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<br />TEXAS WA TER COMMISSION <br />PETROLEUM STORAGE TANK REMEDIA TION <br />ADDlication for Reimbursement <br /> <br />1. Name of Applicant: <br />Mailing address: <br />Phone: <br /> <br />City of San Marcos <br />630 East Hopkins, San Marcos, Tx 78666 <br />(512) 353-4444 <br /> <br />a. Applicant is a: <br /> <br />Corporation <br /> <br />Partnership <br /> <br />Individual <br /> <br />Other Municipality <br /> <br />b. Applicant is the: <br /> Tank system owner X <br /> Tank system operator X <br /> Facility owner X <br /> Owner of land on which <br /> tank system is located X <br /> <br />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 />then complete the appropriate spaces listed below: <br /> <br />Tank system owner: <br />Mailing address: <br />Phone: ( ) <br />Dates of ownership: <br /> <br />1991 to <br /> <br />1991 <br /> <br />Facility owner: <br />Mailing address: <br />Phone ( ) <br />Dates of operation: <br /> <br />1991 to <br /> <br />1991 <br /> <br />Land owner: <br />Mailing address: <br />Phone: ( ) <br />