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DEPARTMENT OF ENVIRONMENTAL PROTECTION <br /> Progress Report Form <br /> Exhibit A <br /> DEP Agreement No.: NS027 <br /> Grantee Name: <br /> Grantee Address: <br /> Grantee's Grant Manauer: Telephone No.: I <br /> Re sorting Period: <br /> Project Number and Title: <br /> Provide the following information for all tasks and deliverables identified in the Grant Work <br /> PIan: a summary of project accomplishments for the reporting period; a comparison of <br /> actual accomplishments to goals for the period; if goals were not met,provide reasons why; <br /> provide an update on the estimated time for completion of the task and an explanation for <br /> any anticipated delays and identify by task. <br /> NOTE: Use as many pages as necessary to cover all tasks in the Grant Work Plan. <br /> The following format should be followed: <br /> Task 1: <br /> Progress for this reporting period: <br /> Identify any delays or problems encountered: <br /> This report is submitted in accordance with the reporting requirements of DEP Agreement No. <br /> NS027 and accurately reflects the activities associated with the project. <br /> Signature of Grantee's Grant Manager Date <br /> Exhibit A,DEP Agreement#:NS027 <br /> 1 of 1 <br /> Rev.5/30/2017 <br /> 1 <br />