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Payment Summary Page , of <br /> claim No: 11775 Claimant: HELEN HIGGINS <br /> Request No:'10 Reviewer: Maris OwensAjo <br /> Region: 5 oats: JW14= 4 <br /> P Q,... -appy M#sA end ummed for the b yr sd90 ion <br /> 1 WA 02ff0551A2 36 h fISB is%be <br /> 950,0(1 950.00 <br /> an non-petrute�rn aonZe !'s`tutur�e costs assoC�+�h <br /> gii kwea�tibn will ineligible for lun&rg(rewto footnote). <br /> RTAC==190. <br /> See above aotrtrrrent <br /> 2 WA 04/09!02 237.56 237.50 pp r►ts inn bfe-see <br /> 3 WA 05102102 724.50 524.50 200.00 35 Lab analyses for non pehoferun <br /> footrtots. <br /> 4 WA 07/01102 95.00 95.00 0.00 <br /> 5 WA 089= 2,669.75 1,769.75 900.00 See above comment <br /> 6 WA . 09V04162 7130.00 78f100 O gb <br /> 7 WA 11101102 9500 95.00 0.00 <br /> 8 WA 04103/03 142.50 142 50 0.00 <br /> lab analyses for nmVetrolem contamk�- <br /> 9 WA 051 M3 3,571.35 2,509-35 1.062-00 � <br /> 1C WA 06102103 85600 855.00 0.06 <br /> 11 WA 07101103 775.00 275.06 0.00 <br /> 12 WA 11N.�l`03 3�.3i 2.407-35 1,o82.D0 h 1e lab re+alys�for nat�Qeholeum�- <br /> 13 WA 12107103 7130.00 p1i�C>1�TANT NOTE: FOR FUTUFtE� .ONLY A <br /> 14 WA 03V02104 28510 285.00 <br /> p0�1 OF t�OSTS FOR GRpt1NDINATEFt f►AONiTOR1NG VYiLL <br /> PETROLEUM WDROCARBONS.AND 2)ESSSENTb1LLY NON- <br /> DETECT CONTAfitKW LEVELS IN ALL WELLS BUT 93. <br /> CHECK WITH REGULATORY AGENCY FOR POSSIBLE SITE <br /> ( OSURE. <br /> _ e <br /> r <br /> Previous ReirnbursaeneM Totals: 77,021.68 j. <br /> 0.00 <br /> Current Rehrtibwsemae4r 11,665.95 <br /> ,,�I Carty these amounts forward to the next'Spread dWr In the <br /> * - E-"'— -Amount Requested.Previous Tofaf'a-d'Thlyd Parity Costr"cotumra. <br /> FMMOTES <br /> 35- CONTAIUN'ANM <br /> with and renrediating non-pebvleum contaminants are not eligible for funding. The Fund is only authorised to reimburse <br /> The �maodaftd <br /> reasonable and necessary avert ld act►°n costs resulting from an"unauthorized release"of"petroleum,-as those terms are defined in Fund Regulation 2804. <br /> Section 2812.1.(b)requires three bids for any work after December 2nd,1991,or cost eligibility may be compromised. <br /> Page 1 of 1 <br />