BEFORE THE POLLUTION CONTROL BOARD~~

~

D

OF THE STATE

OF ILLINOIS

CLERK’S

OFHCE

HARVEY B.

WHITTAKER,

)

)

STATE

OF ~LL~NO~S

Petitioner,

)

PoIiut~onContro’ Board

)

V.

)

PCBO5-___

)

(UST Appeal)

ILLINOIS ENVIRONMENTAL

)

PROTECTION AGENCY,

)

)

Respondent.

)

NOTICE OF FILING

TO:

John 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

April

8,

2005,

filed

with

the

Clerk of the

Illinois

Pollution

Control

Board

of the

State

of Illinois

an

original,

executed

copy

of a

Petition

for

Review of Illinois Environmental Protection Agency Decision.

Dated:

April

8,

2005

Respectfully submitted,

Harvey B.

Whittaker

By:

_______________

One of Its Atto

eys

Carolyn S.

Hesse

Barnes

& Thornburg LLP

One North Wacker Drive

Suite 4400

Chicago, Illinois 60606

(312) 357-1313

2666 lIvi

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

8th

Day ofApril,

2005.

CarolynS.H

se

This

filing submitted on recycled paper as

defined in 35

111.

Adm. Code

101.202

2

---

R

~

C

~

~1

V E ~

CLERK’S QFPCF

BEFORE

THE POLLUTION CONTROL

BOARD

~

L~i£UUJ

OF THE STATE

OF ILLINOIS

STATE

OF

~L~\OIS

HARVEY B.

WHITTAKER

)

PoUut~OflContro’

Board

)

Petitioner,

)

v.

)

PCBNo.05-~4

ILLINOIS ENVIRONMENTAL

)

PROTECTION AGENCY,

)

)

Respondent.

)

PETITION FOR REVIEW

OF ILLINOIS ENVIRONMENTAL

PROTECTION AGENCY DECISION

Harvey

B. Whittaker, by its

attorney,

Carolyn S. Hesse ofBarnes

& Thornburg, pursuant

to

the

Illinois

Environmental 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.

Harvey

B.

Whittaker

(“Petitioner”),

is

the

owner of a

gasoline

service

station

located• at

the

Corner of Federal

and

Main,

Perry,

Pike

County,

Illinois

(the

“Station”).

The

Station

had

underground

storage

tanks

(UST’s) on the property, which stored gasoline and

diesel fuel.

2.

LUST

Incident

Number

971835

was

obtained

following

a

site

investigation.

The

site has

also

been

assigned

LPC #1490705004,

Pike

County.

3.

On November

1,

2004, Petitioner

sent to

the Agency a revised Corrective

Action

Plan

Budget

(the

“Budget”)

to

perform

corrective

action

at

the

Station.

(See

Exhibit

1.)

The

Agency

received

this

document

on

This

tiling

submitted on recycled paper as defined in 35 III. Adm.

Code

101.202)

---

November

3,

2004.

The

letter

forwarding

the

Budget

stated

that

the

“Budget Amendment 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

and

the

Act.”

(See

Exhibit A,

p.

1.)

The Budget included

signed

certifications

to

the

effect

that

the

submitted

Budget

complied

with

the Environmental

Protection

Act.

(See

Exhibit

1, 3~page.)

JEPA,

on December

5,

2001,

approved the

Corrective Action Plan for which the Budget was submitted.

4.

By

letter

dated

March

2,

2005,

the

Agency

sent

a

letter,

to

Petitioner

rejecting the High Priority Corrective Action Plan Budget (the “Budget”).

(See

Exhibit 2.)

The

letter

stated

that

the

Budget was

rejected

for the

reasons

listed

in

Attached

A.

Attached

A

essentially

stated

that

this

Budget was rejected because a prior budget was rejected.

5.

The Agency’s

letter does not

state that

the Agency

reviewed the Budget

and

provides

no

additional

information regarding why JEPA disapproved

the Budget.

Upon information and belief, the Agency did not review the

Budget.

6.

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

IThis filing

submitted

on

recycled paper as defined

iii

35 III. Adm.

Code

101.2021

2

---

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 of this Part.

Emphasis added.

7.

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.

8.

Section 47(a) of the Act states as follows:

“The State of Illinois and all its

agencies,

institutions,

officers

and

subdivisions

shall

comply

with

all

requirements,

prohibitions,

and

other

provisions

of

the

Act

and

of

regulations adopted thereunder.”

9.

By

refusing

to

review

the

Budget,

the

Agency

failed

to

comply

with

Section 732.505

and violated Section 47(a) ofthe Act.

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.

12.

Petitioner

is

appealing

the

Agency’s

continuing

failure

to

review

the

Budget

in

compliance

with

the

Act

and

its

implementing

regulations.

This

filing submitted on

recycled paper as defined in 35Ill. Adm.

Code 101.2021

3

---

WHEREFORE,

Harvey B.

Whittaker respectfully requests

that the Board

enter

an

order

requiring

the

Agency

to

comply

with

the

Act

and

its

implementing regulations,

to

approve the

High Priority Corrective Action

Plan

Budget

to

allow

Harvey

B.

Whittaker

to

cover

the

costs

of the

cleanup

at this

facility and for Harvey B.

Whittaker’s

attorneys’

fees

and

costs in bringing this appeal.

Respectfully submitted,

Harvey B. Whittaker

By:

____________

One ofIts Attd~ieys

Carolyn S. Hesse, Esq.

Barnes & Thornburg LLP

One North Wacker Drive

Suite 4400

Chicago, Illinois

60606

(312) 357-1313

266609v1

This

filing

submitted on recycled paper as defined in 35 III. Adm.

Code

101.2021

4

---

PCW~M

Cornpany

7:~rr~

.

Environmental

C

.

onsultrng S

.

ervices

Phone:

(217) 522-8001

November

1,

2004

Mr. James S.

Raiisdell, Project Manager

Illinois Environmental Protection Agency

Bureau of Land,

LUST Section

1021

North Grand Avenue East

P0

Box

19276

Springfield, IL

62794-9276

Re:

LPC #1490705004—Pike County

Perry!Whittaker, Harvey B.

(Shad’s Service)

Federal and Maine Streets

LUST Incident Number

97-1835

LUST Technical File —Corrective Action Plan Budget Amendment

Dear Mr. Ransdell:

This

Corrective Action Plan

(CAP) Budget Amendment for soil is being submitted in order to

implement the CAP approved for Shad’s Service on December

5,

2001.

The CAP Budget

Amendment is necessary due

to the previously approved budgets being insufficient to

complete

t~~pproved

plan.

It has been determined that the requested amount will be necess~yin order

to

complete the approved work in accordance with the regulations and

the Act.

The budget amendment includes a

complete estimate of the required costs

and subtracts out the

previously approved amounts described in the Agency’s April 22,

2002 letter to Harvey

Whittaker on the B-la page.

This

budget amendment is being submitted pursuant to Section

732.405(e)

which states:

If,

following approval of any 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 budgetplan

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 of

this Part.

701 W. South Grand

Avenue

400 West Jackson, Suite

c

Springfield, IL

62704

Marion, IL 62959

(217) 522-8001

(618)

997-2238

f~~?(k~6~1

1

---

Given the years that havepassed since the original submittal, following our review of the

deductions and the associated budget, adjustments have had to bemade.

Specifically, the

landfill costs and personnel have been adjusted to reflect currentmarket conditions.

It has

been determined that the remaining requested amount will be necessary in order to complete

the approved work in compliance with

the

regulations. We are asking that this project be

reviewed on

a time-and-materials basis,

in the manner in which

it has been submitted.

If you have any

questions, please contact Mr. Vince Smith or me at 217-522-8001.

xc:

Mr. Harvey Whittaker,

Shad’s Service

Mr. William T.

Siunott,

CW3M Company,

Inc.

P.G.

Senior Environmental Geologist

D:\CW3M Projects\Shads\CAP\CAP

1O-04\cap

ci. doc

---

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, ifan

owner

or operator

intends to seek payment from the UST

Fund,

an owner or operator must submit to the Agency, forthe 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 action plans.

I hereby certify that I

intend to seek payment from the UST Fund for performing

Corrective

Action

activities at

Shad’s Service

LUST site.

I

further certify that the

co’sts 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 pursuantto

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 lEIvIA notification.

Costs associated with planned tank pulls.

Legal defense costs.

Costs incurred prior to July 28,

1989.

Costs associated with installation of new USTs

or the repair of existing USTs.

P.E.:

Vince

E.

Smith

P.E.

Signature:

Owner/Operator:

Signature:

Subscribed

(Budget

•

Title: Owner

Date:

me the

~—

day

of

ri.ts must be notarizedwhen the

Public)

NOTARY PUBLIC

STATE OF ILUNOIS

MY COMMISSION

EXPIRES

2.26-2005

Subsci ibed and’sworn

t

bef~ye

me the

udget

Ai

end,nents

getPi~osa1s;nd

•

Seal:

IL 532 2273

LPC

499 Rev. Mar-94

BB:jk\971405S.WPD

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 paymentrequested

hereunder.

This form has been approved

by theForms Management center

~ClAL

SEAL

CAROL L.R0W~

~COMMISSION

EXPIRES ~26

.2006

—

---

BUDGET

AND

BILLING FORM FOR

LEAKING UNDERGROUND STOI~AGE

TANX

SITES

A.

SITEINFORMATION

Site

Name:

Shads Service

Site Address:

Federal

and Maine

Streets

City:

Perry

Zip:

62362

County:

Pike

IEPA Generator No.:

•

1490705004

IEMA

Incident

No.:

97-1835

IEMA

Notification Date:

9/25/1997

Date

this Form

was

Prepared:

October 29,

2004

This form

is being

submitted

as a:

__________Budget Proposal

X

Budget

Amendment

(Budget

Amendments

must include

only

the costs

over

the

previous budget.)

_____—____________

_____~..endmentNumb.ec:

2

__________

__________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 “OLDPROGRAM”

COSTS ATTHESAME TIME. ON THESAME FORMS.

A-i

•IL 532-2263

LPC 494

Rev.

11/97

This

form must

be

submitted

in duplicate.

---

LEMANo.

97-1835

If eligible for reimborsement where

should

reimbursement checks be sent?

Please note that only

owners or operators

ofUSTs maybe eligible for reimbursement.

Therefore, payment can only be niade to an owner or operator.

Pay to

the

order of:

Mr.

Harvey

B.

Whittaker/Shad’s Service

Send

in care of:

CW3M

Company,

Inc.

•Zip:

62626

Number

of Petroleum USTs in flhinois 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

o:

joint

stock

company

of the owner

or operator:

Number of

USTs at the site:

4 (Number of USTs

includes USTs

presently at the

site

and

USTs

that have been removed.)

Number

of incidents reported to IEMA:

1

Incident

Numbers

assigned

to the

site due to releases from USTS:

97-1835

Please

list

all

tanks

which have ever been located at the

site

and

are

presently located atthe site.

Size

(gallons)

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

97-1835

No

97-1835

No

97-1835

No

97-1835

No

No

No

No

No

No

type or

Release

Address:

P.O. Box 571

City:

Carlinville

State:

Illinois

Fewer

than

101:

x

101

or more:

Product Stored

Gasoline

Diesel

Did UST

have a release?

Incident

No.

Gasoline

Gasoline

Overfill

Tank

Tank

Tank

A-2

This form must

be

submitted in

duplicate.

---

IEMANo.

97-1835

B.

PROPOSED BUDGET

SUMMARY AND

BUDGET

TOTAL

PROPOSED

PREVIOUSLY

TOTAL

TOTALS

APPROVED

REQUESTED

1.

Investigation

Costs:

$

3,515.00

$

3,515.00

$

2.

Analysis

Costs:

$

2,125.00

$

2,125.00

$

-

3.

Personnel

Costs:

$

•

76,613.00

$

28,423.50

$

48,189.50

4.

Equipment Costs:

$

398.50

$

398.50

$

-

5.

Field Purchases and Other

Costs:

$

116,364.01

$

42,132.14

$

•

74,231.87

6.

Handling Charges:

$

7,278.93

$

7,138.44

$

140.49

TOTAJPROPOSEDBUDGET’$i±2~56iT86

B-i

This form must be submitted in duplicate.

---

•

~

~

~

---

B.

PROPOSED BUDGET

SUMI\’IARY AND BUDGET TOTAL

1.

Investigation Costs:

2.

Analysis Costs:

3.

Personnel

Costs:

4.

Equipment

Costs:

5.

Field Purchases and Other Costs:

6.

Handling

Charges:

IEMANo.

97-1835

$

3,515.00

$

2,125.00

$

76,613.00

$

398.50

$

116,364.01

$

7,278.93

TOTAL

PROPOSED BUDGET

•

$

206,294.44

---

IEMA

No.

97-1835

E.

INVESTIGATION

COSTS

Method

I

__________Method II

___________

Method

III

___________

Not Applicable

X

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

shouldbe 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).

___________

borings to

15

feet

=

feet to be bored for

investigation/monitoring

3

borings

to

25

feet

=

75

feet to be bored for

investigation/monitoring

___________

borings to

10

feet

=

feet to be

bored for

investigation

•

borings

to

50

feet

=

feet to be bored for

classification

___________

borings

to

15

feet

=

feet to be bored for

investigationimigratory

Total

Feet to be Bored:

75

Borings:

75

feet

x

$

17.00

per foot

=$

1,275.00

(or)

Hours

__________

x

$__________

per hour

=

$

_____________________

borings through

__________

ft of bedrock =

_________

Ft bedrock to be

bored

—borings-through

—

•ft•of_bedronk~.=_____-_____F_tbedr.ocktobebr~r~

Total Feet

bedrock to be Bored:

_________________

Borings:

__________

Ft

bedrock x

$

___________

per ft bedrock

=

$

____________

(or)

_________

Hours

x

$

__________

per Hour

=

$

__________________

•

1

# of Mobili.zations~©

$

260

per mobilization

=

$

260.00

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-i INVESTIGATION

This form must

be

submitted In duplicate.

---

IEMANo.

97-1835

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

items below in a

time

and

materials format.

Material

Number of Units

Unit Cost

Total Cost

15

foot

450

50.00

20

foot

500

$0.00

25

foot

3

550

$1,650.00

35

foot

•

600

$0.00

$0.00

•

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

Total

$1,650.00

4.

Disposal

Costs

-

This includes

the costs for

disposing

of boring cuttings

and any water generated while

performing borings

or

installatin

wells.

Disposal

of Cuttings:

2

drums

x

$

65

per

drum

=

$

130.00

Dis~5~safWdièF

~

Transportation Costs:

$

0.00

Describe how

the water/soil will

be disposed:

_____________________

TOTALINVESTIGATION

COSTS

•

$3,515.00

E-2 INVESTIGATION

This form most

be submitted in duplicate.

---

•

IEMANo.

97-1835

F.

ANALYSIS

COSTS

INVESTIGATION

&

CAY DEVELOPMENT

1. Physical Soil Analysis

-

This must only include

analvris

costs

for classification of soil types

at

the

site.

Moismre

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

Natural Organic

Carbon Fraction

(foc) samples

x $___________persample

=

Indicate the

ASTM

or SW-846 method to be performed:

0

0

0

0

0

2.

Soil

Analysis

Costs

-

This

must be for laboratory

analysis

only.

_____BTEX samples

x

$

75.00

per sample

=

$

-

_____

PNA samples

x

$

175.00

per sample

=

$

-

_____TACO Parameters x

$

85.00

per sample

=

$

-

F-i

INVESTIGATION

This

form must

be

submitted in

duplicate

=1

0

=1

0

=~

0

=~

0

x$

per sample

=

0

0

samples x

samples x

samples x

samples x

samples x

$

_______________

per

sample

=

$

$

•

persample=$

$

______________

per

sample

=

$

$

_______________

per

sample

=

$

$

_______________

per sample

=

$

---

_____pH

Samples

x

$

per sample

=

$

-

_____Paint Filter samples

x

$______________

per sample

=

$

-

_____TCLP © samples x

$______________

per sample

=

$

-

_____

Flash Point

samples

x

$

_______________

per sample

=

$

-

_____

Lab and/or Field Bank samples

x

$

•

per sample

$

-

____________________________

samples x

$

________________

per sample

=

$

-

Waste Char.

samples x

$

400.00

per sample

=

$

-

____________________________

samples x

$

________________

per sample

=

$

-

__________________________

samples x

$

_______________

per sample

=

$

-

____________________________

samples x

$

________________

per sample

=

$

-

3. Gromidwater Analysis Costs

-

This

must be for laboratory

analysis

only.

3

BTEX

samples

x

$

75.00

per sample

=

$

225.00

_____PNA samples x

$

175.00

per sample

=

$

-

_____Total Lead

samples x

.

$

-•

per sample

=

$

-

_____pH Samples x

$______________

per sample

=

$

0

_____Lab and/or FieldBlank samples x

$

.

per sample

=

$

-

______

Flash Point

samples

x

$

_______________

per sample

=

$

_______________

Waste Characterization

samples

~

$

375.00

Per

sample

=

$

-

_________________________

samples x

$

______________

Per sample

=

$

-

__________________________

samples x

$

_______________

Per sample

=

$

-

__________________________

samples x

$

_______________

Per sample

=

$

-

__________________________

samples x

$

_______________

Per sample

=

$

-

•

____________________________

samples x

$

________________

Per sample

=

$

-

TOTAL ANALYSIS

COSTS

=

$

•

225.00

F-2 INVESTIGATION

This

form must be

submitted

in

duplicate.

---

IEMA No.

97-1835

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

___________

(i.e.,

site classification work 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

Shad’s

.

The above list

is not inclusive

of

all

possible tasks.

Environmental

Engineer

10

hours

x

$

100.00

per hour

=

$

1,000.00

(Title)

Task to be performed for the

above hours:

•

monitoring well

installation

Senior Env.

Engineer

0

hours

x

$

115.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

monitoring

well

installation

Senior

Env.

Geologist

5

hours x

$

92.00

per hour

=

$

460.00

(Title)

Task to be performed for the

above hours:

monitoring well installation

General Project Manager

0

hours x

$

100.00

per hour

=

$

-

(Title)

________________________

Task to be performed for the

above hours:

monitoring well

installation

Env. Project

Geologist

10

hours

x

$

81.00

per

hour

=

$

810.00

(Title)

Task to be performed for the above hours:

monitoring well installation

•

Env. Project Scientist

0

hours x

$

81.00

per

hour

=

$

• -

(Title)

Task to be performed for the above hours:

monitoring

well

installation

Engineering Technican

0

hours x

$

55.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

monitoring well

installation

Laborer

0

hours x

$

35.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

monitoring

well

installation

G-i

INVESTIGATION

This formmust be submitted in duplicate.

---

•

IEMANo.

97-1835

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 high

priority corrective

action budget),

sampling,

field

oversite for

CAP Dev.

~

(i.e., drilling/well installation,

corrective action, or early action)of maintenance of Shad’s

.

The above list is not inclusive of all

possible

tasks.

Environmental Engineer

0

hours x

$

100.00

per h9ur

=

$

(Title)

Task to be performed for the above hours:

survey

and

sampling

Senior

Env.

Engineer

0

hours x

$

115.00

per hour

=

$

(Title)

Task to be performed for the above hours:

survey and sampling

Senior

Buy.

Geologist

0

hours x

$

92.00

per hour

=

$

(Title)

Task to be performed for the above hours:

survey

and sampling

General Project Manager

0

hours x

$

100.00

per hour

=

$

•

(Title)

________-~-____________________

Task to be performed for the above hours:

survey and sampling

—

Env, Project

Geologist

0

hours x

$

81.00

per hour

=

$

-

(Title)

Taskto be performed for the

above hours:

survey and sampling

Buy.

Project

Scientist

10

hours x

$

81.00

per hour

=

$

810.00

(Title)

Task to be performed for the above hours:

survey and sampling

Engineering Technican

10

hours

x

$

55.00

perhour

=

$

550.00

(Title)

Task to be performed for the

above hours:

survey and sampling

Laborer

0

hours x

$

35.00

per hour

=

$

(Title)

Task to be performed for the above hours:

survey and

sampling

G-ia INVESTIGATION

This form must be submitted in duplicate.

---

Environmental

Engineer

10

hours x

•

(Title)

Task to be performed for the above hours:

slug test

Senior Env. Engineer

0

hours x

(Title)

Task to be performed for the

above hours:

Senior Env.

Geologist

(Title)

TOTAL PERSONNEL COSTS:

$

5,440.00

G-2

INVESTIGATION

This form must be

submitted in duplicate.

IEMA No.

$

100.00

per

hour

=

97-1835

$

1,000.00

$

115.00

per

hour

=

$

Task to be performed for the above hours:

General Project Manager

~I

LLLC)

‘Task to be performed for the

above hours:

Env. Project

Geologist

slug test

O

hours x

$

92.00

per hour

=

$

slug test

0

hoursx

$

100.00

per hour

=

—

slug test

10

hoursx

$

81.00

perhour

=

—

slug test

O

hoursx

$

81.00

perhour

=

$

$

(Title)

Task to be performed for the

above hours:

•

Env. Project Scientist

$

810.00

-

(-Title)

Task to be performed for the above hours:

Engineering Tecimican

(Title)

Task to be performed for the

above hours:

Laborer

slug test

0

hours x

slug test

0

hours x

$

55.00

per

hour

=

$

(Title)

Task to be performed for the above hours:

$

35.00

per hour

=

$

(Title)

Task to be performed for the

above hours:

slug test

hours

x

per hour

=

$

-

---

IEMANo.

97-1835

—

H.

EQUTPMENT

COSTS

INVESTIGATION

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

PID Rental

rent

0.00 /day

$

125.00

$

-

Water

Level

Indicator

•

•

rent

3.00 /day

$

15.00

$

45.00

Survey

Equipment Rental

rent

1.00 /day

$

65.00

$

65.00

Datalogger

rent

1.00 /day

$

145.50

$

145.50

Transducdr

rent

1.00 /day

$

42.00

$

42.00

Slug

rent

1.00 /day

$

36.00

$

36.00

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

Total Page

11-1

$

333.50

ri-i

INVESTIGATION

This

form

must be

submitted in duplicate

---

IEMA

No.

97-1835

FIELD

PURCHASES AND OTHER COSTS

INVESTIGATION

All equipment used mustbe listed below

in

a time

and materials format.

Handling charges

should not be

added here; use Section

J.

Field Purchases

Quantity

Item

Price/Item

Total

Cost

Handling

Charges

Color Copies

0 /each

$

1.25

$

-

yes

Carbon Filter Purchase

0 /each

$

600.00

$

-

yes

Manifests

0 /each

$

3.00

$

-

yes

Truck Liner

0 /each

$

4.00

$

-

yes

Bailers

3 /each

$

12.00

$

36.00

yes

Film

0 /each

$

6.00

$

-

yes

Photo Development& Copies

0 /each

$

15.00

$

-

yes

Postage

$

15.00

yes

Drums

2 /each

$

50.00

$

100.00

yes

$

$

•

$

•

$

L

$

$

$

-

$

-

$

-

S

-

$

-

S

-

S

-

S

-

S

-

$

-

S

-

$

-

$

-

S

-

$

-

$

-

$

-

$

-

Subtotal Page

1-1

$

151.00

I-i

INVESTIGATION

This form must

be submitted in duplicate

---

•

•

IEMAN97-1835

INVESTIGATION

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

9~op~es

Mileage forCW3M trips

Per Diem

No.

Rate

0

$

0.10

Cost

$

-

450.00

0.00

$

0.35

$

36.00

$

157.50

$

-

Total Other

5

157.50

*Mfleage

3 trips at

150 miles/trip

TOTAL OTHER COSTS

=

$

157.50

Total

(Pages I-i

and 1-2)

I

$

308.50

1-2 INVESTIGATION

*

This formmust be submitted in duplicate

---

•

IEMA No.

97-1835

J.

HANDLING

CHARGES

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

INVESTIGATION

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

Subcontractor

Section where cost

is listed

•

Subcontract Amount

Drilling Costs

E-1 Investigation

$

1,535.00

Monitoring Well Installation

E-2 Investigation

$

1,650.00

Disposal ofCuttings

E-2 Investigation

S

130.00

Disposal of Water

•

•

E-2 Investigation

$

200.00

Transportation

E-2 Investigation

$

-

Laboratory Analysis

F-2 Investigation

S

225.00

Subtotal J-1 Subtotal:

$

3,740.00

J-1 INVESTIGATION

Handling

charges are eligible~for

payment

on

subcontractor billings

and/pr field purchases only if they are

equal to or

less

than the

amounts determined by the

following table:

This form must be submitted in duplicate

---

INVESTIGATION

IEMA

No.

97-1835

B.

Field Purchase

•

Field Purchase

IField Purchase

Amount

Color Copies

$

-

Carbon Filter

Purchase

$

-

Manifests

$

-

Truck Liner

$

-

Bailers

$

36.00

Film

$

-

Photo Development &

Copies

$

-

•

$

POstage

$

15.00

County

Assessor

$

-

Drums

$

100.00

I

Subtotal Page J-2

:

$

Subtotal of Pages 1-1

and

1-2

:

$

3,891.00

Handling Charge

*:

See Handling Charge Total

*

Use char: at top

ofPage

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 INVESTIGATION

151.00

This form must be submitted in duplicate

---

HIGH PRIORITY

CORRECTIVE

ACTION

IEMAN0.

97-1835

Corrective Action at High Priority Sites may involve both soil and groundwater remecliation. 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:

2.

Analysis Costs:

3.

Personnel Costs:

4. Equipment Costs:

5.

Field Purchases and

Other

Costs:

6.

Handling Charges:

B.

Groundwater Remediation

1.

Analysis

Costs:

2.

Personnel

Costs:

3.

Equipment Costs:

4.

Field Purchases

and

Other Costs:

5.

Handling Charges:

$

3,515.00

$

225.00

$

5,440.00

$

333.50

S

Se

308.50

e

Handling

Charge Total

Of the above costs, please provide a

break

downof the costs associated with operation

and

maintenance (O&M), if applicable, as requested below.

•

0 Months ofO&M x

__________

per month

=

(includes utilities, maintenance

and expendable items)

C.

Excavation

and

Disposal

1.

Analysis Costs:

$

1,900.00

2.

Personnel Costs:

3.

Equipment Costs:

4.

Field Purchases

and

Other Costs:

5.

Handling

Charges:

5

36,278.00

5

65.00

$

70,597.58

•

S

ee 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:

790.17

cubic yards X

$

55.63

per cu yd

=

$

43,956.00

Transport:

790.17

cubic yards X

$25.01

per cuyd =519,760.00

Disposal:

790.17

cubic yards

X

$

40.37

per cu yd

=$

31,895.08

L-1

This form must be submitted

ira

duplicate

---

IEMA No.

97-1835

D.

Alternative Technology,

Type

_______________________________________

•

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 following costs

as requested below if

applicable:

Excavation:

•

cubic yards X

$

___________per

cu yd

=

Transport:

_________

cubic yards X

$

__________per cu yd

=

Disposal:

__________

cubic

yards

X

$

__________per

cu yd

=

Operation and Maintenance (O&M):

_________Months

of O&M

x

$

•

per month

=

$

__________

B.

Backfill Costs

-

l~PelC’5ftl:

•

•

2.

Equipment Costs:

3.

Field Purchases

and

Other Costs:

4.

Handling

Charges:

$~3t~l’67:0O”

•

$

-

$

45,362.93

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

763.83

cubic yardsX

$

9.72

per cu yd

=

$

7,424.41

Type

of Backfill:

•

Aggregate Backfill

26.34

cubic yards

X

$

18.98

per cu yd

=

$

500.03

Type of Backfill:

•

Septic Gravel Backfill

0.00

cubic yards X

$

-

per cu

yd

=

$

-

Type of Backfill:

________________________

__________

cubic yards X

‘

per cu yd

=

$

-

L-2

This

form must be

submitted in

duplicate

---

I1EM.ANo.

97-1835

F.

ANALYSIS

COSTS

EXCAVATION AND DISPOSAL

1.

Physical Soil Analysis

-

This must only include

analysis

costs

for classification of soil types

at the

site.

Moisture

Content samples

x S

________________per sample

________________

______

Soil

Classification samples

x

$

________________per sample

________________

Indicate method

to be performed:

___________

______

Soil Particle

Size samples

x

$

________________

_____Ex-situ Hydraulic Conductivity/Permeability

samples

x$

__________

Indicate method

to be performed:

—

_____Rock Hydraulic Conductivity/Permeability

samples

x$

_________

_________

_____

Natural Organic Carbon Fraction (foc)

swuples

x$

_________

_________

Indicate

the ASTM or

SW-846 method

to be performed:

samples x

$

samples x

$

samples x

$

samples x

$

samples x

$

______________

per sample

=

$

0

_______________

per sample

=

$

0

_____________

persample

=

$

0

___________

per sample

=

$

0

___________

persample$

0

2.

Soil

Analysis

Costs

-

This must be for laboratory

analysis

only.

20 BTEX samples

x

$

75.00

per sample

=

0 PNA samples

x

$

175.00

per sample

=

_____

LUST Pollutants sample~x

$

•

per

sample

=

F-i EXCAVATION

This form must be submitted in duplicate

$

1,500.00

$

$

=~

0

=~

0

per sample

=

per sample

=

$

0

0

per sample

=

0

per sample

=

0

---

_____pH

Samples

x

$

per sample

=

$

0

_____Paint Filter samples x

$______________

per sample

=

$

0

_____TCLP ~ samples x

$_____________

per sample

=

$

_____________

______

Flash Point samples x $

_______________

per sample

=

$

0

_____

Lab and/or Field

Bank

samples x

$

per sample

=

$

-

1 Waste Characterization

samples x

$

400.00

per 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

gp~p~sis

only.

_____BTEX samples

x

$_____________

per sample

=

$

_____________

_____PNA samples x

$______________

per sample

=

$

-

_____LUST Pollutants

samples

x

$

per

sample

=

$

0

____pH

Samples

x

$____________

per sample

=

$

____________

_____

Lab and/or Field Blank samples x

$

_______________

per sample

=

$

0

_____

Flash Point

samples x

$

_______________

per sample

=

$

_______________

•

•

samples x

$

______________

Per

sample

=

$

______________

__________________________

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

TOTAL

ANALYSIS COSTS

$

1,900.00

F-2

EXCAVATION

This

form must be submitted in duplicate.

---

•

•

IEMANo.

97-1835

G.

PERSONNEL

EXCAVATION

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 high

priority

corrective action budget),

sampling,

field

oversite for

____________

(i.e.,

drilling/well installation,

corrective action, or early action)of maintenance

of

Shad

s

.

The above list is not inclusive

of all

possible tasks.

Environmental Engineer

41

hours x

$

100.00

per hour

=

$

4,100.00

(Title)

Task

to be performed for the

above hours:

Soil

CAP and budget preparation

Senior

Env.

Engineer

•

2

hours

x

$

115.00

per hour

=

$

230.00

(Title)

Task to be performed for the

above hours:

Soil

CAP

and budget preparation

Senior Env.

Geologist

16

hours

x

$

92.00

per hour

=

5

1,472.00

(Title)

Task

to be performed

for the above hours:

Soil CAP

and budget preparation

General Project Manager

0

hours

x

$

100.00

per hour

=

$

-

(Title)

_____________________________________

Task to be performed for the

above hours:

Soil

CAP

and budget preparation

Buy,

Project

Geologist

•

15

hours x

$

81.00

per hour

=

$

1,215.00

•

(Title)

Task to be performed for the

above hours:

Soil

CAP and budget preparation

Env.

Project

Scientist

5

hours

x

$

81.00

per hour

=

$

405.00

(Title)

Task to be performed for the

above hours:

Soil

CAP and budget preparation

Engineering Technican

0

hours

x

$

55.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Soil

CAP

and budget preparation

Laborer

0

hours

x

$

35.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

Soil

CAP and budget preparation

G-1

EXCAVATION

• This formmust be submitted

in duplicate.

---

IEMA No.

97-183 5

G.

PERSONNEL

•

EXCAVATION

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

higi

priority

corrective action budget),

sampling,

field oversite for

____________

(i.e.,

drilling/well installation,

corrective action, or early action)of maintenance

of

Shad’s

.

The above list is not inclusive

of

all

possible tasks.

Technical

Editor

8

hours x

$

,

55.00

per hour

=

$

440.00

(Title)

Task to be performed for the

above hours:

Soil

CAP

and budget preparation

Draftsman

12

hours x

$

55.00

per hour

=

$

660.00

(Title)

Task

to be performed for the

above hours:

Soil

CAP and budget preparation

Technical

Coordinator

0

hours

x

$

65.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Soil

CAP and

budget preparation

Administrative

Assistant

8

hours x

$

45.00

per hour

=

$

360.00

(Title)

______________________________________________

________________

Task to be performed for the

above hours:

Soil

CAP and budget preparation

Office Manager

‘

6

hours x

$

40.00

per hour

=

$

240.00

(Title)

• Task to be performed for the

above hours:

Soil

CAP and budget preparation

Principal

0

hours

x

$

130.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Soil

CAP and budget preparation

Field Supervisor/Coordinator

0

hours

x

$

110.00

per hour

=

$

-

(Title)

-

Task to be performed

for the

above hours:

Soil

CAP

and budget preparation

Wastewater Trtmt.

Operator

0

hours

x

$

100.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Soil

CAP and budget preparation

G-la EXCAVATION

This

form must be submitted in duplicate.

---

IEMANo.

97-1835

G.

PERSONNEL

EXCAVATION AND DISPOSAL

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

Excavation

(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

Shad’s

.

The above list

is not inclusive

of all

possible tasks.

Environmental Engineer

(Title)

108.00

hours x $

100.00

per hour

=

$

,

10,800.00

Task to be performed for the

above hours:

Senior Env. Engineer

(Title)

Excavation activities

-

hoursx

$

115.00

per hour

=

$

Task to be performed for the above hours:

Senior Env. Geologist

(Title)

Task to be performed,for the above hours:

General Project

Manager

________

(Title)

Task to be performed for the above hours:

Bray.

Project Geologist

(Title)

3.00

Excavation

activities

‘

hours

x

$

92.00

per

hour

=

$

276.00

Excavation activities

3.00.

hoursx

$

100.00

per

hour

=

$

Excavation activities

-

hours

x

$

81.00

per hour

=

$

300.00

Task to

be performed for the above hours:

Env.

Project

Scientist

(Title)

Task to be performed for the above hours:

Engineering Technican

(Title)

Excavation activities

-

hours x

$

81.00

per hour

=

$

Excavation activities

-

hoursx

$

55.00

perhour

=

$

Task to be performed for the above hours:

Laborer

(Title)

Excavation activities

35.00

per

hour

=

$

3,780.00

Task to be performed for the above hours:

Excavation activities

G-lb EXCAVATION

108.00

hours x

$

This form must be submitted in duplicate.’

---

IEMANo.

—

97-1835

Technical Editor

0.00

hours x $

‘55.00

per hour

=

5

_____________

(Title)

Task to be

performed for

the

above hours:

Excavation activities

Draftsman

0.00

hours x

$

55.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Excavation activities

Technical

Coordinator

0.00

hours

x

5

65.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Excavation activities

Administrative

Assistant

0.00

hours

x

$

45.00

per hour

=

$

-

~I ILIC)

Task to be performed for the

above hours:

Excavation activities

Office Manager

3.00

hours

x

$

40.00

perhour

=

$

120.00

(Title)

Task to be performed for the

above hours:

Excavation activities

Principal

0.00

hours x

$

130.00

per hour

=

$

-

(Title)

Tadkthb~purformedfor-the-above-h’ours’:—

E’xcavation-acthvities----—

____________

Field Supervisor/Coordinator

108.00

hours

x

$

110.00

perhour

=

$

11,880.00

(Title)

Task to be performed for the above hours:

Excavation activities

Wastewater

Trtnat.

Operator

0.00

hours x

$

100.00

per hour

=

$

-

(Title)

Task to be performed fdr the

above hours:

Excavation activities

Construction

Foreman

0.00

hours

x

$

65.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

‘

TOTAL

PERSONNEL

COSTS:

$

36,278.00

G-2 EXCAVATION

This form must be submitted

in duplicate.

---

IEMA No.

97-1835

H.

EQUTPMENT

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 1.

Own or

Total

Equipment

PID Rental

Rent

rent

Time

Used

0

Units

/day

Unit Rate

$

125.00

Cost/Item

5

-

Survey Equipment Rental

rent

1 /day

.5

65.00

$

65.00

S

$

$

$

$

$

$

5

-

‘

5

-

$

-

$

-

I

5-

Js

-

I

$

-

J$

-

‘

1

5

-

$

‘___

$

‘-—‘———‘

‘——

——“-‘-

-—~~

“.--‘—‘-“--

S

-

‘

$

I

$

-

‘

-

$

$

s

-

‘

$

S

$

$

$

$

$

‘

$

$

‘

I

$

-

I___

$

-

Total PageH-i

$

65.00

H-i EXCAVATION

This

form

must

be

submitted in

duplicate

---

IEMA No.

97-1835

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.

Trucking Charge (10

c.y.)

End ‘Loader’-

Trucking’Charge

(15 c.y.)

304.00

/hour

$

0

/hour_._,

~

.00

.$~,

0

/hour

$

Subtotal

.P~geI4

yes

$

69,055.08

I-i EXCAVATION

Field Purchases

Quantity

Item

Price/Item

Total Cost

Handling

Charges

Color Copies

0 /each

$

1.25

$

-

yes

Carbon Filter Purchase

,

0 /each

$

600.00

$

-

yes

Manifests

74

/each

$

3.00

$

222.00

yes

Truck Liner

,

74

/each

$

4.00

$

296.00

yes

Bailers

.

0

/each

$

12.00

$

-

yes

Film

,

2 /each

$

6.00

$

12.00

yes

Photo Development

& Copies

2

/each

$

15.00

$

30.00

yes

Postage

‘

‘

$

40.00

yes

Drums

0

/each

$

50.00

S

-

yes

‘

$

Subcontractors

Sand

Backfill

0

/ton

$

6.00

$

-

yes

Aggregate Backfill

0

/ton

$

11.25

$

-

yes

Septic Gravel Backfill

0 /ton

$

7.75

$

-

yes

Concrete

0 /cy.

$

61.00

$

-

yes

Disposal

Charge

1,226.73

/ton

$

26.00

$

31,895.08

yes

Grove Crane

/hour

$

150.00

$

-

Trackhoe

‘

80.00

/hour

$

125.00

$

10,000.00

yes

Back.hoe

80.00

/hour

$

85.00

$

6,800.00

yes

65.00

$

19,760.00

yes

85.00

$

yes

Baker

Tank

0

/month

$

1,200.00

$

-

yes

Electrician

0

/hour

$

40.00

$

-

yes

Electrician Mileage

0

/mi.le

$

0.35

$

-

yes

Plumber/Inspector

0 /hour

$

45.00

$

-

yes

Plumber Mileage

0 /mlle

$

0.35

$

-

yes

$

S

-

‘S

$

$

$

$

-

$

$

-

‘

,

$

$

$

This

form must

be

submitted in

duplicate

---

IEMA97-1835

EXCAVATION AND DISPOSAL

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

Copies

‘

No.

Rate

1250

$

0.10

/each

Cost

$

125.00

Mileage

for

CW3M

trips

Per Diem

4050.00

0

$

0.35

$

36.00

/each

/day

$

1,417.50

S

-

$

$

Total

Other

‘

$

1,542.50

*N~amber

of Trips

27 trips at

150

miles per trip

TOTAL OTHER

COSTS

=

$

1,542.50

Total

(Pages I-i

and

1-2)

I

$

70,597.58J

1-2 EXCAVATION

*

This

form must be submitted in

duplicate

---

IEMA No.

97-1835

J.

HANDLING CHARGES

EXCAVATION AND DISPOSAL

Handling charges are eligible forpayment on subcontractor billings and/or ‘field purchases only ifthey 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 arnt.

Over $100,000

A.

Subcontractor

Charges

Subcontractor

Section

where

cost

is listed

Subcontract Amount

Laboratory Analysis

‘

F-2 Excavation

$

1,900.00

Sand

Backfill

I-i Excavation

$

-

Aggregate Backfill

I-i Excavation

$

-

Septic Gravel Backfill

I-i Excavation

$

-

Concrete

I-i

Excavation

$

-

Disposal Charge

I-i

Excavation

$

31,895.08

Grove Crane

1-1

Excavation

$

-

Trackhoe

‘

‘

I-i Excavation

$

10,000.00

Backhoe

I-i Excavation

$

6,800.00

Trucking Charge (10 c.y.)

1-1 Excavation

$ 19,760.00

End Loader

‘

I-i

Excavation

$

-

Trucking

-C~

11 ~

-.

1-1

Excavation-

Baker

Tank

-

I-i

Excavation

$

-

Electrician

I-i

Excavation

$

-

Electrician

Mileage

I-i

Excavation

S

-

Plumber/Inspector

I-i Excavation

$

-

Plumber Mileage

I-i Excavation

$

-

Subtotal

1-1

Subtotal:

$

70,355.08

J-i EXCAVATION

This form must be submitted in duplicate

---

EXCAVATION

AND

DISPOSAL

IEMA

No.

97-1835

B.

Field Purchase

Manifests

TruckLiner

Bailers

Postage

Drums

I

Subtotal of Pages

1-1

and 1-2:

$

70,955.08

*

Use chart at top of Page J-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 EXCAVATION

Carbon Filter Purchase

Field Purchase

Field

Purchase Amount

Color Copies

$

-

S

S

Photo Development & Copies

222.00

Film

$

12.00

S

296.00

S

S

30.00

S

40.00

S

Subtotal Page 1-2:

$

600.00

Handling

Charge

*

See Handling

Charge Total

This

form must

be submitted in

duplicate

---

IEMANo.

97-1835

G.

PERSONNEL

BACKFILL

All personnel costs that are not included elsewhere in

the

budget/billing form must be

listed here.

Costs must

be listed per taslc, not personnel type.

The following are

some

examples of tasks:

Drafting, data collection,

plan,

report, or budget preparation for

Backfill

(i.e.,

site classification work plan, 45

day report,

or liii

priority corrective action budget),

sanipling,

field oversite for

____________

(i.e.,

drilling/well installation,

corrective action,

or early action),

of maintenance of Shad’s

.

The above list is not inclusive of all

possible tasks.

Environmental Engineer

4.00

hours x

$

100.00

per hour

=

$

400.00

(Title)

Task

to be performed for the

above hours:

Backfill

activities

and monitor well replacement

Senior

Env. Engineer

0.00

hours

x

$

115.00

per hour

=

$

(Title)

Task to be performed for the above hours:

Backfill activities

Senior Env. Geologist

4.00

hours x

$

92.00

per hour

=

$

368.00

(Title)

Task to be performed for the above hours:

Backfill activities

and

monitor well replacement

General Project Manager

0.00

hours x

$

100.00

per hour

=

$

-

(Title)

__________________________

________

Task to be performed for the above hours:

Backfill

activities,

Env. Project Geologist

0.00

hours x

$

81.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

Backfill activities

Buy. Project Scientist

0.00

hours x

$

81.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Backfill

activities

Engineering

Technican

124.00

hours x

$

55.00

per hour

=

$

6,820.00

(Title)

Task to be performed for the

above hours:

Backfill

activities

and monitor

well.

replacement

Laborer

124.00

hours

x

$

35.00

per hour

=

$

4,340.00

(Title)

Task to be performed for the

above hours:

Backfill activities

and monitor well replacement

G-i

BACKFILL

This

form

must be

submitted in duplicate.

---

IEMANo.

97-1835

G.

PERSONNEL

‘

BACKFILL

‘

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

Backfill

(i.e.,

site classification work plan,

45

day report,

or high

priority corrective action budget),’sampling,

field oversite for

‘

(i.e.,

drilling/well installation,

corrective action, or early action)ofmaintenance of Shad’s

.

The

above list

is not inclusive of

all

possible tasks.

Technical Editor

0.00

hours x

5

55.00

per hour

=

(Title)

Task to be performed for the

above hours:

Backfill

activities

Draftsman

0.00

hours x

$

55.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

Backfill activities

Technical Coordinator

0.00

hours x

$

65.00

per hour

=

$

-

(Title)

Taskto be performed for the above hours:

Backfill activities

Administrative

Assistant

0.00

hours x

$

45.00

per hour

=

$

-

___

(Title)

_______

___

Task to be performedfor the above hours:

,

Backfill

activities

Office

Manager

0.00

hours x

$

40.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

Backfill activities

Principal

0.00

hours x

$

130.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Backfill activities

Field Supervisor/Coordinator

128.00

hours

x

$

110.00

per hour

=

$

14,080.00

(Title)

Task to be performed for the above hours:

Backfill activities andmonitor well replacement

Construction Foreman

0.00

hours

x

$

65.00

per hour

=

,

$

-

(Title)

Task to be performed for the

above hours:

Backfill

activities

G-ia

BACKFILL

This

form must

be

submitted in duplicate.

---

IEMANo.

97-1835

G.

PERSONNEL

BACKFILL

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 high

priority corrective action budget),

sampling,

field

oversite for

___________

(i.e.,

drilling/well installation,

corrective action, or early áction)of maintenance of

Shad’s

.

The above list is not inclusive

of

all

possible tasks.

Environmental Engineer

15

hours x

$

100.00

per hour

=

$

1,500.00

(Title)

Task to be performed for the

above hours:

Soil

CACR

and Groundwater CAP

‘Senior Env.

Engineer

3

hours

x

$

115.00

per hour

=

$

345.00

(Title)

Task to be performed for the above hours:

Soil CACR and Groundwater CAP

Senior Env. Geologist

8

hours x

$

92.00

per

hour

=

$

736.00

(Title)

Task to be performed for the

above hours:

Soil

CACR and

Groundwater CAP

General Project

Manager

10

hours

x

$

100.00

per hour

=

$

1,000.00

___________

______

(Title)

___________________

_______________

______

Task to be performed for

the

above hours:

Soil

CACR and Groundwater CAP

Env.

Project Geologist

8

hours x

$

81.00

per hour

=

$

648.00

(Title)

Task to be performed for the

above

hours:

Soil

CACR and

Groundwater CAP

Em’.

Project

Scientist

0

hours

x

$

81.00

per hour

=

$

-

(Title)

Task to be performed for

the above hours:

Soil

CACR and Groundwater CAP

Engineering Techn,ican

0

hours

x

$

55.00

per hour

=

$

-

(Title)

Task to be performed for the above hours:

Soil

CACR

and Groundwater CAP

Laborer

‘

.

0

hours

x

$

35.00

per hour

=

$

-

(Title)

Task to be performed for the

above hours:

Soil CACR

and Groundwater CAP

G-i

BACKFILL

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

~1iL1~)

Task to be performed for the above hours:

Office

Manager

(Title)

Task to be performed for the

above hours:

Principal

(Title)

————---—--————T-ask—to-be-per-for.med--for-the-above-hoiars-:

Field Supervisor/Coordinator

(Title)

Task to be performed for the above hours:

Wastewater Trtmt.

Operator

(Title)

Task to be performed for the abovehours:

Construction Foreman

(Title)

Task to be performed for the above hours:

4

IEMA No.

97-1835

hours

x

$

55.00

per hour

=

$

220.00

Soil CACR

and

Groundwater CAP

5,

hours x

$

55.00

per hour

=

$

275.00

Soil

CACR and

Groundwater CAP

0

hours x

$

65.00

per hour

=

$

-

Soil

CACR

and Groundwater CAP

3

hour~x $

45.00

perhour

=

$

135.00

Soil

CACR

and Groundwater CAP

1

hours

x

$

40.00

per hour

=

$

40.00

Soil CACR

and Groundwater CAP

2

hoursx

$

130.00

per hour

=

$

260.00

.Soil-CA.CR-.and.-Groundw.ater--C~_______

hours

x

$

110.00

pet hour

=

$

-

0

Soil

CACR

and Groundwater

CAP

0

hours

x

$

100.00

per hour

=

$

-

Soil

CACR and Groundwater

CAP

0

hoursx

$

65.00

per

hour

=

$

-

Soil

CACR

and Groundwater CAP

TOTAL PERSONNEL

COSTS:

$

31,167.00

G-2BACKFILL

This form must

be

submitted in duplicate.

---

IEMA No.

97-1835

H.’

EQUIPMENT

COSTS

BACKFILL

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 U’sed

1

Units

j

,

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

Total Page H-i

$

H-i BACKFILL

This form

must

be submitted in duplicate

0

0

---

I.

FIELD PURCHASES AND OTHER COSTS

BACKFILL

IEMA No.

97-1835

All equipment used must be listed below in a time

and

materials

format.

Handling charges should not be

added here;

use Section

3.

I-i BACKFILL

Field Purchases

Quantity

Item’

Price/Item

Total

Cost

Handling

Charges

Color

Copies

100

/each

$

.125

$

125.00

yes

Carbon Filter

Purchase

0

/each

5

600.00

$

-

yes

Manifests

0

/each

$

3.00

S

-

yes

Truck

Liner

0

/each

$

4.00

$

-

yes

Bailers

0

/each

$

~l2.00

$

-

yes

Film

,

1

/each

$

6.00

$

6.00

yes

Photo Development & Copies

1 !each

,

$

15.00

$

15.00

yes

$

-

yes

Postage

$

20.00

yes

Drums

0

/each

$

50.00

$

-

yes

‘$

Subcontractors

S

-

Sand

Backfill

1,237.40

/ton

$

6.00

$

7,424.41

yes

Aggregate Backfill

44.45

/ton

$

11.25

S

500.03

yes

Septic Gravel Backfill

0.00 /ton

$

7.75

$

-

yes

Concrete

/c.y.

5’

61.00

$

-

,

yes

Disposal

Charge

0.00

/ton

$

26.00

$

-

yes

Trackhoe

0.00 /hour

$

125.00

$

-

yes

Backhoe

90.00 /hour

$

85.00

$

7,650.00

yes

End

Loader

Trucking

Charge(0

c.y.)

I

387.00

/hour

$

65.00

$

“~‘~~‘‘0.00

/hbü”$’~95.00

$‘‘~

~

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

5

0.35

$

-

yes

Plumber/Inspector

0.00

/hour

$

45.00

$

-

yes

Plumber Mileage

0.00

/mile

$

0.35

$

-

yes

Drill Rig Mobilization

1

/each

$

260.00

$

260.00

yes

Replacement

MW Install.

25ft

3

/each

5

550.00

$

1,650.00

yes

Drilling (25 foot wells)

3

/each

$

425.00

$

‘

1,275.00

yes

‘

S

-

$

$

5’

$

-

.

$

,

$

Subtotal

Page I-i

$

44,080.43

This form must

be

submitted in duplicate

---

IEMA 97-1835

BACKFILL

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

750.00

5

0.10

/eacli

$

75.00

Mileage for CW3M

trips

3,450.00

$

0.35

/each

$

1,207.50

Per Diem

0.00

$

36.00

/day

S

-

$

.

$

Total Other

$

1,282.50

ofTrips

‘

23’

trips

at

150

miles

per trip

TOTkL

OTHER

COSTS

=

$

$

1,282.50

Total (Pages I-i and 1-2)

I

$

45,362.93

1

1-2

BACKFILL

This form must be

submitted in duplicate

---

IEMA No.

97-1835

J.

HANDLING

CHARGES

BACKFILL

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

sso;ool

-

$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

Trucking Charge (15 cv.)

Baker

Tank

I-i

Backfill

1-1 ‘Backfill”

Subtotal

3-1

Subtotal:

$

43,914.43

J-i BACKFILL

Subcontractor

Section where

cost

is listed

Subcontract Amount

Sand

Backfill

,

1-1 Backfill

$

7,424.41

Aggregate Backfill

1-1 Backfill

$

500.03

Septic

Gravel

Backfill

I-i Backfill

$

-

Concrete

1-1

Backfill

$

-

Disposal

Charge

I-i

Backfill

$

-

Trackhoe

I-i Backfill

$

-

Backhoe

I-i Backfill

5

7,650.00

Trucking

Charge (10 c.y.)

I-i

Backfill

$

25,155.00

End Loader

I-i

Backfill

-

$

‘

-

Electrician

I-i

Backfill

$

-

Electrician Mileage

1-1

Backfill

$

-

Plumber/Inspector

1-1

Backfill

$

-

Plumber Mileage

1-1

Backfill

$

-

Drill Rig Mobilization

1-1

Backfill

$

260.00

ReplacementMW

Install. 25ft

1-1 Backfill

$

1,650.00

Drilling

(25

foot wells)

1-1

Backfill

$

1,275.00

This

form

must be

submitted

in

duplicate

---

B.

Field Purchase

BACKFILL

Color Copies

Carbon Filter Purchase

Manifests

Truck Liner

Bailers

Film

Photo Development & Conies

Postage

Drums

IEMA No.

‘97-1835

5

125.00

S

S

S

S

$

6.00

S

15.00

S

S

20.00

$

Subtotal Page 1-2:

‘5

166.00

I

Subtotal of Pages

3-1

andJ-2

:

$

44,080.43

Handling Charge

*

See Handling Charge Total

*

use chart at top of Page J-1

to calculate

the allowable

handliog

charge.

Copies

of invoices for subcontractor costs and receipts for field purchases

are required for billing submissions

J-2 BACKFILL

Field Purchase

Field Purchase

Amount

This

form must

be

submitted in

duplicate

---

IEMANo.

97-1835

G.

PERSONNEL

REIMBURSEMENT PREPARATION

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

Reimb.

(i.e.,

site classification work 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 Shad’s

.

The above list is not inclusive

of

all

possible tasks.

Environmental Engineer

0.00

hours x

$

100.00

per hour

=

$

(Title)

Task to

be.

performed for the above hours:

Reimbursement claim preparation

Senior

Env. Engineer

4.00

hours

x

$

115.00

per hour

=

5,

460.00

(Title)

Task to be performed for the above hours:

‘

Reimbursement

claim preparation

Senior

Env.

Geologist

14.00

hours x

S

92.00

per hour

=

$

1,288.00

(Tide)

Task to be performed for the

above hours:

Reimbursement

claim preparation

General Project

Manager

10.00

hours

x

$

100.00

per hour

=

$

,

1,000.00

(Title)

Task to be performed for the

above hours:

Reimbursement claim preparation

Ens’.

Project Geologist

0.00

hours x

$

81.00

per hour

=

$

(Title)

Task to be performed for the

abOve

hours:

Reimbursement claim preparation

Env.

Project Scientist

.

0.00

hours x

$

81.00

per hour

=

$

(Title)

Task to. be performed for the

above hours:

Reimbursement claim preparation

Engineering

Technican

0.00

hours x

$

55.00

per hour

=

$

(Title)

Task to be performed for’the above hours:

Reimbursement claim preparation

Laborer

0.00

hours

x

$

35.00

per hour

=

$

(Title)

G-i

REIMBURSEMENT

CLAIM PREP

This form must be

submitted in duplicate.

---

IEMANo.

97-1835

Technical

Editor

0.00

hours x $

55.00

per hour

=-

$

(Title)

Task to be performed for the

above hours:

Reimbursement claim preparation

Draftsman

0.00

hours

x

$

55.00

per hour

=

$

(Title)

Task to be performed for the

above hours:

Reimbursement claim

preparation

Technical

Coordinator

0.00

hours x

$

65.00

per hour

=

$

(Title)

Task to be performed for the

above hours:

Reimbursement claim preparation

Administrative

Assistant

20.00

hours x

$

45.00

per hour

=

$

900.00

(Title)

Task

to be performed for the above hours:

Reimbursement claim preparation

Office Manager

.

2.00

hours x

$

40.00

per

hour

=

$

80.00

(Title)

Task

to be performed for the

above hours:

Reimbursement claim preparation

Principal

0.00

hoursx

$

130.00

perhour

=

$

(Title)

Task

to be performed for the

above hours:

Reimbursement claim

preparation

Field Supervisor/Coordinator

‘

0.00

hours x

$

110.00

per hour

=

$

(Title)

Task to be performed for the

above hours:

Reimbursement claim preparation

Wastewater Trtmt.

Operator

‘

0.00

hours x

$

100.00

per hour

=

$

(Title)

Task to be performed for the

above hours:

Reimbursement claim preparation

0.00

hours x

$

per hour

=

$

(Title)

Task to be performed for the

above hours:

___________________

TOTAL PERSONNEL

COSTS:

$

3,728.00

G-2

RETMBUTRSEMENT

CLAIM PREP

This form must be

submitted in

duplicate.

---

IEMA No.

97-1835

I.

FIELD

PURCHASES AND OTHER

COSTS

REIMBURSEMENT

All equipment used must be

listed below in a time and materials format.

addedhere;

use

Section

3.

Handling charges

should not be

Field Purchases

Quantity

‘

Item

Price/Item

Total Cost

Handling

Charges

Color Copies

0

/each

$

1.25

$

-

yes

Carbon

Filter Purchase

0

/each

5

600.00

5

-

yes

Manifests

0

/each

$

3.00

$

-

yes

Truck Liner

0 /each

$

4.00

$

-

yes

Bailers

0

/each

$

12.00

S

-

yes

Film

0

/each

S

‘

6.00

5

-

yes

Photo

Development & Copies

0

/each

$

15.00

$

-

yes

$

-

yes

Postage

$

20.00

yes

Drums

0 /each

$

50.00

S

-

yes

S

-

I-i

REIMBURSEMENT

CLAIM PREP

Subtotal

Page I-i

$

20.00

This form must be submitted in duplicate

---

IEMANo.

97-1835

REIMBURSEMENT

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.

IRate

Cost

Copies

750.00

S

0.10

/each

S

75.00

Mileage for

CW3M

trips

0.00

S

0.35

/each

$

-

Per

Diem

‘

0.00

S

36.00

/day

S

-

S

-

.

$

-

Total Other

$

75.00

TOTAL

OTHER COSTS

=

$

75.00

Total (Pages I-i and 1-2)

I

$

95.00

I

1-2

REIMBURSEMENT CLAIM PREP

This

form

must be

submitted in

duplicate

---

IEMA No.

97-1835

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

Subcontractor

Section where

cost

is listed

Subcontract Amount

Sand

Backfill

Aggregate Backfill

Septic

Gravel

Backfill

Concrete

Disposal Charge

Trackhoe

Backhoe

Trucking

Charge (10 c.y.)

End Loader

Trucking

Charge

(15 c.y.)

Baker

Tank

T_____________

Electrician

Electrician Mileage

Plumber/Inspector

Plumber Mileage

‘

‘

Subtotal

1-1

Subtotal:

$

J-1

REIMBURSEMENT CLAIM PREP

J.

HANDLING

CHARGES

‘

REIMBURSEMENT

Handling

charges are

eligible for payment

on

subcontractor

billings and/or

field purchases

only

if they

are

equal to or

less

than the

aniounts determined by the

following table:

This form

must

be

submitted in duplicate

---

IEMA No.

97-1835

5

-

S

S

S

S

S

S

$

$

20.00

S

Subtotal

Page

3-2

:

$

I

Subtotal of Pages 3-land 3-2:

$

20.00

Handling Charge

*

:

See Handling Charge Total

*

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

REIMBURSEMENT

CLAIM PREP

B.

Field Purchase

REIMBURSEMENT

Carbon

Filter Purchase

Manifests

Color Copies

Field Purchase

Field Purchase Amount

Bailers

Film

Truck

Liner

.

Photo

Development

&

Copies

Postage

Drums

20.00

This form must

be

submitted in duplicate

---

Shad’s

Service

CHECK SHEET

10/29/20044:21

PM

Ours

EPA

~Difference

E

Investigation

$

3,515.00

$

3,515.00

S

-

F

Analysis

$

2,125.00

‘$

2,125.00

$

-

G

Personnel

$

76,613.00

$

76,613.00

$

-

H

Equipment

$

398.50

$

398.50

$

-

I

Field Purchases

$

116,364.01

$

116,364.01

$

-

J

Apply Handling

$

118,946.51

$

118,946.51

~_________

J

$

-

Totals

I

$

206,294.44

I

I

$

206,294.44

I

1$

-

I

---

Shad’s Service

IN

UTS

10/29/20044:21

PM

Subcontractor Material

and Services

Sand Backfill

5

6.00

/ton

Aggregate

Backfill

5

11 .25

/ton

Septic

Gravel

Backfill

$

7.75

Iton

Concrete

$

61.00

Icy.

BETX

Analysis

S

75.00

/each

PNA Analysis

$

175.00

‘leach

TACO Parameters

$

85.00

/each

Waste Characterization

(soil)

$

400.00

/each’

Waste Characterization

(water)

$

375.00

/each

Disposal Charge,

soil

(bulk)

$

26.00

Iton

Disposal Charge, soil (drum)

$

65.00

/drum

Disposal

Charge, water

$

2.00

Igallon

Trackhoe

$

125.00

/hour

Grove Crane

$

150.00

/hour

Backhoe

$

85.00

Ihour

Disk

Harrow

$

75.00

/hour

Chisel

Plow

$

20.00

/acre

Tractor

$

35.00

/hour

Tractor

Operator

$

25.00

/hour

Spreader

$

200.00

/day

Trucking

Charge (10 c.y.)

$

65.00

Ihour

End

Loader

$

95.00

Ihour

Trucking

Charge (15 c.y.)

5

85.00

Ihour

Baker Tank

$

1,200.00

/month

Electrician

$

40.00

/hour

Plumber/Inspector

$

45.00

/hour

Drilling

$

17.00

/foot

Drill Rig Mobilization

$

260.00

/trip

MW

Installation

-

15

foot

$

450.00

/each

MW

Installation

-

20

foot

$

500.00

leach

MW

Installation

-

25

foot

$

550.00

leach

MW

Installation

-

35

foot

$

600.00

leach

Recovery Sump

Installation

,

$ 2,500.00

/each

Recovery Well Installation

$

800.00

leach

Piping,

Hose and

Fittings

$

4,000.00

hump sum

Electricity

$

200.00

/month

Sewer Disposal

Charge

5

0.00 1

/gallon

Telephone

Line Installation

$

150.00

leach

Telephone

Line (autodialer)

$

30.00

/month

Recovery Sump Closure

$

1,200.00

leach

Recovery Well Closure

$

400.00

leach

Monitoring Well Closure

$

350.00

leach

Survey

Crew

‘

$ 2,740.00

leach

Land Lease

$

120.00

lacre

Lysimeter Installation

$

450.00

leach

FEMA Maps

$

20.00

leach

Distances

To

Landfill

65

miles

1-way

To Sand

Pit

I

65

miles

1-way

To Septic

Gravel

Source

1

65

miles

1-way

Labor

Rates

Environmental

Engineer

S

100.00

Ihour

Senior

Env. Engineer

$

115.00

/hour

Senior

Env. Geologist

$

92.00

Ihour

General Project Manager

$

100.00

Ihour

Env.

Project Geologist

$

81 .00

Ihour

Env.

Project Scientist

$

81 .00

lhour

Engineering Technican

$

55.00

Ihour

Laborer

$

35.00

Ihour

Technical Editor

5

55.00

Ihour

Draftsman

$

55.00

Ihour

Technical Coordinator

$

65.00

lhour

Administrative

Assistant

$

45.00

Ihour

Office Manager

$

40.00

Ihour

Principal

$

130.00

Ihour

Field

Supervisor/Coordinator

$

110.00

Ihour

WastewaterTrtmt. OperatDr

5

100.00

lhour

Construction

Foreman

$

65.00

Ihour

Other

Costs

.

Bailers

$

12.00

leach

Film

S

6.00

leach

Photo

Dev.

& Copies

$

15.00

/each

Postage

Copies

S

0.10

leach

Color Copies

‘

,~

$

1 .25

leach

Truck Liner

I

$

4.00

leach

Manifests

‘5

3.00

leach,

Carbon

Filter Purchase

$

600.00

leach

Carbon

Filter Disposal

$1,000.00

leach

Per

Diem

$

36.00

Iday

PlO

Rental

$

125.00

Iday

Survey Equipment Rental

$

‘

65.00

1

Iday

Water

Level Indicator

$

15.00

J

lday

Mileage

5

0.35

Imile

Drums

$

50.00

leach

GWTU Mobilization to Site

$

350.00

leach

GWTU Lease

$2,070.00

/mnth

GWTU

Maintenance

$

750.00

lmnth

Datalogger

,

$

145.50

leach

Transducer

$

42.00

Iday

Slug

5

36.00

Iday