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. APPLICATION FOR PAYMENT <br /> CITY OF NEW BRIGHTON IMPROVEMENT NUMBER 94-02 <br /> PERMANENT GRANULAR ACTIVATED CARBON WATER <br /> TREATMENT FACILITY(PGACWTF) <br /> CONTRACTOR: Calgon Carbon Corporation <br /> ADDRESS: P.O. Box 717 <br /> Pittsburgh, PA 15230-0717 <br /> OWNER: City of New Brighton <br /> ADDRESS: 803 Fifth Avenue NW <br /> New Brighton, MN 55112 <br /> Application is hereby made for the Work accomplished through the date of <br /> 1/30/97 - for work ordered under Purchase Order 3794 , as represented below. <br /> Total <br /> Ordered Furnished Unit Estimated <br /> Item Description Quantity Quantity Unit Price Item Price <br /> CARBON REGENERATION AND SUPPLY <br /> 1.1 Remove and Regenerate Spent GAC 8 8 Truck 4,599.00 $3 6,7 9 2.0 0 <br /> (0 to 8 Truck Loads Total Contract Delivery) Load <br /> 41111 1.2 Remove and Regenerate Spent GAC Truck 4,599.00 <br /> (9 to 40 Truck Loads Total Contract Delivery) Load <br /> 1.3 Furnish and Install Virgin GAC 159,900 159,900 Lb. 1.00 $159,900.00 <br /> (0 to 160,000 Lbs.Total Contract Delivery) <br /> 1.4 Furnish and Install Virgin GAC Lb. 1.00 <br /> (160,001 to 800,000 Lbs.Total Contract <br /> Delivery) <br /> MISCELLANEOUS TECHNICAL ASSISTANCE <br /> 2.1 Technical Assistance Travel Round 740.88 <br /> Trip <br /> 2.2 Technical Assistance Per Diem Expenses Person 211.68 <br /> Day <br /> 2.3 Technical Assistance-Project Hr. 63.50 <br /> Manager/Engineer <br /> 2.4 Technical Assistance-Field Technician Hr. 52.92 <br /> Required Documentation (check if enclosed or indicate whether transmitted separately) <br /> 1. Certificate of Regeneration ( Sent Under Seperate Cover <br /> 2. GAC Manufacturer Facility Name ( ) Big Sandy Plant <br /> (for virgin GAC supplied under contract) <br /> 3. GAC Manufacturer Standard Q.AJQC ( ) Sent Under Seperate Cover <br /> for each nominal 20,000 pound shipment <br /> • 2362210119437-1/LAH <br />