OF THE STATE OF ILLINOIS

KELLER OIL CO./MOWEAQUA

)

SEP

29

2004

Petitioner,

)

STATE OF ILLINOIS

)

Poflut~on

Control Board

v.

)

PCB05-O2~.

)

(UST Appeal)

ILLINOIS ENVIRONMENTAL

)

PROTECTION AGENCY,

)

)

Respondent.

)

NOTICE OF FILING

TO:

Jom

Kim

Special Assistant Attorney General

Illinois Environmental

Protection Agency

1021

North Grand Avenue East

P.O.

Box

19276

Springfield, Illinois 62794-9276

PLEASE

TAKE

NOTICE

that

on

September

29,

2004,

filed

with

the

Clerk

of the

Illinois

Pollution

Control Board of the

State

of Illinois

an original, executed copy of a Petition

for Review ofIllinois Environmental Protection Agency Decision.

Dated:

September 29,

2004

Respectfully submitted,

Keller Oil Co./Moweaqua

By:

______________

One of Its Atthrneys

Carolyn

S. Hesse

Barnes

& Thornburg LLP

One North Wacker Drive

Suite 4400

Chicago, Illinois 60606

(312)

357-1313

23903 lvi

This

filing submitted on

recycled paper as defined in 35

III.

Adm. Code

101.202

---

CERTIFICATE OF SERVICE

I,

on

oath

state

that

I

-have

served

the

attached

Petition

for

Review

of

Illinois

Environmental

Protection Agency Decision by placing a copy in

an envelope

addressed to:

John Kim

Special Assistant Attorney General

Illinois Environmental Protection Agency

1021 North Grand Avenue East

P.O.

Box

19276

Springfield, Illinois

62794-9276

from

One North Wacker

Drive,

Suite

4400,

Chicago, Illinois,

before the hour of 5:00

p.m.,

on

this

29th

Day September, 2004.

~

_

Carolyn S. H&~se

This

filing

submitted on recycled

paper as defined in

35

Iii. Adm. Code

101.202

2

---

~~1~EO

BEFORE THE POLLUTION CONTROL BOARD

SEP 29

200

OF THE

STATE OF ILLINOIS

STATE OF ILLINOIS

KELLER OIL CO.

I

MOWEAQUA

)

OlIUtlOfl Control Board

)

Petitioner,

)

)

v.

)

PCBNo. 05.(1~

)

ILLINOIS ENVIRONMENTAL

)

PROTECTION AGENCY,

)

)

Respondent.

)

PETITION FOR REVIEW OF ILLINOIS ENVIRONMENTAL

PROTECTION AGENCY DECISION

Keller Oil

Co.

/

Moweaqua,

by

its

attorney,

Carolyn S.

Hesse of Barnes

&

Thomburg,

pursuant

to

the Illinois

Enviranmental

Protection Act,

415

ILCS

5/1

et. seq.

(the “Act”)

and 35

Illinois

Administrative

Code

Section

105.400

et.

seq.,

hereby

appeals certain

decisions

by

the

Illinois Environmental Protection Agency (the “Agency”).

1.

Keller

Oil

Company

(“Petitioner”),

is

the

owner of a

gasoline

service

station

located

at

201

South

Main

Street,

Moweaqua,

Shelby

County,

Illinois

(the

“Station”).

This

gasoline

service

station

had

underground

storage tanks

(UST’s)

on

the property,

which

stored

gasoline

and

diesel

fuel.

2.

LUST

Incident

Number

981937

was

obtained

following

a

site

investigation.

The site has also

been assigned

LPC #1734205006-Shelby

County.

3.

On

May

12,

2004,

Petitioner

sent

to

the

Agency

a

revised

Corrective

Action

Plan

Budget

(the

“Budget”)

to

perform

corrective

action

at

the

This

filing submitted on recycled paper

as defined

in 35

III. Adm. Code

1O1.2O2~

---

Station.

(See

Exhibit

1.)

The

Agency

received

this

document

on

May

13, 2004.

The Budget included signed certifications to the effect that

the

submitted

Budget

complied with

the

Environmental

Protection

Act.

(See

Exhibit

1,

2nd

page.)

4.

On August

25,

2004,

the

Agency sent

a

letter

to

Petitioner

rejecting the

High

Priority

Corrective

Action

Plan

Budget

(the

“Budget”).

(See

Exhibit 2.)

The letter stated as follows:

The Illinois

EPA previously notified

the

owner or

operator of its

final action.

Further, in accordance with 57.7(c)(4) ofthe Act and

35

Ill. Adm.

Code

732.503(f), the Illinois EPA’s action to

reject or

require modification of the plan or budget,

or the rejection of any

plan or

budget by

operation

of law,

was

subject to

appeal

to

the

Illinois

Pollution

Control

Board within

35

days

after the Illinois

EPA’s

final

action.

Pursuant

to

Section

57.7(a)(1)

and

57.7(c)(4)(D)

of the

Act

and

35

Ill.

Adm.

Code

732.405(e)

and

732.503(b),

the

associated

budget

is

rejected

for. the

following

reason(s):

The budget is

associated with the aforementioned plan.

Pursuant

to

35

Ill.

Adm.

Code

732.401

the

Illinois

EPA requires

submittal of a revised plan,

and budget if applicable,

within ninety

(90) days ofthe date of this letter.

The

letter

then

goes

on

to

state

that

Petitioner

has

the

right

to

appeal this decision to the Illinois Pollution Control Board.

5.

The

Agency’s

letter

provides

no

additional

information

regarding

why

IEPA disapproved the Budget.

6.

Petitioner is appealing the Agency’s decision letter dated August

25,

2004.

7.

Petitioner’s

submittal

dated May

12,

2004

to

the Illinois

EPA included

a

detailed budget and in

its cover letter for the Budget, the consultant for the

Petitioner stated that:

This

filing submitted

on

recycled paper

as defined in 35 Ill.

Adm. Code 101.2021

2

-

---

The

Revised

CAP

Budget

is

necessary

due

to

the

previously

approved budget being insufficient to

complete the approved plan.

It has been determined that the requested amount will be necessary

in

order

to

complete the

approved

work

in

accordance

with

the

regulations.

8.

Section 732.405(e) provides as follows:

e)

If, following approval ofany groundwater monitoring plan,

corrective

action plan

or associated

budget plan, an

owner

or

operator

determines

that

revised

procedures

or

cost

estimates

are

necessary

in

order

to

comply

with

the

minimum

required

activities

for

the

site,

the

owner

or

operator

shall

submit,

as

applicable,

an

amended

groundwater

monitoring

plan,

corrective

action

plan

or

associated

budget

plan

for

review

by

the

Agency.

The

Agency

shall

review

and

approve,

reject

or

require

modifications

of the

amended

plan

in

accordance with

the

procedures contained in Subpart E ofthis Part.

9.

Under the terms of Section

732.405(e),

the Agency

is

required to

review

the

revised

Budget

in

accordance

with

the

procedures

contained

in

Subpart E of part

732.

Illinois

EPA has

failed

to

perform the

detailed

review required by Subpart E,

Section 732.505.

10.

Petitioner has determined that-revised cost

estimates are necessary in

order

to

comply

with

the minimum required activities

for the

site and

that the

costs

IEPA previously

approved are not

adequate to

allow

Petitioner

to

comply

with the Act

or to

perform the

work described

,in

the

approved

CAP.

11.

Petitioner’s

costs

to

perform the work as

set

forth

in

the

revised Budget

are reasonable costs.

-

This

filing submitted on recycled paper as defined in 35 Ill. Adm. Code 101.2021

3

---

WHEREFORE,

Keller

Oil

Co./Moweaqua respectfully

requests

that

the

Board

enter an order requiring the Agency to

approve the

High Priority Corrective Action Plan

Budget to

allow Keller Oil Co./Moweaqua to cover the costs ofthe cleanup at this facility

and for Keller Oil Co./Moweaqua’s attorneys’ fees and costs in bringing this appeal.

-

Respectfully submitted,

Keller Oil Co./Moweaqua

By:

______________

One of Its Atto

eys

Carolyn S. Hesse,

Esq.

Barnes & Thornburg LLP

-

One North Wacker Drive

Suite 4400

Chicago, Illinois 60606

(312) 357-1313

238936v1

This

filing submitted

on recycled paper

as

defined in 35

Ill. Adm. Code

101.2021

4

---

C

~SV

~II\’l

Conipany

701 ~S9UthG~a~~dAVeflu1e

Environmental Consulting Services

Phone

(217) 522 8001

Fax:

(217)

522-8009

May

12,

2004

-

Mr.

Chris

Covert, Project Manager

-

LUST Section,

Bureau of Land

Illinois

Environmental Protection Agency

1021

North Grand Avenue

East

-

Springfield,

Illinois

62794-9276

RE:

LPC#1734205006—Shelby County

-

Moweaqua/L. Keller Oil Properties, inc./Môweaqua

Shell

-

201

South Main Street

-

Incident No. 98-1937

-

-

LUST Technical File— Revised Corrective Action Plan Budget

Dear Mr.

Covert:

-

In response to your March 2,

2001,

Corrective Action Plan (CAP) modifications made

to the November

16,

2000,

Corrective Action Plan Budget Modification, we are

‘submitting this

Revised CAP Budget reflecting your plan modifications

as well as

including

some updated suppliers

which

will significantly

reduce the projected costs

versus our previous

estimates.

The Revised CAP Budget is

necessary due to the

previously approved budgets being insufficient to

complete the approved plan.

It has

been determined that the requested amount will be

necessary in order to

complete the

approved’work in

accordance with the regulations.

This budget is

intended to

replace all previously approved corrective action budgets.

If

you have any questions

are require additional information,

please contact Mr.

Vince

Smith or me at (217) 522-8001.

On behalf of L.

Keller Oil Properties, Inc., thank you

for your assistance throughout

this process.

‘

-

Sinnott Rowe,

P.G

Senior Environmental

Geologist

xc:

Mr.

Charles Keller,

L. Keller

Oil Properties,

Inc.

Mr. William T.

Sinnott,

CWM Company,

Inc.

D:\CW3M

Project.s\Keller

-

Moweaqua\CAP\ rev budget cl.doc

-

EXHIBIT

701 W.

South

Grand

Avenue

400

West Jackson, Suite

C

Springfield, IL

62704

Ma~on,IL

62959

---

-

Illinois Environmental ‘Protection Agency

Owner/Operator and Professional Engineer Budget Certification Form for

Leaking Underground Storage Tanks Sites

In accordance with

415

ILCS

5/57,

if an owner or operator intends to

seek payment from the UST Fund,

an

owner or operator must submit to the Agency, for the--Agency’s approval or modification, a budget

which includes

an accounting of all

costs associated with the implementation of the investigative,

monitoring and/or corrective actionplans.

-

I hereby

certify

that I intend to

seek payment from the UST Fund for ne~rforming

______________________

Corrective

Action

activities

at

Moweaqua

She

1

LUST site.

I

further certify that the

costs set forth in this budget are necessary activities and are reasonable and

accurate to the best of my knowledge and belief.

I also certify that the costs included in this budget

are

not for corrective’action in excess of the minimum requirements of.415 ILCS

5/57

and

no costs are

included in this budget which

are

not described in the corrective action plan.

I further certify that costs

ineligible for payment ‘from the Fund pursuant to 35 Illinois Administrative Code Section 732.606 are not

included in the budget proposal or amendment.

Such ineligible costs include but

are

not limited to:

Costs associated with ineligible, tanks.

Costs associated with site restoration

(e.g., pump islands, canopies).

Costs associated with utility replacement (e.g.,

sewers, electrical, telephone, etc.).

Costs

incurred prior to IEMA notification.

Costs associated with plannedtankpulls.

Legal defense costs.

Costs incurred prior to July 28,

1989.

Costs associated with installation ofnewUSTs

or

the repair of existing USTs.

Owner/Operator:

L

eli

Oil Pr’op-~.ties,Inc.

Title:

Charles

F.

Keller, President

Si~a~zre:____________________________________________

Date:

_________________

Subscribed and s~o~obefor

me the

2-

~

day of

~

,

20

~

(Budget Proposals ~and

(Budget ‘-in

nçL2ei~tsiii~st

be notarizedwhen

the

cert(fIcation is signed.)

~Iã’iy

Public)

CAROL

L.

ROWE

NOTARY

PUBLIC,

STATE OF

ILLINOIS

~MM1SSION

EXPIRES 2-23.2005

FE.:

Vince

E.

Smith

-

-

P.E.

Si~athre:_______________________________

the

I

~~layof

wnts must be notarized

Public)

-

The Agency is authorized

to

require

this

information under 415

ILCS 5/1.

Disclosure of this

information is

required.

Failure to do

so

may result in the delay or denial of any budget or payment requested hereunder.

This

form has been approved

by the Forms

ManagementCenter.

IL 532

2273

r~r~i.

LPC499Rev.Mar-94

OrrICIA~SEAL

-

BB:jk\971405S.WPD

,

3

CAROL L, RO’W~

NOTARY PUBLIC,

STATE

OF ILLINOIS

-

L~~0MM1SSION

EXPiRES 2-23-2005

---

BTJDGET

AND

BILLING FORM FOR

LEAKING

UNDERGROUND

STORAGE

TANK SITES

A.

SITE INFORMATION

Site

Name:

Moweagua Shell

-

Site Address:

201

South Main

‘

City:

Moweagua

Zip:

62550

County:

Shelby

IEPA Generator No.:

1734205006

IEMA

Incident No.:

98-1937

-

IEMA Notification Date:

8/5/98

Date this Form

was Prepared:

-

May

11, 2004

This form is being

submitted

as

a:

-

X

Budget Proposal (REVISED)

__________Budget Amendment (Budget Amendments must include only the

costs

-

over the previous budget.)

Amendment Number:

___________

Billing Package

for costs

incurred pursuant to

35

Illinois Administrative

Code

(IAC),

Part

732’ (“New program’).

This

form

is

being submitted for

the

Site Activities indicated below (check one):

Early

Action

-

Site

Classification

___________

Low Priority Corrective Action

X

High

Priority

Corrective Action

____________

Other

(indicate activities)

_______________________________________

DO NOT SUBMIT

“NEW

PROGRAM” COSTS

AND

“OLD PROGRAM”

COSTS

AT THE SAME TIME, ON THE SAME FORMS.

A-i

IL 532-2263

-

LPC

494

Rev.

11197

This

form

must be submitted in duplicate.

---

IEMA

No.

98-1937

If eligible

for reimbursement where

should reimbursement checks

be sent?

Please note that

only

owners or

operatort

of lISTs may

be eligible

for reimbursement.

Therefore, payment can only

be

made

to

an owner or

operator.

Pay to the order

of:

Send

in care

of:

L.

Keller Oil

Properties,

Inc.

CW3M

Company,

Inc.

Number of Petroleum USTs

in Illinois presently owned or operated by

the owner or operator;

any subsidiary,

parent or joint stock

company

of

the owner or operator, and

any

company owned

by any

parent,

subsidiary

0:

joint

stock

company of the owner or operator:

-

Fewer

than

101:

_____________

101

or more:

___________

Number of USTs at the site:

4

(Number of USTs

includes USTs

presently at the site

and lISTs

-

that have been removed.)

Number of incidents

reported to IEMA:

1

Incident

Numbers assigned to the site due to releases from

lISTS’:

98-1937

--

Please list all

tanks

which have ever been located at the

site and are

presently located at the

site.

Product

Stored

Gasoline

8,000

6.000

,

2,000

560

‘

.

Yes

No

Yes

No

Yes

No

Yes

-

No

98-1937

98-1937

98-1937

98-1937

Gasoline

Gasoline

Used

Oil

Yes

No

Yes

No

Yes

A-2

Address:

P.O. Box

571

City:

‘

Carlinville

State:

Illinois

Zip:

62626

x

Size

Did

lIST

(gallons)

‘

have a release?

Incident No.

Type of

Release

Overfill/line leak

Overfill/line leak

Overfill/line leak

Yes

No

Yes

No

Yes

No

Overfill/line leak

This form must be submitted in duplicate.

---

B.

PROPOSED BUDGET SUMMARY

AND BUDGET TOTAL

1.

Investigation

Costs:

$

2.

Analysis

Costs:

$

3.

Personnel Costs:

-

,

$

4.

Equipment Costs:

$

5,

Field Purchases and

Other

Costs:

$

6.

Handling Charges:

$

IEMA

No.

98-1937

11,340.00

18,595.00

137,030.00

645.00

406,143.40

13,505.16

TOTAL PROPOSED BUDGET

=

$

587,258.57

B-i

-

This form

must be submitted in duplicate.

---

E.

IEMANo.

98-1937

Other Costs

Number of Units

Unit Cost

Total Cost

see

attached

“Other” sheet

2.

Professional Services (eg., P.E.,

geologist)

-

These costs

must be listed in Section

I, the Persomel

-‘

section of

the forms.

E-1

INVESTIGATION

COSTS

-

Meihod

I

Method II

Method III

Not

Applicable

X

1.

DrillIng

Costs

-

This includes

the

costs

for drilling labor,

drill rig

usage,

and other

drilling

equipment.

Borings which are

to be completed as monitoring wells

should be listed here.

Costs

associated with

disposal

of cuttings should not be

included here.

An indication must be made

as to

why each boring

is

being

conducted (I.e..

classification,

monitoring wells,

migration pathways).

12

borings

to

15

feet

=

180

feet to be bored for

investigation/monitoring

4

borings

to

8

feet

=

32

feet to be bored for

investigation

8

borings

to

-

10

feet

=

80

feet to be bored for

investigation

0

borings

to

0

feet

=

0

feet to be bored for

O

borings

to

0

feet

=

0

feet to be bored for

-

-

Total Feet

to be Bored:

292

-

Borings:

292

feet

x

$‘

15.00

perfoot’=$

4,380.00

(or)

Hours

0

x

$

0

per hour

=

$

0

-

-

0

borings

through

-

0

ft of bedrock

=

‘

0

Ft bedrock to be bored

,

0

borings

through

0

ft of bedrock

=

0-Ft bedrock to be bored

Total

Feet bedrock to be Bored:

0

Borings:

0

Ft bedrock x

$

‘

0

-

per

ft

bedrock

=

$

0

(or)

0

Hours

x

$

0

per Hour

-

=

$

0

3

#

of Mobilizations ~

$

260.00

per mobilization

=

$

780.00

This form must be submitted In duplicate.

---

IEMANo.

98-1937

3.

Monitoring Well Installation

Materials

-

Costs listed

must be costs

associated with well

casing,

well

screens,

filter pack,

annular seal,

surface seal,

well

covers,

etc.

List the

itenis below in a time and

materials format,

Material

Number of Units

Unit Cost

Total

Cost

15-foot monitoring well

with 10-foot well

-

13

$

450.00

$

5,850.00

screen,

PVC riser,

flush

mount

manway,

filter

0

pack,

annular seal,

and surface seal

0

0

-

-

-_________

0

0

0

0

0

0

--

0

0

0

Total

$

5,850.00

Disposal

Costs

-

This includes the

costs

for disposing

of boring

cuttings and

any

water generated

while

performing borings

or installatin wells.

-

Disposal

of Cuttings:

6drums-x

$

55.00

per drum

=

$

330.00

Disposal

of Water:

0

gallons x

$

-

2.00

per gallon

=

$

0

Transportation Costs:

$

0

--

-

Describe how

the

water/soil

will be disposed:

-

TOTAL INVESTIGATION COSTS:

$

11,340.00

E-2

This form most

be

submitted in duplicate.

4.

---

-

-

-

JEMA No.

98-1937

F.

ANALYSIS

COSTS

INVESTIGATION &

CAP

DEVELOPMENT

1.

Physical Soil

Analysis

-

This

must only include

analy~i~

costs

for classification of soil types

at

the site.

Moisture

Content samples

x

$

_______________per

sample

=

______

Soil Classification

samples

x

$

________________

per sample

-

=

Indicate method

to be performed:

______

Soil Particle Size samples

x

$

________________per

sample

_____

Ex-situ Hydraulic -Conductivity/Permeability samples

-

x

$ _______________per

sample

-

Indicate

method to be performed:

-

Rock

Hydraulic Conductivity/Permeability samples

-

--

x

$

-

persample

=

Natural Organic Carbon Fraction (foe) samples

-

-

-

X

$ ____________per

sample

Indicate the ASTM or

SW-846 method to be performed:

=$

0

=$

0

samples x

$

_______________

per

sample

=

samples

x

$

_______________

per

sample

=

samples x

$

______________

per sample

=

samples

x

$

—

per

sample

=

samples

x

$

-

per

sample

=

$

0

$

‘0

$

0

$

0

$

0-

2. Soil Analysis Costs

-

This

must be for laboratory

analysI,~

only.

24

BTEX

samples

x

-

$

75.00

per sample

=

24

PNA

samples

x

$

175.00

per sample

=

Total

Lead samples

x

-

-per

sample

=

-

F-i

$

1,800.00

$

4,200.00

$

This

form must

be

submitted

in

duplicate

8

0

$

0

8

--

0

=8

-

0

---

_____pH Samples x

$

per sample

=

$

_______________

______

Paint Filter samples

x

$________________

per

sample

=

$

_______________

24

TCLP

©

samples x

85.00

per sample

=

$

_____________

______

Flash Point samples x

$

________________

per -sample

=

$

_______________

_____

Lab and/or Field Bank

samples x

-

_______________

1

LUST

Appendix

B

samples x

$

_____________

1

Waste

Characterization

samples x

$

_______________

____________________________

samples x

$

_______________

____________________________

samples

x

$

_______________

____________________________

samples

x

$

_______________

3.

Groundwater Analysis

Costs

-

This must be for laboratory

analysis

only.

13

BTEX

samples x

$

75.00

per

sample

=

$

975.00

13

PNA

samples

x

$

175.00

per sample

=

$

2,275.00

13

Total Lead samples x

$

20.00

per sample

=

$

_____pH

Samples

x

$______________

per sample

=

$

0

_____

Lab and/or Field Blank samples x

-

$______________

per sample

=

$

-

Flash Point

samples x

$

______________

______________

1

Waste_Characterization

_______________

-

2,040.00

$

per sample

=

$

-

900.00

per sample

=

$

900.00

400.00

per sample

=

$

400.00

_______________

per sample

=

$

-

______________

per

sample

=

$

-

_______________

per sample

=

$

-

______________

260.00

_______________

per sample

=

$

0

samples x

$

375.00

Per

sample

=

$

375.00

samples

x

$

_______________

Per sample

=

$

-

samples x

$

_______________

Per sample

$

-

samples x

$

_______________

Per sample

=

$

-

samples

x

$

_______________

Per sample

=

$

-

samples x

$

_______________

Per sample

=

$

-

13,225.00

TOTAL ANALYSIS

COSTS

=

$

F-2

This form must be submitted in duplicate.

---

-

IEMA No.

98-1937

G.

PERSONNEL

INVESTIGATION

-

-

All personnel costs

that are

not included elsewhere in the

budget/billing

form must be listed here.

Costs

must

be

listed per task,

not personnel type.

The following are

some examples of tasks:

Drafting,

data

collection,

plan, report, or

budget preparation

for

CAP

&

(i.e

site classification work plan,

45

day report,

or

high

priority corrective

action budget),

sampling,

field oversite for

CAP Dev.&’

(i.e.,

drilling/well

installation,

corrective action, or early action)of

maintenance of

Moweaqua

.

The above list

is not inclusive of all

possible tasks.

-

Environmental Engineer

16.75

hours

x

$

105.00

per hour

=

$

1,758.75

-

(Title)

-

-

Task

to be performed for the abovehours:

site investigation

-

Senior Env. Engineer

0

hours

x

$

115.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

site investigation

Senior

Env.

Geologist

24.5

hours

x

$

92.00

per hour

=

$

2,254.00

(Title)

-

-

Task to be performed for the

above hours:

site investigation

General Project Manager

6.5

hours

x

$

100.00

per hour

=

$

-

650.00

(Title)

Task to be performed for the

abovehours:

site investigation

-

Env. Project Geologist

-

27.75

hours

x

$

81.00

per hour

=

$

2,247.75

(Title)

-

-

Task to be performed for the above hours:

site investigation

-

Env.

Project

Scientist

8

hours

x

$

81.00

per

hour

=

648.00

(Title)

-

Task to be performed for the

above hours:

site investigation-

Engineering Technican

15.75

hours

x

$

55.00

per hour

$

866.25

(Title)

-

Task to be performed for tl3e

above hours:

site investigation

Laborer

0

hours

x

$

35.00

per hour

=

$

-

(Title)

-

-

-

Task to be performed for the

above hours:

site investigation

~

-

G-1

This form must be submitted in duplicate.

---

-

IEMA No.

98-1937

G.

PERSONNEL

INVESTIGATION

All personnel costs

that

are not included elsewhere in the

budget/billing form must be listed here.

Costs must

be

listed per task, not personnel

type.

The following

are

some examples

of tasks:

Drafting, data

collection,

plan, report,

or budget preparation for

CAP

&

(i.e

site classification work plan, 45

day

report, or high

priority

corrective action

budget),

sampling,

field

oversite for

CAP

Dev.8

(i.e.,

drilling/well

installation,

corrective action, or early action)of maintenance of

Moweagua

.

The above list is not inclusive

of all

possible tasks.

Technical Editor

0.25

-

hours

x

$

55.00

per

hour

=

$

13.75

(Title)

-

Task to be performed for the above hours:

site investigation

Draftsman

0

hours

x

$

55.00

per hour

=

$

-

-

(Title)

-

Task to be performed for the above hours:

site investigation

-

Technical Coordinator

0.25

hours

x

$

65.00-

per hour

=

$

16.25

(Title)

Task to be performed for

the

above hours:

site investigation

Administrative

Assistant

10

hours x

$

45.00

per hour

=

$

450.00

(Title)

-

-

Task to be perforir~ed

for the abovehours:

site investigation

Office

Manager

0

hours x

$

40.00

per

hour

=

$

-

(Title)

Task to be performed for the

above hours:

-

site investigation

Principal

0

hours

x

$

130.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

site investigation

Field Supervisor/Coordinator

0

hours

x

$

110.00

per

hour

=

$

-

(Title)

-

Task to be performed for the

above hours:

site

investigation

-

Wastewater

Trtmt.

Operator

0

hours

x

$

100.00

per hour

=

$

-

(Title)

-

Task to be performed for the

above hours:

site investigation

-

G-ia

This

form

must be submitted in duplicate.

---

IEMA No.

98-1937

G.

PERSONNEL

CAP DEVELOPMENT

All personnel costs

that

are not included elsewhere in the budget/billing form must be listed here.

Costs must

be listed per task, not personnel type.

The following are

some

examples of tasks:

Drafting,

data collection,

plan, report, or budget preparation for

CAP

&

(i.e.,--site classification work plan, 45

day report,

or higi

priority

corrective action budget),

sampling,

field oversite for

CAP

Dev.&

(i.e.,

drilling/well installation,

corrective action,

or early action)of maintenance of

Moweaqua

.

The above list is not inclusive of

all

possible tasks.

-

-

Environmental

Engineer

52.25

hours x

$

105.00

per hour

=

$

5,486.25

-

(Title)

Task to be

performed for

the above hours:

CAP Development

-

Senior

Env. Engineer

0

hours x

$

115.00

per hour

=

$

-

(Title)

Task

to be performed for the

above hours:

CAP Development

Senior

Env.

Geologist

9

hours

x

$

92.00

per hour

=

$

828.00

-

(Title)

-

Task to be performed for the

above hours:

CAP Development

General Project Manager

3

hours

x

$

100.00

per hour

=

$

300.00

(Title)

Task to be performed for the

above hours:

CAP Development

-

Env. Project Geologist

6.25

hours

x

$

81.00

per hour

=

$

506.25

(Title)

Task to be performed for the

above hours:

CAP Development

Env.

Project Scientist

0.25

hours

x

$

81.00

per hour

=

$

20.25

(Title)

Task to be performed for the

above hours:

CAP Development

Engineering Technican

0

hours

x

$

55.00

per hour

=

$

-

(Title)

-

Task to be performed

for the

above hours:

CAP Development

Laborer

0

hours

x

$

35.00

per hour

=

$

-

(Title)

Task to be pcrformed

for the

above hours:

-

CAP Development

G-ib

This

form must be submitted in duplicate.

---

Technical Editor

(Title)

Task to be performed for the

above hours:

Draftsman

(Title)

Task to be performed for the

above hours:

Technical Coordinator

(Title)

Task to be performed for the

above hours:

Adniin.istrative Assistant

tI1LIC)

Task to be performed for the above

hours:

Office

Manager

(Title)

Task to be performed for the

above hours:

Principal

(Title)

-

Task to be performed for the

above hours:

Field Supervisor/Coordinator

(Title)

-

Task to be performed for the

above hours:

Wastewater Trtmt. Operator

(Title)

Task to be performed for the

above hours:

Task to be performed for the

above hours:

__________

TOTAL PERSONNEL COSTS:

$

17,293.00

-

G-2

98-1937

$

330.00

$

742.50

$

$

135.00

IEMA No.

_________

6

hours

x

$

55.00

per hour

=

CAP Development

13.5

hours

x

$

55.00

per hour

=

CAP Development

-

0

hoursx

$

65.00

per hour

=

CAP

Development

3

hoursx

$

45.00

per hour

=

CAP Development

I

hoursx

$

40.00

per hour

=

CAP Development

0

hours

x

$

130.00

per hour

=

CAP Development

0

hours

x

$

110.00

per hour

=

CAP Development

0

hours

x

$

100.00

per hour

=

CAP Development

hours

x

per hour

=

$

40.00

$

E

$

(Title)

$

$

This form must be submitted in duplicate.

---

-

IEMA No.

98-1937

H.

EQUIPMENT COSTS

INVESTIGATION

&

CAP DEVELOPMENT

All equipment used must be listed below in

a

time and materials format.

Handling

charges should not be

added here; use

Section

3.

-

-

H-i

Total Pace H-i

$

565.00

Equipment

Own

or

Rent---

Time Used

Units

Unit Rate

Total

Cost/Item

PD

Rental

rent

3.00

/day

$

125.00

$

375.00

Water Level

Indicator

rent

4.00

/day

$

15.00

$

60.00

Survey

Equipment Rental

rent

2.00

/day

$

65.00

$

130.00

0

-

0

0

0

-

0

0

0

-

0

0

--

0

0

-

0

0

0

0

-~

-

0

0

-

0

0

.

0

0

0

0

0

-

0

0

-

-

0

0

0

0

-0

0

0

0

0

0

This

form must

be submitted

in

duplicate

---

IEMA No.

98-1937

FIELD

PURCHASES

AND OTHER

COSTS

INVESTIGATION

&

CAP DEVELOPMENT

All equipment used must be listed below in

a time and materials format.

Handling

charges should not be

added here; use

Section

3.

-

Field Purchases

Quantit-y

Item

Price/Item

Total

Cost

Handling

Charges

Color

Copies

-

--

0

/each

$

1.25

8

-

yes

-

Carbon

Filter

Purchase

-

0

/each

$

600.00

$

-

yes

Manifests

0

/each

$

1.00

$

-

~es

Truck Liner

0

/each

$

4.00

$

-

yes

Bailers

13

/each

$

12.00

$

156.00

y~es

Film

-

-

1

leach

$

6.00

$

6.00

yes

Photo Development & Copies

-

1

/each

$

15.00

$

15.00

yes

Postage

-

$

39.20

yes

Drums

-

-

6

/each

$

50.00

$

300.00

yes

-

$

-

-

$

-

$

-

--

-

$

-

$

-

$

-

-

$

-

$

-

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

--

-

$

-

$

-

$

-

$

-

$

-

~-

-

$

-

$

-

$

-

Subtotal

Page I-i

$

516.20

I—i

This form must be submitted in duplicate

---

-

IEMAN98-l937

INVESTIGATION

&

CAP DEVELOPMENT

Other Costs

-

A

listing

and description of all

other costs

which

will be/were

incurred

and

are not specifically

listed on

this form should be attached.

The listing

should include a cost breakdown in a time and materials

format.

Other

Costs

No.

Rate

Cost

Copies

1197

$

0.10

$

119.70

Mileage for CW3M

trips

1120.00

$

0.35

-

$

392.00

Per Diem

-

0.00

$

36.00

.$

-

Total Other

$

511.70

*Mileage

8

trips at

-

140

miles/trip

TOTAL OTHER COSTS

$

1,027.90

1-2

Subtotal Page

1-2

$

511.70

Total

(Pages

1-i and

1-2)

S

1,027.90

*

This

form must

be submitted in duplicate

---

IEMANo.

98-1937

J.

HANDLING CHARGES

INVESTIGATION

&

CAP DEVELOPMENT

Handling

charges are

eligible

for payment on

subcontractor billings

and/or field

purchases

only if they

are

equal to or less

than the

amounts determined by

the

following table:

-

Subcontractor

or Field

Purchase Cost

$1

-$5,000

$5,001

-

$15,000

$15,001

-

$50,000

$50,001

-

$100,000

$100,001

-

$1,000,000

Eligible Handling Charges as a

Percentage of

Cost

12

$600

+

10

of amt. Over $5,000

$1,600

+ 8

of

amt.

Over $15,000

$4,400

+

5

of

amt.

Over $50,000

$6,900

+ 2

of amt.

Over

$100,000

A.

Subcontractor

Charges

-

Section

where cost

is listed

Subcontract Amount

E-1

$

5,160.00

E-2

$

5,850.00

E-2

-

$

330.00

E-2

E-2

F-2

$

$

$

-

-

-

13,225.00

J-i

Subtotal 3-1 Subtotal:

$

24,565.00

This form must

be submitted

in duplicate

---

Subtotal Page 3-2

:

S

IEMA No.

98-1937

Subtotal of Pages

1-1

and J-2:

$

25,081.20

-

*

Use chart at top of Page J-l

to calculate the

allowable handling

charge.

Copies of invoices for subcontractor costs

and

receipts

for field

purchases are

required for

billing submissions

-

J-2

B.

Field Purchase

INVESTIGATION

& CAP DEVELOPMENT

Purchase

Field Purchase

Amount

$

-

S

-

S

-

-

-

,,,

-

-

5

$

$

$

$

$

156.00

6.00

15.00

39.20

300.00

516.20

IHandlin~

Charae

*

:

See

Handling

Charge Total

This form must be submitted in

duplicate

---

IEMA

No.

98-1937

ifiGH PRIORITY

CORRECTIVE

ACTION

-

--

-

Corrective Action

at

High

Priority Sites may

involve both soil and groundwater remediation.

Below

provide a summary of costs

for the remediation type(s) chosen and

attach

the appropriate

sections of

the

budget/billing

forms to

support the summary of costs.

A.

Preparation of

the Corrective Action Plan.

- -

1.

Investigation

Costs:

$

11,340.00

2.

Analysis

Costs:

$

13,225.00

3.

Personnel

Costs:

$

17,293.00

4.

Equipment Costs:

$

565.00

5.

Field Purchases and

Other Costs:

$

1,027.90

6.

Handling

Charges:

See Handling Charge Total

B.

Groundwater

Remediation

*

**MW

well replacement, trenchinstallation and post excavation sampling.

-

1.

Analysis

Costs:

-

$

1,620.00

2.

Personnel Costs:

S

8,232.00

-

-

3.

Equipment Costs:

$

80.00

4.

Field Purchases and

Other Costs:

$

235.50

-

5.

Handling

Charges:

-

See

Handling Charge Total

Of the

above costs, please provide

a break

dowtt of the

costs

associated with operation and

maintenance (O&M),

if

applicable,

as requested below.

0

Months of O&M

x

$

-

per month

=

$

-

(includes utilities, maintenance and expendable

items)

C.

Excavation

and

Disposal

***

Includes excavation sampling

and analytical.

1.

Analysis

Costs:

$

3,750.00

2.

Personnel Costs:

-

3.

Equipment- Costs:

4.

Field Purchases and Other Costs:

5.

Handling

Charges:

$

46,440.00

$

$246,391.06

See Handling Charge Total

Of the above costs, please provide a

break

down

of the costs

associated with excavation,

transportation, and disposal

as

requestd below:

Excavation:

4,501.32

cubic yards X

$

20.23

per

cuyd

=

$

91,040.00

Transport:

4,501.32

cubic yards X

$

12.74

per cu yd

=

$

57,330.00

Disposal:

4,501.32

cubic yards X

$

31.05

per cuyd

=

$139,766.06

L-l

-

-

This

form must be submitted in duplicate

---

D.

Alternative Technology,

Type

None

IEMA No.

98-1937

1.

Investigation Costs:

2.

Analysis

Costs:

3.

Personnel

Costs:

4.

Equipment Costs:

5.

Field Purchases and Other Costs:

6.

Handling Charges:

Of the

above costs, please provide a break down

of the

follbwing costs

as requested below if

applicable:

-

-

1.

Personnel

Costs:

2.

Equipment Costs:

3.

Field Purchases and Other Costs:

4.

Handling

Charges:

$

60,281.25

$

-

$

158,345.45

-

See Handling

Charge

Total

Of the

above costs, please provide a break

down of the

following costs

as requested below if

applicable:

-

Type

of Backfill:

Sand Backfill

4761.01

cubicyardsX

-

___________

_________

_________

$

9.72

per cuyd

=

$46,277.06

Type of

Backfill:

Aggregate Backfill

-

190.44

cubic yards

X

$

18.98

per cu

yd

=

$

3,615.39

Type of

Backfill:

Septic Gravel Backfill

-

0.00

cubic yards X

#DIV/0~

per

cu yd

=

$

-

Type of

Backfill:

Concrete for Trailer

Pad

0.00

cubic yards X

-

$

-

per

cu

yd

=

$

-

-

L-2

-

$

$

$

$

$

$

Excavation:

cubic

yards X

$

cu yd

=

Transport:

cubic yards X

$

-

per cu yd

=

Disposal:

cubic yards X

$

-

-

per

cu yd

=

- -

Operation and Maintenance (O&M):

of O&M x

$

per month-

=

S

E.

Backfill

Costs

This form

must be submitted

in duplicate

---

IE\’IA

No.

98-1937

F

ANALYSIS

COSTS

GROUNDWATER

-

1. Physical Soil

Analysis

-

This must only include

~j~çj~sis

costs for classification of soil types

at the

site.

Moisture

Content samples

x

$

_______________

per sample

=

______

Soil Classification samples

x

$

________________

per sample

=

Indicate method

to be performed:

_______________

______

Soil

Particle Size

samples

x

$

________________per

sample

=

_____

Ex-situ Hydraulic

Conductivity/Permeability

samples

-

x

$ _____________per

sample

=

Indicate method to be performed:

-

_____

Rock Hydraulic Conductivity/Permeability samples

-

-

-

X

$

_______________

per

sample

=

Natural Organic

Carbon Fraction

(foc)

samples

-

x

$

________________

per

sample

Indicate the

ASTM or

SW-846 method- to be performed:

5

0

5

0

5;

0

5

0

5

0

=5

0

samples

x

$

samples

x

$

samples

x

$

samples x

$

samples x

$

______________

per

sample

=

$

______________

per

sample

=

$

______________

per sample

=

$

______________

per sample

=

$

_______________

per sample

=

$

0

0

0

0

0

2.

Soil Analysis

Costs

-

This must be for laboratory

analysis

only.

_BTEX

samples

x

$

_____________

_____

PNA

samples

x

_____________

_____

LUST

Pollutants

samples

x

_______________

F-i(2).

-

This form must be submitted in duplicate

______________

per sample

=

$

$

-

persample=

$

$______________

per sample

=

$

0

0

0

---

_____pH

Samples x

-

$

per sample

=

$

-

0

______

Paint Filter samples

x

$________________

per sample

=

$

0

_____

TCLP

© samples x

$_____________

per

sample

=

$

0

______

Flash Point

samples x

$

______________

per sample

=

$

0

______

Lab and/or Field Bank

samples x

$

per sample

=

$

0

___________________________

samples x

$

-

-

-

per sample

=

$

0

___________________________ samples x

$

_______________

per sample

=

$

0

_________________________

samples x

$

______________

per

sample

=

$

0

___________________________

samples

x

$

_______________

per sample

=

$

0

___________________________

samples

x

$

_______________

per sample

=

$

0

3.

Groundwater Analysis

Costs

-

This

must be for laboratory

anal

sis

only.

6

BTEX samples

x

$

75.00

per sample

=

$

450.00

6

PNA

samples x

-

5

175.00

per sample

=

$

1,050.00

-

_____LUST Pollutants

samples

x

-

$

per sample

=

$

-0

pH

Samples x

$_____________

per

sample

=

$

0

-

______

Lab and/or Field Blank samples

x

$

_______________

per

sample

=

$

0

______

Flash Point samples x

$

_______________

per sample

=

$

0

6 Total Lead

samples x

$

-

20.00

Per

sample

=

$

120.00

____________________________

samples x

$

________________

Per

sample

=

$

-

-

samples

x

$

_______________

Per sample

=

$

-

-

samples x

$

________________

Per

sample

=

$

-

-

samples

x

$

______________

Per

sample

=

$

0

___________________________

samples

x

$

_______________

Per

sample

=

$

0

TOTAL ANALYSIS COSTS

=

$

1;620,00

-

F-2(2)

This form must be submitted in duplicate.

---

IEMA No.

98-1937

G.

PERSONNEL

GROUNDWATER

All personnel costs that are not included elsewhere in the

budget/billing form must be listed here.

costs

must

be listed per task, not personnel

type.

The

following

are some examples of tasks: Drafting, data collection,

plan, report, or budget

preparation for

____________

(i.e.,

site classification work plan, 45

day report, or hig

priority

corrective action budget),

sampling,

field oversite for

-

(i.e.,

drilling/well

installation,

corrective action,

or early action),

of maintenance

of Moweagua

.

The above list is not inclusive

of

all

-

possible tasks.

-

Environmental Engineer

0.00

hours x

$

105.00

per hour

-=

$

-

(Title)

Task to be performed for the above hours:

Recovery Trench Installation

Senior Env.

Engineer

0.00

hours x

$

115.00

-

per hour

=

$

-

(Title)

-

Task to be performed for the above hours:

Recovery Trench Installation

Senior Env.

Geologist

-

-

0.00

hours x

$

92.00

per hour

=

S

-

(Title)

Task to be performed for the above hours:

-

Recovery

Trench Installation

General Project Manager

0.00

hours

x

$

100.00

per

hour

$

-

(Title)

-Task to be performed for the above hours:

Recovery Trench

Installation

Env.

Project Geologist

-

0.00

hours

x

$

81.00

per hour

=

$

-

(Title)

-

Task to be performed for the above hours:

Recovery Trench Installation

Env.

Project

Scientist

0.00

hours

x

$

8-1.00

per hour

=

$

-

(Title)

-

-

Task to be performed for the above

hours:

Recovery Trench Installation

-

Engineering Technican

0.00

hours x

$

55.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Recovery Trench

Installation

Laborer

0.00

hours x

-

$

35.00

per hour

=

$

-

(Title)

-

Task to be performed for the

above hours:

Recovery Trench

Installation

-

G-1(2)

This form

must

be submitted

in duplicate.

---

IEMA No.

98-1937

G.

PERSONNEL

-

GROUNDWATER

All personnel costs

that

are

not

included elsewhere

in the budget/billing

form must be listed here.

Costs must

be

listed per task,

not personnel type.

The following

are

some

examples of tasks: Drafting,

data co1l~ction,

plan,

report, or budget preparation for

____________

(i.e.,

site classification work plan, 45 day

report,

or hil

priority

corrective action budget),

sampling,

field oversite for

-

(i.e.,

drilling/well installation,

corrective action,

or early action), of maintenance of Moweaqua

.

The above list is not inclusive

of

all

-

possible

tasks.

Technical

Editor

-

0.00

hours x

$

55.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:-

Recovery Trench Installation

-

Draftsman

0.00

hours

x

$

55.00

per hour

=

$

-

-

(Title)

Task to be performed for the

above hours:

-

Recovery Trench Installation

Technical Coordinator

-

0.00

hours x

$

65.00

per hour

=

$

-

(Title)

Task tobe performed for the above hours:

Recovery Trench Installation

Administrative

Assistant

0.00

hours

x

$

45.00

per hour

=

$

-

(Title)

-

-

-

-

Task tobe performed for the

above hours:

-

Recovery Trench Installation

Office Manager

0.00

hours

x

$

40.00

per hour

$

-

-

(Title)

-

-

-

Task to be performed for the

above hours:

Recovery Trench Installation

Principal

-

0.00

hours

x

$

130.00

per hour

=

$

-

(Title)

-

Task to be performed for the

above hours:

Recovery Trench

Installation

Field Supervisor/Coordinator

0.00

hours x

$

110.00

per hour

=

$

-

(Title)

-

Task to be performed for the

above hours:

Recovery Trench Installation

Construction

Foreman

0.00

hours

x

$

65.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

-

Recovery Trench

Installation

G-la(2)

-

-

This form

must be submitted in duplicate.

---

IEMANo.

98-1937

G.

PERSONNEL

GROUNDWATER

All personnel costs

that

are

not included elsewhere

in the budget/billing

form must

be listed here.

Costs must

be

listed per task, not personnel type.

The following are some

examples of

tasks: Drafting,

data collection,

plan,

report,

or budget preparation for

_____________

(i.e.,

site classification work plan,

45

day report,

or hil

priority

corrective

action budget),

sampling,

field oversite for

-

(i.e.,

drilling/well installation,

corrective action,

or early action),

of maintenance of

Moweaqua

.

The

above list

is not inclusive of

all

possible tasks.

Environmental Engineer

8

hours

x

$

105.00

per hour

=

$

840.00

(Title)

Task to be performed for the above hours:

Replacement Well

Installation

Senior

Env.

Engineer

0

hours

x

$

115.00

per hour

=

$

-

(Title)

-

Task to be performed for the above hours:

-

Replacement Well

Installation

Senior

Env.

Geologist

1

hours

x

$

92.00

per hour

=

$

92.00

(Title)

-

Task

io

be performed for the

above hours:

Replacement Well Installation

-

General Project Manager

0

hours

x

$

100.00

per hour

=

$

-

(Title)

-

Task to be performed for the

above hours:

Replacement

Well Installation

Env. Project Geologist

-

8

hours

x

$

81.00

per

hour

=

$

648.00

(Title)

-

Task to be performed for the above hours:

Replacement Well

Installation

Env. Project

Scientist

0

hours

x

$

81.00

per hour

=

$

--

(Title)

-

Task to be performed for the above hours:

-

Replacement Well Installation

Engineering Technican

0

hours

x

$

55.00

per hour

=

S

-

(Title)

Task to be performed for the above hours:

-

Replacement Well Installation

-

Laborer

0

hours

x

$

35.00

per hour

=

$

-

(Title)

Task

to be performed for the above

hours:

Replacement Well

Installation

G-lb(2)

This

form must

be

submitted in duplicate.

---

IEMANo.

98-1937

G.

PERSONNEL

-

GROUNDWATER

All personnel costs

that

are

not included elsewhere m the budget/billing form must be listed here.

Costs must

be listed per task, not personnel type.

The following are

some examples of tasks:

Drafting, data collection,

plan, report, or budget-preparation for

___________

(i.e-, site classificationwork plan, 45

day report, or high

priority corrective action budget),

sampling,

field oversite for

____________

(i.e.,

drilling/well installation,

corrective action, or early action), of maintenance of

Moweagua

-

The above list is not inclusive of all

possible tasks.

Technical

Editor

S

-

hours x

$

55.00

per hour

-

S

-

(Title)

-

Task to be performed for the above hours:

Replacement Well Installation

Draftsman

-

-

S

-

hours

x

$

55.00

per hour

=

$

-

(Title)

-

Task to be performedfor the above hours:

Replacement Well Installation

Technical Coordinator

$

-

hours x

$

65.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

-

Replacement Well Installation

Administrative Assistant

$

1.00

hours x

$

45.00

perhour

=

$

45.00

-

(Title)

-

Task to be performed for the above hours:

Replacement Well Installation

Office Manager

$

-

hours

x

$

40.00

perhour

=

$

-

(Title)

-

Task

to be performed for the

above hours:

Replacement

Well Installation

Principal

--

$

-

hours

x

S

130.00

per hour

=

$

-

(Title)

-

-

-

Task to be performed for the above hours:

Replacement

Well Installation

-

Field Supervisor/Coordinator

$

-

hours x

$

110.00

perhour

=

$

-

-

(Title)

Task to be performed for the above hours:

Replacement Well Installation

Wastewater

Trtmt. Operator

$

-

hours

x

$

100.00

perhour

=

$

-

(Title)

Task to be performed for the above hours:

Replacement Well Installation

G-lc(2)

This form must be

submitted in

duplicate.

---

IEMA No.

98-1937

G.

PERSONNEL

GROUNDWATER

All personnel costs

that

are

not included elsewhere in the

budget/billing

form must be listed here.

Costs

must

be

listed per

task, not personnel type.

The following are

some

examples of

tasks:

Drafting,

data collection,

plan, report,

or budget preparation for

____________

(i.e.,

site classification work plan,

45

day report,

or hi~

priority

corrective action budget),

sampling,

field oversite for

-

(i.e.,

drilling/well installation,

corrective

action, or early

action), of

maintenanpe

of

Moweaqua

.

The above list is not inclusive

of all

possible tasks.

Environmental Engineer

0.00

hours

x

$

105.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

Monitoring Well Survey

and Sampling

Senior Env.

Engineer

0.00

hours

x

$

115.00

per hour

=

$

-

(Title)

-

-

Task to be performed for the above hours:

Monitoring Well Survey

and Sampling

Senior Env.

Geologist

1.00

hours x

$

92.00

per hour

=

$

92.00

(Title)

Task to be performed for

the

above hours:

Monitoring Well Survey

and Sampling

General Project Manager

0.00

hours x

$

100.00

per hour

=

$

-

(Title)

-

Task to be

performed for the above hours:

Monitoring Well Survey

and Sampling

Env.

Project Geologist

8.00

hours ~

$

81.00

per hour

=

$

648.00

(Title)

Task to be performed for the above hours:

Monitoring Well Survey

and Sampling

Env.

Project Scientist

0.00

hours

x

$

81.00

per hour

=

$

-

-

(Title)

Task to be performed for the above hours:

Monitoring Well Survey

and Sampling

Engineering Technican

8.00

hours

x

$

55.00

per

hour

=

$

440.00

(Title)

-

Task to be performed for the above hours:

Monitoring Well Survey

and Sampling

Laborer

0.00

hours x

$

35.00

per

hour

=

$

(Title)

Task to be performed for the

above hours:

Monitoring Well Survey

and Sampling

G-ld(2)

This form must be submitted in duplicate.

---

IEMA No.

98-1937

G.

PERSONNEL

GROUNDWATER

-

All personnel costs

that

are not included elsewhere in the budget/billing

form must be

listed here.

Costs

must

be listed per task, not personnel type.

The following

are some

examples of tasks:

Drafting, data collection,

plan, report,

or budget

preparation for

_____________

(i.e.,

site classification work plan,

45

day

report, or hii

priority

corrective

action budget),

sampling,

field

oversite for

____________

(i.e.,

drilling/well

installation,

corrective

action,

or

early action),

of maintenance

of

Moweaqua

.

The above list

is not inclusive

of

all

possible tasks.

Technical Editor

0.00

hours

x

$

55.00

per hour

=

S

-

(Title)

-

Task to be performed for

the above hours:

Monitoring Well Survey and Sampling

Draftsman

0.00

hours

x

$

55.00

per

hour

=

$

-

(Title)

Task to be performed for the abov~

hours:

Monitoring Well Survey and Sampling

Technical Coordinator

0.00

hours

x

$

65.00

per hour

=

$

-

(Title)

Task

to be performed for the above hours:

Monitoring Well Survey

and Sampling

Administrative Assistant

1.00

hours

x

$

45.00

per

hour

=

$

45.00

(Title)

-

-

Task

to be

performed for the above hours:

Monitoring Well Survey

and Sampling

Office Manager

-

0.00

hours

x

$

4Q.O0

per hour

=

$

-

(Title)

Task

to be performed.for the above hours:

Monitoring Well Survey

and Sampling

Principal

0.00

hours x

$

130.00

per hour

=

$

-

-

(Title)

Task

to be performed for the above hours:

Monitoring Well Survey

and Sampling

Field Supervisor/Coordinator

0.00

hours

x

$

110.00

per

hour

=

$

-

(Title)

-

Task to be

performed for

the above hours:

Monitoring Well Survey and Sampling

Wastewater Trtmt.

Operator

0.00

hours

x

S

100.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

Monitoring Well Survey and Sampling

G-le(2)

This form must be submitted in duplicate.

---

IEMA No.

98-1937

G.

PERSONNEL

GROUNDWATER

All personnel costs

that

are

not included elsewhere in the

budget/billing

form must be listedhere.

Costs

must

be listed per task,

not personnel type.

The following

are some

examples of tasks:

Drafting,

data collection,

plan, report,

or budget preparation for

____________

(i.e.,

site classification work plan,

45

day report, or

hi1

priority corrective action budget),

sampling,

field

oversite for

____________

(i.e.,

drilling/well

installation,

corrective action, or

early action),

of maintenance of Moweaqua

.

The above

list

is not inclusive

of

all

possible tasks.

Environmental

Engineer

20

hours

x

S

105.00

per hour

=

$

2,100.00

(Title)

-

-

Task to be performed for the above hours:

CACR or Groundwater CAP

Senior Env. Engineer

2

hours

x

$

115.00

per hour

=

S

230.00

(Title)

-

Task to be performed for the above,hours:

CACR or Groundwater CAP

Senior Env. Geologist

12

hours x

$

92.00

per hour

=

$

1,104.00

(Title)

Task to be performed for the above hours:

CACR or Groundwater CAP

General Project Manager

4

hours

x

$

100.00

per

hour

=

$

400.00

(Title)

Task to be performed for the above hours:

CACR or Groundwater CAP

Env. Project Geologist

8

hours x

$

81.00

per hour

=

$

648.00

(Title)

Task to be performed for the

above hours:

CACR or Groundwater CAP

Env. Project Scientist

0

hours

x

$

81.00

per

hour

=

$

-

(Title)

Task to

be performed for the

above hours:

CACR or Groundwater CAP

-

Engineering Teclmican

0

hours

x

$

55.00

per hour

=

$

-

(Title)

-

Task to be performed for the

above hours:

CACR or Groundwater CAP

Laborer

0

hours

x

$

35.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

CACR or Groundwater CAP

G-lf(2)

This form

must

be submitted in duplicate.

---

Task to be performed for

the

above hours:

Technical

Coordinator

(Title)

Task to be performedfor the

above hours:

Administrative

Assistant

tIIL1C)

-

Task to be performed for the above hours:

Office Manager

(Title)

Task to be performed for

the above- hours:

5

hours

x

$

55.00

per hour

=

CACR or Groundwater

CAP

5

hours

x

$

55.00

per hour

CACR or Groundwater CAP

4

hours

x

$

45.00

per hour

____________

CACR or Groundwater CAP

-

1

hours

x

$

40.00

per hour

=

$

______________

CACR or Groundwater CAP

1

hoursx

$

P130.00

perhour

=

$

___________

CACR

or Groundwater CAP

0

hours x

$

110.00

per hour

=

CACR

or Groundwater

CAP

hours

x

per hour

=

$

8,232.00

-

G-2(2)

This form must be submitted in duplicate.

Technical Editor

(Title)

Task to be

per-formed for

the above hours:

Draftsman

IEMA No.

98-1937

(Title)

$

275.00

=

$

275.00

CACR or Groundwater

CAP

0

hours

x

$

65.00

per hour

=

$

=

$

180.00

Principal

40.00

(Title)

Task to be performed for the

above hours:

Field Supervisor/Coordinator

(Title)

Task to be performed for the above hours:

Wastewater

Trtmt. Operator

130.00

(Title)

Task to be performed for the

above hours:

$

CACR

or

Groundwater CAP

-

0

hours x

$

100.00

per hour

=

$

(Title)

Task to be performed for the

above hours:

TOTAL PERSONNEL COSTS:

L

---

H.

EQTJEPMENT COSTS

-

GROUNDWATER

All equipment used must

be listed below in a time and materials format.

Handling

added here;

use

Section

1.

IEMA No.

98-1937

charges

should not be

-

11-1(2)

-

This form must

be submitted in duplicate

Total

Page

11-1

$

H

Equipment

Own or

Rent.

-

Time

Used

Units

Unit Rate

Total

Cost/Item

Survey

Equipment

Rent

1

/day

$

65.00

$

65.00

Water Level Indicator

Rent

1

/day

$

-

-

15.00

$

15.00

0

0

0

0

-____

-

0

0

0

0

0

0

--

-

0

0

-

0

0

0

-

0

0

0

.

0

0

0

-

-

0

0

0

-

0

-

0

,

0

0

-

0

0

0

-

0

0

0

-

-

0

0

0

80.00

---

IEMA No.

98-1937

I.

FIELD

PURCHASES AND OTHER

COSTS

All equipment used must be listed below in a time

added here; use Section

J.

GROUNDWATER

and materials format.

Handling

charges should not be

Field Purchases

Quantity

Item

Price/Item

Total Cost

Handling

Charges

Color Copies

---

50

/each

$

1.25

$

62.50

yes

Carbon Filter Purchase

0

/each

$

-

600.00

$

-

yes

Manifests

-

0

/each

$

1.00

$

-

yes

-

Truck

Liner

0

/each

$

4.00

$

-

yes

Bailers

6

/each

$

12.00

$

72.00

yes

Film

-

0

/each

$

6.00

$

-

yes

Photo Development & Copies

0

/each

$

15.00.

$

-

yes

Piping,

Hose & Fittings**

0.0

/lump

$

4,000.00

$

-

yes

Postage

-

$

-

12.00

yes

Drums

0

/each

$

50.00

S

-

yes

Permit Fees

0

/each

$

-

$

-

yes

Subcontractors

Sand Backfill

0.00 /ton

$

6.00

$

-

yes

Aggregate Backfill

.

0.00 /ton

$

11.25

$

-

yes

Septic

Gravel Backfill

0.00 /ton

$

7.75

$

-

yes

Concrete

‘

0.00 /c.y.

$

61.00

$

-

yes

-

Disposal

Charge

0.00 /ton

$

20.00

$

-

yes

Trackhoé

-

0.00 /hour

$

125.00

$

-

yes

Backhoe

-

0.00 /hour

$

85.00

$

-

-

yes

Trucking Charge (10 c.y.)

0.00 /hour

$

65.00

$

-

yes

End Loader

-

0.00 /hour

$

95.00

$

-

yes

Trucking Charge

(15

c.y.)

0.00 /hour

$

85.00

$

-

yes

Baker Tank

-

-

0-00 /month

$

1,200.00

$

-

yes

Electrician

0.00 /hour

$

40.00

$

-

yes

Electrician Mileage

0.00 /mile

$

-

0.35

$

-

yes

-

Plumber/Inspector

0.00 /hour

$

45.00

$

-

yes

Plumber Mileage

0.00 /mile

$

0.35

$

-

-

yes

Carbon Filter Disposal

0

/each

$

1,000.00

$

-

yes

Electricity

-

-

0

/mo.

$

200.00

-

$

-

-

yes

Sewer Disposal

Charge

-

0

/gal.

0.001

$

-

yes

Recovery Sump

Installation

0

/each

$

2,500.00

$

-

yes

Recovery Sump

Closure

-

0

/each

$

1,200.00

$

-

yes

Monitoring Well Closure

0

/each

$

350.00

S

-

yes

Telephone Line Installation

-

0

/each

$

150.00

$

-

yes

-

Telephone Line (autodialer)

0

/month

$

30.00

$

-

yes

Recovery Well Installation

,

0

/each

$

800.00

$

-

yes

Recovery Well

Closure

-

0

/each

$

400.00

S

-

-

yes

Drill Rig Mobilization

0.00

leach

$

260.00

$

-

yes

-

Monitoring Well Installation

(Replacement)

0.00

/each

$

450.00

$

-

yes

$

Subtotal

Page I-i

-

Ii

(2)

This

form must be submitted

in

duplicate

$

146.50

---

IEMA 98-1937

-

GROUNDWATER

Other Costs

-

A

lisling

and description of all

other costs

which will be/were incurred and are

not specifically

listed on

this

form

should be

attached.

Thd

listing

should include a cost breakdown in a time and

materials

format.

Other Costs

No.

Rate

Cost

Copies

400.0

$

0.10

/each

--

$

40.00

Mileage for

CW3M

trips

140.0

$

0.35

/each

$

49.00

Per

Diem

-

0.0

$

36.00

/day

-

$

-

Total

Other

$

-

89.00

*

$

89.00

*Number of Trips

1

trips at

140

miles/trip

TOTAL OThER COSTS

=

1-2 (2)

ITotal

(Pages I-i

and 1-2)

I

$

235.50

This

form must

be submitted

in

duplicate

---

-

-

IEMA No;

98-1937

J.

HANDLING

CHARGES

GROUNDWATER

-

Handling

charges are

eligible for payment

on subcontractor billings andlor field purchases

only if they

are

equal to or

less

than

the amounts

determined by

the

following table:

Subcontractor

or

Field

Eligible

Handling

Charges as

a

Purchase

Cost

Percentage of Cost

$1

-

$5,000

12

-

$5,001

-

$15,000

-

$600 + 10

ofamt. Over $5,000

$15,001 -$50,000

$1,600 + 8

of amt. Over $15,000

$50,001 -$100,000

$4,400

+

5

of amt. Over $50,000

$100,001

-

$1,000,000

$6,900 + 2

of amt. Over $100,000

A.

Subcontractor

Charges

Subcontractor

-

Section where

cost

is

listed

Subcontract

Amount

Laboratory Analysis

F-2(2)

$

1,620.00

Sand

Backfill

-

1-1(2)

-

S

-

Aggregate Backfill

-

1-1(2)

$

-

Septic

Gravel

Backfill

..

1-1(2)

$

--

Concrete

1-1(2)

$

-

Disposal

Charge

1-1(2)

$

-

Trackhoe

-

1-1(2)

$

-

Backhoe

-

1-1(2)

$

-

Trucking Charge (10 c.y.)

1-1(2)

$

-

End

Loader

-

1-1(2)

$

-

Trucking Charge (15 c.y.)

1-1(2)

$

-

-

Baker Tank

1-1(2)

$

-

Electrician

1-1(2)

S

-

Electrician

-Mileage

-

1-1(2)

-

S

-

Plumber/Inspector

1-1(2)

$

-

Plumber Mileage

1-1(2)

$

-

Carbon Filter Disposal

1-1(2)

$

-

-

Electricity

-

1-1(2)

$

-

Sewer Disposal

Charge

Recovery

Sump Installation

1-1(2)

1-1(2)

$

-

-

$

-

Recovery

Sump

Closure

1-1(2)

$

-

Monitoring Well Closure

-

1-1(2)

$

-

Telephone

Line

Installation

1-1(2)

$

-

Telephone

Line

(autodialer)

1-1(2)

-

$

-

Recovery

Well Installation

1-1(2)

$

-

Recovery

Well Closure

1-1(2)

-

-S

-

Drill Rig Mobilization

1-1(2)

$

-

Monitoring -Well Installation

(Replacement)

1-1(2)

$

-

Piping,

Hose

& Fittings

-

1-1(2)

$

-

Subtotal

1-1

Subtotal:

$

1,620.00

J-1(2)

This

form must be submitted in duplicate

---

GROUNDWATER

IEMA

No.

98-1937

B.

Field Purchase

Field Purchase

Field Purchase

Amount

Color Copies

-

$

62.50

Carbon Filter Purchase

$

-

Manifests

$

-

Truck Liner

.~_

-

Bailers

--

$

72.00

Film

.$_

-

Photo Development & Copies

-

$

-

Postage

-

$

12.00

Drums

S

-

Permit Fees

$

-

Subtotal. Page 1-2:

$

146.50

Subtotal of Pages J-1

and 1-2:

$

1,766.50

Handling Charge

*

See Handling

Charge Total

*

Use chart at top

of Page 3-1

to

calculate the allowable

handling

charge.

-

Copies

of invoices

for

subcontractor

costs and

receipts

for field

purchases are

required for

billing submissions

-

J-2(2)

This

form must be submitted in duplicate

---

-

IEMANo.

98-1937

F.

ANALYSIS

COSTS

EXCAVATION ~

DISPOSAL

-

1~Physical Soil Analysis

-

This must only

include

analysis

costs

for classification of soil types

at the

site.

Moisture

Content

samples

x

$

_______________

per sample

_____

Soil

Classification samples

x

$

_______________

per

sample

-

Indicate method

to be performed:

______

Soil

Particle Size

samples

x

$

-

per sample

_____

Ex-situ Hydraulic Conductivity/Permeability

samples

-

x

$ ________________per sample

Indicate method to

be performed:

_____

Rock Hydraulic Conductivity/Permeability

samples

x

$

____________

persample

=

Natural Organic

Carbon Fraction (foc) swnples

x

$

_______________

per sample

Indicate the

ASTM

or SW-846

method

to be perform~d:

______

$

0

_____________

$

_____________

______

$

0

_______________

$

_______________

______

$

0

2.

Soil Analysis Costs

-

This must be for laboratory

analysis

only.

-

10 BTEX samples

x

$

75.00

per sample

=

$

750.00

10

PNA

samples

x

$

175.00

per sample

=

$

1,750.00

_____LUST

Pollutants

samples

x

S______________ per sample

=

$

-

-

F-1(3)

This form must be submitted in duplicate

0

=~

0

=~

0

=~

0.~

0

0

samples x

samples x

samples

x

samples

x

samples

x

$

_______________

per sample

=

$

-

per sample

=

$

_______________

per sample

=

$

-

per sample

=

$

_______________

per

sample

=

---

_____pH Samples

x

$

per sample

=

$

______________

______

Paint Filter samples x

$_______________

per sample

=

$

0

-

10

TCLP © samples

x

85.00

per sample

=

$

850.00

-

_____

Flash Point

samples

x

$

_______________

per.. sample

=

$

0

_____

Lab

and/or Field Bank

samples

x

$

-

per sample

=

$

-

1

Waste’Characterization

samples x

$

400.00

pe~

sample

=

$

400.00

______________________

samples x

$

________________

per sample

=

$

-

____________________________

samples x

$

________________

per sample

=

$

-

___________________________

samples x

$

_______________

per sample

=

$

-

____________________________

samples x

$

________________

per sample

=

$

-

3.

Groundwater Analysis

Costs

-

This must be for laboratory

analysis

only.

_____BTEX

samples x

S_____________ per

sample

=

$

-

_____

PNA

samples

x

$______________

per sample

=

$

-

_____

LUST Pollutants

samples x

S

-

per sample

=

$

0

_____pH

Samples

x

$_____________

per sample

=.

$

0

_____

Lab and/or Field Blank samples x

$

-

per sample

=

$

0

______

Flash Point samples x

$

______________

per sample

=

$

0

___________________________

samples x

$

_______________

Per

sample

=

$

0

_________________________

samples x

$

______________

Per

sample

=

$

0

___________________________

samples x

$

_______________

Per

sample

=

$

0

___________________________

samples x

S

_______________

Per

sample

=

$

0

___________________________

samples

x

$

_______________

Per

sample

=

$

-

0

___________________________

samples

x

$

_______________

Per sample

=

$

0

TOTAL ANALYSIS COSTS

=

$

3,750.00

-

-

F-2(3)

This

form must be submitted in duplicate.

---

IEMA

No.

98-1937

G.

PERSONNEL

EXCAVATION AND DISPOSAL

All personnel

costs that

are

not included elsewhere in the

budget/billing form must

be listed here.

Costs

must

be listed per task, not

personnel type.

The following

are some examples of tasks: Drafting, data collection,

plan, report,

or

budget preparation for

Excavation

(i.e., site classification work plan, 45 day report, or hii

priority

corrective action budget),

sampling,

field oversite for

___________

(i.e.,

drilling/well installation,

corrective action, or early action),

of

maintenande of

Moweaqua

.

The above list is not

inclusive

of all

possible tasks.

Environmental Engineer

216.00

hours

x

$

105.00

per hour

=

$

22,680.00

(Title)

-

Task to be performed for the above hours:

Excavation activities

Senior Env. Engineer

-

hours

x

S

115.00

per hour

=

$

(Title)

Task to be performed for the above hours:

Excavation activities

-

Senior Env.

Geologist

-

hours x

$

92.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

Excavation activities

General Project Manager

-

hours x

$

100.00

per hour

=

$

(Title)

Task to be performed for the

above hours:

Excavation activities

-

Env. Project Geologist

-

hours

x

$

81.00

per hour

=

$

(Title)

Task to be performed for the above hours:

Excavation activities

Env.

Project Scientist

-

hours x

$

81,00

per hour

=

$

(Title)

-

Task to be performed for the above hours:

Excavation activities

Engineering Technican

-

hours

x

$

55.00

per hour

=

$

(Title)

Task to be performed for the above hours:

Excavation activities

Laborer

-

hours

x

$

35.00

per hour

=

$

(Title)

Task to be performed for the above hours:

Excavation activities

G-1(3)

This form must be submitted in duplicate.

---

Technical

Editor

(Title)

Task to be performed for

the

above hours:

Draftsman

(Title)

Task to be performed for the above hours:

Technical Coordinator

(Title)

Task to be performed for the

above hours:

Administrative Assistant

~I1U~)

Task

to be performed for the above hours:

Office Manager

(Title)

Task to be performed for

the above hours:

Principal

(Title)

Task to be performed for

the above hours:

Field SupervisorlCoordinator

(Title)

Task to be performed for the above hours:

Wastewater Trtmt.

Operator

(Title)

Task to be performed for the above hours:

Construction Foreman

(Title)

Task to be performed for the abovehours:

$

46,440.00

G-2(3)

This

form must be submitted in duplicate.

0.00~

hoursx

$

55.00

IEMA

per hour

No.

=

$

98- 1-937

-

Excavation activities

hours x

$

55.00

per hour

=

$

-

Excavation activities

0.00

hours x

$

65.00

per hour

=

S

-

Excavation activities

0.00

hours

x

5

45.00

per hour

=

$

-

Excavation activities

0.00

hours x

$

40.00

per hour

=

$

-

-

Excavation activities

0.00

hours x

$

130.00

per

hour

=

$

-

Excavation activities

216.00

hoursx

$

110.00

per hour

=

$

23,760.00

Excavation activities

0.00

hours

x

$

100.00

per hour

=

$

-

Excavation

activities

0.00

hoursx

$

65.00

perhour

=

$

-

TOTAL

PERSONNEL

COSTS:

---

IEMA No.

98-1937

H.

EQ~PMENTCOSTS

EXCAVATION AND DISPOSAL

All equipment used must be

listed below in a time and materials format.

Handling charges should not be

added here;

use

Section

1.

-

-

-

Equipment

Own or

Rent-

Time

Used

Units

Unit Rate

Total

Cost/Item

$

.

0

0

0

0

0

0

0

.

0

0

0

0

.-

0

0

-

0

0

0

-

0

0

0

0

0

0

0

0

-

0

0

0

0

-

0

0

0

0

0

0

-

0

-

0

0

0

Total

Page H-i

$

11-1(3)

This form must be submitted in duplicate

---

IEMA No.

98-1937

FIELD

PURCHASES AND OTHER

COSTS

EXCAVATION AND DISPOSAL

All equipment used must

be listed below in

a time and materials format.

-

Handling

charges

should not be

added here;

use

Section J.

-

Purchases

Quantity

Item

Price/Item

Total

Cost

Handling

Charges

0

/each

$

1.25

$

-

yes

-

0

/each

$

600.00

$

-

yes

-

582

/each

$

1.00

$

582.00

yes

582

/each

$

4.00

$

2,328.00

yes

0

/each

$

12.00

$

-

yes

1

/each

$

6.00

$

6.00

yes

Copies

1

/each

5

15.00

$

15.00

yes

$

-

yes

-

0

/each

$

50.00

$

-

yes

$

$

-

0

/gallon

$

1.00

$

-

yes

-

-

1.00

L.S.

$

8,900.00

$

8,900.00

yes

0.00

/each

$

900.00

$

-

yes

0

/ton

$

6.00

$

-

yes

U /ton

$

11.25

5

-

-

yes

0

/ton

-

$

7.75

$

-

yes

-

0 /cy:

$

61.00

$

-

yes

6,988.30

/ton

$

20.00

$139,766.06

yes

170.00

/hour

$

125.00

$

21,250.00

yes

-

170.00

/hour

$

85.00

$

14,450.00

yes

882.00

lhour

$

65.00

$

57,330.00

yes

0

/hour

5

95.00

$

-

yes

0

/hour

$

85.00

$

-

yes

0

/month

$

1,200.00

$

-

yes

0

/hour

$

40.00

$

-

yes

0

lmile

$

0.35

$

-

yes

0

/hour

$

45.00

$

-

yes

-

-

0

/mile

$

0.35

$

-

yes

.

$

$

$

$

$

$

$

$

Subtotal

Page

I-i

$

244,627.06

I-i (3)

This form must be submitted in duplicate

---

EXCAVATION AND DISPOSAL

JEMA

98-1937

Other Costs

-

A

listing

and description of

all

other costs

which will be/were incurred

and

are not specifically

listed on this form should be attached.

The listing

should include a cost breakdown in a time and materials

format.

*Number of Trips

36

trips at

-

-

140

miles per trip

TOTAL OThER COSTS

=

$

1,764.00

-

LTotal

(Pages I-i

and 1-2)

I

S

246,391.06

I

1-2 (3)

Mileage for CW3M

trios

Per

Diem

Other Costs

No.

Rate

Cost

Copies

0

$

0.10

/each

$

-

5040

0

$

$

0.35

/each

36.00

/day

$

-____

$

Total

Other

-

$

$

1,764.00

$

This form must

be

submitted

in

duplicate

---

.j.

IEMA

No.

98-1937

HANDLING

CHARGES

EXCAVATION

AND DISPOSAL

Handling

charges are

eligible for payment

on

subcontractor billings and/or field purchases

only if they

are

equal

to or

less

than the

amounts determined by

the

following table:

Subcontractor

or Field

Purchase

Cost

51-55,000

$5,001

-

$15,000

-

$15,001

-

$50,000

$50,001

-

$100,000

$100,001

-

$1,000,000

A.

Subcontractor Charges