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<br /> J I'-IOB,. <br /> I b. Name of individual or firm: <br /> Mailing address: <br /> I <br /> <br /> I Contact person:- Phone: ( ) <br /> <br /> Name of indMduai or firm: <br /> c. <br /> I Mailing address: <br /> <br /> I <br /> Contact person: Phone: ( ) <br /> I 21. At this time, do you anticipate incurring any ongoing eligible costs relative <br /> to this release? Yes . If so, explain briefly including estimates of <br /> I future costs. <br /> On July 27, 1992, the City of San Marcos requested "'State Lead'" by the TWC. <br /> I The City of San Marcos is still operating the project at a minimal cost level <br /> <br /> I commensurate with TWC requirements. Future cost of site remediation.. and closure <br /> is not known. <br /> I <br /> <br /> I <br /> <br /> I ' <br /> 22. Attach the following to this application <br /> I a. All appropriate reimbursement forms detailing manpower, equipment. and supply <br /> I costs; and <br /> I <br /> I b. Evidence that all expenses for which reimbursement is requested have been paid <br /> II in full by the owner/operator. <br /> J This may include the following items: <br /> . Business receipts indicating payments received; <br /> . Cancelled checks; <br /> 1 . The certification of a certified public accountant that the expenses for <br /> expenses for which reibursement is requested have been paid in full; or <br /> . An affidavit signed by the person who performed the corrective action <br /> l affirming that the amounts which the applicant represents as being <br /> paid to him were paid in full. <br /> l. ~age 5 of 6 of <br /> Exhibit C <br /> ~ <br />