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<br />Texas Water Commission <br />Leaking Petroleum Storage Tank Remediation <br /> <br />Fund Payment Response Form <br /> <br />Applicant: Ci tv of San Marcos <br /> <br />Application No.: 2965 <br /> <br />LPST Identification No.: 92680B <br /> <br />Facility Registration No.: 21680 <br /> <br />This form is provided for your use in responding to the Fund Payment Report. You maycboose <br />to either accept the Report in its entirety or protest any conclusion of the Report. Briefly describe <br />each item of which you disapprove in the space provided below. Attach additional pages as necessary. <br />Please note that a protest must be in writing, signed by the applicant, llDd filed within 45 days from <br />the date on which the Report was received. <br /> <br />See attached protest. <br /> <br />My signature below indicates that I acknowledge receipt of the Fund Payment Report, and that I <br />Xlllarldo Dot (indicate which) accept the Report in its present form. I further certify that I have the <br />authority to take this action on behalf of: <br /> <br />City of San Marcos <br /> <br />Signed: <br />Title: <br /> <br />Dated: <br /> <br />Cil-f ~{~ <br /> <br />September 15, 1992 <br />