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<br /> I I 3'1 A ¡:. <br /> I TE;<AS WA TER COMMISSION <br /> PETROLEUM STORAGE TANK REMEDIATION <br /> Aoo/ica.tÍon for Reimbursement <br /> I 1. Name of Applicant: City of San Marcos <br /> Mailing address: 630 East Hopkins. San Marcos, Tx 78666 <br /> Phone: (512) 353-4444 <br /> I a. Applicant i~' a: <br /> ."- <br /> I Corporation Partnership <br /> <br /> Individual Other Municipality <br /> I b. Applicant is the: <br /> I Tank system owner X <br /> <br /> . " <br /> Tank system operator X <br /> I Facility owner X <br /> I Owner of land on which <br /> tank system is located X <br /> .. <br /> I 2. If the tank system owner or operator, the facility owner, or the owner of the <br /> land on which the tank system is located is different than the above applicant. <br /> I then complete the appropriate spaces listed below: <br /> Tank system owner: <br /> I Mailing address: <br /> I Phone: ( ) <br /> Dates of ownership: 1991 to 1991 <br /> \ .- <br /> I Facility owner: I <br /> Mailing address: <br /> I Phone ( ) <br /> Dates of operation: 1991 to 1991 <br /> <br /> I Land owner: <br /> Mailing address: <br /> Phone: ( ) <br /> ( 3. Name of facility at release site: City of San Marcos Public Works <br /> I 4. Site address: 630 East Hopkins <br /> San Marcos, Tx Zip: 78666 <br /> I 5. Contact person at site: Fred Sanderson <br /> Phone: (512) 353-4444 <br /> <br /> I I Pàge 2 of 6 of <br /> Exhibit C <br />