Site Name: Clean as a Whistle (CW)

BRRTS #: 01-12-345678
Phase & Claim Number: SI 3

TASKS BUDGET INVOICES

INSERT
CW Change CW Change Total Save Your Save Your Environ.
Bid / Budgeted Order #1 Order #2 Approved Previous Claims Green #127933 Green #128057 Services, Inc.
Bid / Budgeted Description Amount 05/09/2009 08/14/2009 Budget (If applicable) 05/06/09 06/12/09 #2057 06/25/09
Consultant Costs
Workplan development $ 630.00 ### $ 630.00 $ 635.75
Site Investigation $ 1,475.00 $ 336.00 $ 1,811.00 $ 165.75 $ 131.25
Data Analysis/Report Prep $ 1,460.00 $ 394.00 $ 208.00 $ 2,062.00 $ 156.00
$ -
$ -
$ -
Consultant Cost Total $ 3,565.00 $ 730.00 $ 208.00 ### $ 4,503.00 $ -
Sub-Contractor Costs
Geoprobe $ 600.00 $ 200.00 ### $ 800.00 $ 700.00
Laboratory $ 1,300.00 $ 1,800.00 $ 460.00 $ 3,560.00
$ -
$ -
$ -
$ -
$ -
Sub-Contractor Cost Total $ 1,900.00 $ 2,000.00 $ 460.00 ### $ 4,360.00 $ -
DERF ELIGIBLE SUB-TOTALS $ 5,465.00 ### $ 8,863.00 $ - $ 801.50 $ 287.25 $ 700.00

Non-DERF Eligible Expenses

Per Diem

Non-DERF Cost Total $ - $ - $ - $ -

INVOICE GRAND TOTAL $ - $ 801.50 $ 287.25 $ 700.00

Check Numbers 10655 10679 10725

 Dry Cleaner Environmental Response Program
Cost Detail Linking Spreadsheet

DERF COST BREAKOUT (this claim)

C

INSERT
A+ Testing Save Your Save Your Save Your A B Groundwater D E
#A092617 Green #128240 Green #128374 Green #128548 Total Invoiced Soil Soil Investigation Groundwater Air/Vapor
07/01/09 07/24/09 08/14/09 09/16/09 Costs Investigation Remediation Remediation Investigation

$ 635.75 $ 635.75
$ 918.75 $ 63.50 $ 1,279.25 $ 1,279.25
$ 64.00 $ 1,023.00 $ 678.00 $ 1,921.00 $ 1,921.00
$ -
$ -
$ -
$ 3,836.00

$ 700.00 $ 700.00
$ 2,260.00 $ 2,260.00
$ -
$ -
$ -
$ -
$ -
$ 2,960.00
$ 2,260.00 $ 982.75 $ 1,086.50 $ 678.00 ### $ 6,796.00 $ 4,536.00 $ - $ - $ - $ -

Total DERF Eligible Costs This Claim

$ 81.63 $ 81.63
$ -
$ - $ 81.63
$ 2,260.00 $ 982.75 $ 1,086.50 $ 678.00 ### $ 6,877.63

10725 10725 10801 10878

s claim)
F G H
Air/Vapor Lab & Other Miscellaneous Budget Remaining
Remediation Analysis Costs Use (-) to indicate
cost over-run % Task Complete, Remarks

$ (5.75)
$ 531.75
$ 141.00
$ -
$ -
$ -
$ 667.00

$ 100.00
$ 2,260.00 $ 1,300.00
$ -
$ -
$ -
$ -
$ -
$ 1,400.00
$ - $ 2,260.00 $ - $ 2,067.00

$ 6,796.00
DERF Project: Project Name
Consultant Name Unit Rates

Approved Rate
DATE DATE DATE
Job Title
Sr. Principal
Principal
Sr. Consultant
Consultant
Sr. Technical Staff
Technical Staff
Senior Technician
Technician
Drafting
Clerical

Survey Crew Chief

Survey Crew

Lab

VOC (water)
VOC (soil)
TOC
Sulfate
Fe
Ethene/Ethane/Methane