Laserfiche WebLink
<br /> 1 , tfo L <br /> TEXAS WATER COMMISSION <br /> I PETROLEUM STORAGE TANK REMEDIA TJON <br /> ADOIication for Reimbursement <br /> <br /> 1 1. Name of Applicant: City of San Marcos <br /> Mailing address: 630 East Hopkins, San Marcos, Tx 78668 <br /> Phone: (512) 353-4444 <br /> I I Applicant is a: <br /> a. <br /> I Corporation Partnership -~ <br /> <br /> Individual Other Municipality <br /> I b. Applicant is the: <br /> I Tank system owner X <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 app4icant, <br /> I then complete the appropriate spaces listed below: <br /> Tank system owner: <br /> I Mailing address: <br /> Phone: ( ) <br /> Dates of ownership: 1991 to 1991 <br /> I Facility owner: , <br /> Mailing address: <br /> I Phone ( ) <br /> Dates of operation: 1991 to 1991 <br /> <br /> I Land owner: <br /> Mailing address: <br /> Phone: ( ) <br /> II 3. Name of facility at release site: City of San MarCDs Public Works <br /> I 4. Site address: 630 East Hopkins <br /> San Marcos, Tx ZJp: 78666 <br /> I 5. Contact person at site: Fred Sanderson <br /> Phone: (512) 353-4444 h- <br /> <br /> I Pàge 2 of 6 of <br /> Exhibit C <br />