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<br /> Texas Water Commission <br /> Leaking Petroleum Storage Tank Remediation <br /> Fund Payment Response Form <br /> Applicant: City of San Marcos Application No.: 001071 <br /> <br /> LPST Idenúficalion No.: 92680 Facility Registraúon No.: 21680 <br /> <br /> This form is provided for your use in responding to the Fund Payment Report.. You may choose <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. AtUch addilional pages as necessaf)'. <br /> Please note that a protest must be in writing. signed by the applicant. and filed within 45 days from <br /> the date on which the Report was received. <br /> i <br /> ! <br /> I <br /> I <br /> I <br /> \ I <br /> ! <br /> I <br /> I I <br /> I \ <br /> ! 1 <br /> I I <br /> : <br /> , <br /> I <br /> My signature below indicates th:n I acknowledge receipt of the Fund Payment Report, and that I i <br /> do'" (indicate which) accept the Report in its present form. [ further certify Ù1at I have the <br /> ,n<hoo;.,. to uoke tl,;s oclion on bch,¡! of, . --f: j,/14.. <br /> SIgned: ~- ~ <br /> Ci ty of San Marcos Title: City - ana.~ ~ . <br /> Dated: S/29/9l <br />