractorMarkup% 6,!)&V 6 ')& ' <9')&" dd<% @6+)&39dd @ ')&3 ' ')&3 '= ?V9*)&" dd?$ _VVVN6)&  V9dd  _ #a(Dh|.t #Dh|(aC.TotalWasteManagement =VV,!)m'VVV =#a(Dh|6 #Faa =VV,!)m'VV =#aFaъ #Dh|(a =VV,!)m'"VV = =VV,!)m'"VV = =VV,!)m'3VV = =VV,!)m'3VV = KVVV96!)m'"VV ddK  $#a(Dh|P #Dh|(a C9+)m'VVV9dd C#a(Dh|ތ #Dh|(a =VVV,!)m'3 = #a(Dh|c #Dh|(a_C.Total_ԀWasteManagement =VV,!)m'VVV =#a(Dh| #Faa =VV,!)m'VV =#aFaȟ #Dh|(a =VV,!)m'"VV = =VV,!)m'"VV = =VV,!)m'3VV = =VV,!)m'3VV = KVVV96!)m'"VV ddK  $#a(Dh| #Dh|(a\R6)m'  VVV9dd \#DX%X(Dh|#?+ 4 <DL!X? #X0X%XDX #DX%XXX0ReimbursementApplicationCostComparison:PreapprovedtoActual Dh|(%XDX M< X   $M#DX%X(Dh|% #  #X0X%XDX #DX%XXX0Activity06CAPFeasibility D Testing @/$k @ =,!D3 = =,!D" =#X0X%XDX #DX%XXX0 =,!D" =#X0X%XDX' #DX%XXX0 =,!D3 = LPST# K96!D3 ddK#X0X%XDX #DX%XXX0Ԁ G6+D 39dd G#X0X%XDX{ #DX%XXX0 A0!D 3 A #X0X%XDX #DX%XXX0FacilityID  @ #X0X%XDX #DX%XXX0Dh|(%XDX N99$D 3 ddN#a(Dh| #Dh|(a XN6D 3 $  9dd  X#a(Dh| #Dh|(aResponsibleParty <V9'{#  dd<Ѐ UV9@+{#V9dd ddU UV9@+{#3V9dd ddU UV9@+{#"V9dd ddU UV9@+{#3V9dd ddU UV9@+{#3V9dd ddU UV9@+{#"V9dd ddU D:+{#"V9dd DFacilityNameandAddress @ CVa.{#3 dC XV9C.{#3Vad ddX UV9@+{#3V9dd ddU XN6{#3  V9dd X#a(Dh|. #Dh|(a '!3 ' '!3 ' '!" ' '!" ' '!3 ' '!3 ' '!" ' * ! " * 6,!!!3 6 '!"3 ' '!#3 ' '!$3 ' '!%" ' '!&3 ' '!'3 ' '!(" ' ?5!)"  ? #a(Dh|l #Dh|(aD.Analytical 'c* '#a(Dh|r #Dh|(a 'c+ ' 'c," ' 'c-" ' 'c.3 ' 'c/3 ' 'c0" ' * c1" *#a(Dh| #Dh|(a 6,!c23 6 #a(Dh|A #Dh|(aD.Analytical 'c3 '#a(Dh| #Dh|(a 'c4 ' 'c5" ' 'c6" ' 'c73 ' 'c83 ' 'c9" ' DVV5c:"   D 9V,!l;3VV 9Units 9V,!l<"V 9 9V,!l="V 9$/Unit 9V,!l>"V 9 9V,!l?"V 9Sub. 9V,!l@"V 9 ?VV,!lA"V ?Total 9/!lB"VV 9 ;VV,!lC3 ; 9V,!lD3VV 9Units 9V,!lE"V 9 9V,!lF"V 9$/Unit 9V,!lG"V 9 9V,!lH"V 9Sub. 9V,!lI"V 9 ?VV,!lJ"V ?Total SVD,lK"  VV  STPHWater NV99!LV ddN @6+MV9dd @x ?V9*N" dd?$ @6+OV9dd @ ?V9*P3 dd?  % @6+Q0V9dd @= <VV9'R" dd<$ C9+SVV9dd C ;V,!T3 ;TPHWater NV99!UV ddN @6+VV9dd @x ?V9*W" dd?$ @6+XV9dd @ ?V9*Y3 dd?  % @6+Z0V9dd @= <VV9'[" dd<$ ]VN6\  VV9dd  ]BTEXWater NV99!T]V ddN @6+T^V9dd @x ?V9*T_" dd?$ @6+T`V9dd @ ?V9*Ta3 dd?% @6+Tb3V9dd @= <VV9'Tc" dd<$ C9+TdVV9dd C ;V,!Te3 ;BTEXWater NV99!TfV ddN @6+TgV9dd @x ?V9*Th" dd?$ @6+TiV9dd @ ?V9*Tj3 dd?% @6+Tk3V9dd @= <VV9'Tl" dd<$ ]VN6Tm  VV9dd  ]TPHAir NV99!R nV ddN @6+R oV9dd @x ?V9*R p" dd?$ @6+R qV9dd @ ?V9*R r3 dd?  % @6+R s0V9dd @= <VV9'R t" dd<$ C9+R uVV9dd C ;V,!R v3 ;TPHAir NV99!R wV ddN @6+R xV9dd @x ?V9*R y" dd?$ @6+R zV9dd @ ?V9*R {3 dd?  % @6+R |0V9dd @= <VV9'R }" dd<$ ]VN6R ~  VV9dd  ]BTEXAir NV99! V ddN @6+ V9dd @x ?V9* " dd?$ @6+ V9dd @ ?V9* 3 dd?% @6+ 3V9dd @= <VV9' " dd<$ C9+ VV9dd C ;V,! 3 ;BTEXAir NV99! V ddN @6+ V9dd @x ?V9* " dd?$ @6+ V9dd @ ?V9* 3 dd?% @6+ 3V9dd @= <VV9' " dd<$ ]VN6   VV9dd  ]TotalLeadWater NV99! FV ddN @6+ FV9dd @x ?V9* F" dd?$ @6+ FV9dd @ ?V9* F3 dd?  % @6+ F0V9dd @= <VV9' F" dd<$ C9+ FVV9dd C ;V,! F3 ;TotalLeadWater NV99! FV ddN @6+ FV9dd @x ?V9* F" dd?$ @6+ FV9dd @ ?V9* F3 dd?  % @6+ F0V9dd @= <VV9' F" dd<$ mVV9X6 F  VV9dd  ddm XV9C+D 3VV9dd ddX @6+D V9dd @x ?V9*D " dd?$ @6+D V9dd @ ?V9*D 3 dd?% @6+D 3V9dd @= <VV9'D " dd<$ C9+D VV9dd C KVV96!D 3 ddK XV9C+D 3VV9dd ddX @6+D V9dd @x ?V9*D " dd?$ @6+D V9dd @ ?V9*D 3 dd?% @6+D 3V9dd @= <VV9'D " dd<$ mVV9X6D   VV9dd  ddm XV9C+ 3VV9dd ddX @6+ V9dd @x ?V9* " dd?$ @6+ V9dd @ ?V9* 3 dd?  % @6+ 0V9dd @= <VV9' " dd<$ C9+ VV9dd C KVV96! 3 ddK XV9C+ 3VV9dd ddX @6+ V9dd @x ?V9* " dd?$ @6+ V9dd @ ?V9* 3 dd?  % @6+ 0V9dd @= <VV9' " dd<$ mVV9X6   VV9dd  ddm XV9C+ 8 3VV9dd ddX @6+ 8 V9dd @x ?V9* 8 " dd?$ @6+ 8 V9dd @ ?V9* 8 3 dd?% @6+ 8 3V9dd @= <VV9' 8 " dd<$ C9+ 8 VV9dd C KVV96! 8 3 ddK XV9C+ 8 3VV9dd ddX @6+ 8 V9dd @x ?V9* 8 " dd?$ @6+ 8 V9dd @ ?V9* 8 3 dd?% @6+ 8 3V9dd @= <VV9' 8 " dd<$ ]VN6 8   VV9dd  ]Tedlarbags NV99!6 V ddN @6+6 V9dd @x ?V9*6 " dd?$ @6+6 V9dd @ ?V9*6 3 dd?  % @6+6 0V9dd @= <VV9'6 " dd<$ C9+6 VV9dd C ;V,!6 3 ;Tedlarbags NV99!6 V ddN @6+6 V9dd @x ?V9*6 " dd?$ @6+6 V9dd @ ?V9*6 3 dd?  % @6+6 0V9dd @= <VV9'6 " dd<$ ]VN66   VV9dd  ]Shipping NV99! V ddN @6+ V9dd @x ?V9* " dd?$ @6+ V9dd @ ?V9* 3 dd?% @6+ 3V9dd @= <VV9' " dd<$ C9+ VV9dd C ;V,! 3 ;Shipping NV99! V ddN @6+ V9dd @x ?V9* " dd?$ @6+ V9dd @ ?V9* 3 dd?% @6+ 3V9dd @= <VV9' " dd<$ aVR6   VV9dd aSubtotalSubcontractedAnalytical= QV9<$* V ddQ$ C9+* V9dd C 6,!* 3 6 '* 3 ' 0V* " 0 9/!* "V 9 ?V0!* 3 ?SubtotalSubcontractedAnalytical= QV9<$* V ddQ$ C9+* V9dd C 6,!* 3 6 '* 3 ' 0V* " 0 SVD,* "  V SSubcontractorMarkup% 6,! V 6 '  ' <9' " dd<% @6+ 39dd @ ' 3 ' ' 3 '= ?V9* " dd?$ C9+ V9dd C ;V,! 3 ;SubcontractorMarkup% 6,! V 6 '  ' <9' " dd<% @6+ 39dd @ ' 3 ' ' 3 '= ?V9* " dd?$ _VVVN6   V9dd  _ #a(Dh|5 #Dh|(aD.TotalAnalytical =VV,!j VVV =#a(Dh|J #Faa =VV,!j VV = =VV,!j "VV = =VV,!j "VV = =VV,!j 3VV = =VV,!j 3VV = KVVV96!j "VV ddK  $#aFa #Dh|(a C9+j VVV9dd C#a(Dh| #Dh|(a =VVV,!j 3 = #a(Dh|/ #Dh|(aD.TotalAnalytical =VV,!j VVV =#a(Dh| #Faa =VV,!j VV = =VV,!j "VV = =VV,!j "VV = =VV,!j !3VV = =VV,!j "3VV = KVVV96!j #"VV ddK  $#aFaF #Dh|(a XN6j $  VVV9dd X#a(Dh| #Dh|(a 'n%3 ' 'n&3 ' 'n'" ' 'n(" ' 'n)3 ' 'n*3 ' 'n+" ' * n," * 6,!n-3 6#a(Dh| #Dh|(a 'n.3 ' 'n/3 ' 'n0" ' 'n1" ' 'n23 ' 'n33 ' 'n4" ' ?5n5"  ? #a(Dh|^ #Dh|(aE.Travel '6 '#a(Dh| #Dh|(a '7 ' '8" ' '9" ' ':3 ' ';3 ' '<" ' * =" *#a(Dh|h #Dh|(a 6,!>3 6 #a(Dh| #Dh|(aE.Travel '? '#a(Dh|9 #Dh|(a '@ ' 'A" ' 'B" ' 'C3 ' 'D3 ' 'E" ' DVV5F"   D 9V,!\G3VV 9Units 9V,!\H"V 9 9V,!\I"V 9$/Unit 9V,!\J"V 9 9V,!\K"V 9Sub. 9V,!\L"V 9 ?VV,!\M"V ?Total 9/!\N"VV 9 ;VV,!\O3 ; 9V,!\P3VV 9Units 9V,!\Q"V 9 9V,!\R"V 9$/Unit 9V,!\S"V 9 9V,!\T"V 9Sub. 9V,!\U"V 9 ?VV,!\V"V ?Total SVD,\W"  VV  SEquipmentTruck NV99!NXV ddN @6+NYV9dd @x ?V9*NZ" dd?$ @6+N[V9dd @ ?V9*N\3 dd?  % @6+N]0V9dd @= <VV9'N^" dd<$ C9+N_VV9dd C ;V,!N`3 ;EquipmentTruck NV99!NaV ddN @6+NbV9dd @x ?V9*Nc" dd?$ @6+NdV9dd @ ?V9*Ne3 dd?  % @6+Nf0V9dd @= <VV9'Ng" dd<$ ]VN6Nh  VV9dd  ]Onewaymileagetosite 6,!iV 6 'j ' <V9'k" dd< @6+l"V9dd @ 'm3 ' 'n3 ' 0Vo" 0 9/!p"V 9 ;V,!q3 ;Onewaymileagetosite 6,!rV 6 's ' <V9't" dd< @6+u"V9dd @ 'v3 ' 'w3 ' 0Vx" 0 SVD,y"  V  SMileage(100r.t.) NV99!BzV ddN @6+B{V9dd @x ?V9*B|" dd?$ @6+B}V9dd @ ?V9*B~3 dd?  % @6+B0V9dd @= <VV9'B" dd<$ C9+BVV9dd C ;V,!B3 ;Mileage(100r.t.) NV99!BV ddN @6+BV9dd @x ?V9*B" dd?$ @6+BV9dd @ ?V9*B3 dd?  % @6+B0V9dd @= <VV9'B" dd<$ ]VN6B  VV9dd  ]TravelTime NV99!@V ddN @6+@V9dd @x ?V9*@" dd?$ @6+@V9dd @ ?V9*@3 dd?% @6+@3V9dd @= <VV9'@" dd<$ C9+@VV9dd C ;V,!@3 ;TravelTime NV99!@V ddN @6+@V9dd @x ?V9*@" dd?$ @6+@V9dd @ ?V9*@3 dd?% @6+@3V9dd @= <VV9'@" dd<$ ]VN6@  VV9dd  ]PerDiem NV99!V ddN @6+V9dd @x ?V9*" dd?$ @6+V9dd @ ?V9*3 dd?  % @6+0V9dd @= <VV9'" dd<$ C9+VV9dd C ;V,!3 ;PerDiem NV99!V ddN @6+V9dd @x ?V9*" dd?$ @6+V9dd @ ?V9*3 dd?  % @6+0V9dd @= <VV9'" dd<$ ]VN6  VV9dd  ]Airfare NV99!4V ddN @6+4V9dd @x ?V9*4" dd?$ @6+4V9dd @ ?V9*43 dd?% @6+43V9dd @= <VV9'4" dd<$ C9+4VV9dd C ;V,!43 ;Airfare NV99!4V ddN @6+4V9dd @x ?V9*4" dd?$ @6+4V9dd @ ?V9*43 dd?% @6+43V9dd @= <VV9'4" dd<$ aVR64  VV9dd aSubtotalSubcontractedTravel = QV9<$2V ddQ$ C9+2V9dd C 6,!23 6 '23 ' 0V2" 0 9/!2"V 9 ?V0!23 ?SubtotalSubcontractedTravel= QV9<$2V ddQ$ C9+2V9dd C 6,!23 6 '23 ' 0V2" 0 VVG,2"  V  VSubcontractorMarkup% 9/!tV 9 9/!t 9 K96!t" ddK% @6+t39dd @ 't3 ' 't3 '= ?V9*t" dd?$ C9+tV9dd  C >V/!t3  >SubcontractorMarkup% 9/!tV 9 9/!t 9 K96!t" ddK% @6+t39dd @ 't3 ' 't3 '= ?V9*t" dd?$ _VVVN6t  V9dd  _ #a(Dh| #Dh|(aE.TotalTravel =VV,!~&VVV =#a(Dh|u #Faa =VV,!~&VV =#aFa #Dh|(a =VV,!~&"VV = =VV,!~&"VV = =VV,!~&3VV = =VV,!~&3VV = KVVV96!~&"VV ddK  $#a(Dh| #Dh|(a C9+~&VVV9dd C#a(Dh| #Dh|(a =VVV,!~&3 = #a(Dh| #Dh|(aE.TotalTravel =VV,!~&VVV =#a(Dh| #Faa =VV,!~&VV =#aFaȫ #Dh|(a =VV,!~&"VV = =VV,!~&"VV = =VV,!~&3VV = =VV,!~&3VV = KVVV96!~&"VV ddK  $#a(Dh|* #Dh|(a XN6~&  VVV9dd X#a(Dh| #Dh|(a '*3 ' '*3 ' '*" ' '*" ' '*3 ' '*3 ' '*" ' * *" * 6,!*3 6#a(Dh|R #Dh|(a '*3 ' '*3 ' '*" ' '*" ' '*3 ' '*3 ' '*" ' ?5*"  ? #a(Dh| #Dh|(aF.OtherExpenses 'l ' 'l '#a(Dh| #Dh|(a 'l" ' 'l" ' 'l3 ' 'l3 ' 'l" ' 'l" '#a(Dh|> #Dh|(a 'l3 ' #a(Dh|j #Dh|(aF.OtherExpenses 'l ' 'l '#a(Dh| #Dh|(a 'l " ' 'l " ' 'l 3 ' 'l 3 ' 'l " ' DVV5l"   D 9V,!p3VV 9Units 9V,!p"V 9 9V,!p"V 9$/Unit 9V,!p"V 9 9V,!p"V 9Sub. 9V,!p"V 9 ?VV,!p"V ?Total 6,!p"VV 6 ,VVp3 , 9V,!p3VV 9Units 9V,!p"V 9 9V,!p"V 9$/Unit 9V,!p"V 9 9V,!p"V 9Sub. 9V,!p"V 9 ?VV,!p"V ?Total cVV9N,p"  VV  ddc XV9C+  3VV9dd ddX @6+ !V9dd @x ?V9* "" dd?$ @6+ #V9dd @ ?V9* $3 dd?  % @6+ %0V9dd @= <VV9' &" dd<$ @6+ 'VV9dd @ <VV9' (3 dd< XV9C+ )3VV9dd ddX @6+ *V9dd @x ?V9* +" dd?$ @6+ ,V9dd @ ?V9* -3 dd?  % @6+ .0V9dd @= <VV9' /" dd<$ mVV9X6 0  VV9dd  ddm XV9C+X13VV9dd ddX @6+X2V9dd @x ?V9*X3" dd?$ @6+X4V9dd @ ?V9*X53 dd?  % @6+X60V9dd @= <VV9'X7" dd<$ @6+X8VV9dd @ <VV9'X93 dd< XV9C+X:3VV9dd ddX @6+X;V9dd @x ?V9*X<" dd?$ @6+X=V9dd @ ?V9*X>3 dd?  % @6+X?0V9dd @= <VV9'X@" dd<$ mVV9X6XA  VV9dd  ddm XV9C+VB3VV9dd ddX @6+VCV9dd @x ?V9*VD" dd?$ @6+VEV9dd @ ?V9*VF3 dd?% @6+VG3V9dd @= <VV9'VH" dd<$ @6+VIVV9dd @ <VV9'VJ3 dd< XV9C+VK3VV9dd ddX @6+VLV9dd @x ?V9*VM" dd?$ @6+VNV9dd @ ?V9*VO3 dd?% @6+VP3V9dd @= <VV9'VQ" dd<$ aVR6VR  VV9dd aSubtotalSubcontractedOther = QV9<$SV ddQ$ C9+TV9dd C 6,!U3 6 'V3 ' 0VW" 0 6,!X"V 6 0V!Y3 0SubtotalSubcontractedOther= QV9<$ZV ddQ$ C9+[V9dd C 6,!\3 6 ']3 ' 0V^" 0 SVD,_"  V SSubcontractorMarkup% 6,!>`V 6 '>a ' <9'>b" dd<% @6+>c39dd @ '>d3 ' '>e3 '= ?V9*>f" dd?$ @6+>gV9dd @ ,V>h3 ,SubcontractorMarkup% 6,!>iV 6 '>j ' <9'>k" dd<% @6+>l39dd @ '>m3 ' '>n3 '= ?V9*>o" dd?$ _VVVN6>p  V9dd  _ #a(Dh|z #Dh|(aF.TotalOtherExpenses =VV,!<qVVV =#a(Dh|8 #Faa =VV,!<rVV =#aFa{9 #Dh|(a =VV,!<s"VV = =VV,!<t"VV = =VV,!<u3VV = =VV,!<v3VV = KVVV96!<w"VV ddK  $#a(Dh|9 #Dh|(a @6+<xVVV9dd @#a(Dh|; #Dh|(a .VVV<y3 . #a(Dh| < #Dh|(aF.TotalOtherExpenses =VV,!<zVVV =#a(Dh|}< #Faa =VV,!<{VV =#aFa= #Dh|(a =VV,!<|"VV = =VV,!<}"VV = =VV,!<~3VV = =VV,!<3VV = KVVV96!<"VV ddK  $#a(Dh|= #Dh|(a [Q6<  VVV9dd $[#a(Dh|#? #Dh|(a 9/! 3 9 9/! 3 9 9/! 3 9 9/! 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