Laserfiche WebLink
Site Code: 1041 I <br /> Site Name: GREYHOUND L i � " INC Lead Agenc <br /> Address: i`i S CENTER ST � Contact: <br /> i <br /> City: STOCKTON Zip: 95202 Phone: � <br /> Billing/responsible Party Information t <br /> Billing Name: <br /> Bill Info OK? <br /> t Address: i <br /> City: State: Zip: i <br /> # Contact: Phone I <br /> ` S <br /> Property Owner/Operator <br /> Name: Phone: ! <br /> t Addr=ess: <br /> City: - State: Zip: I <br /> Client information of different from Owner/Operator) <br /> Name- Phone: I <br /> t Address: t <br /> tCity: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: ES <br /> Contact Name: Phone- <br /> Other Contact name or Info: Phone: <br /> i <br /> Program Element: 3507 I Billing Code: Assigned To: MI <br /> Title of Submittal: MONITORING REPORT <br /> i <br /> Date of Submittal: 02/1 /93 OT Request: N ) OT T Request Date: <br /> 1 t <br /> Type of Submittal: 9 Quarterly Report/Post-Remedial Monitoring <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash i I tt <br /> Date Paid I i I 1► <br /> I <br /> Permit Fee Paid I 0.00 �4 <br /> Check No. /Cash <br /> Date Paid �1 <br /> 1 t <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action DateAction Date Action Date <br /> Ack/Com Ltr- Req Add. Info Reqstd 5rp Due !t <br /> lAck/Com Ltr Reed Revision Regsted PR Due <br /> IIRWDCB Comments sRepor•t Revw Comp / i Par Due <br /> IlOthr Agency Appr File/No Action- �ZZlg3 FRP Due �{ <br /> Add. Info Recvd Denied t1 Revision Due <br /> Permit Type: Special Permit Issued: � Oth Agency Due �� 1 <br /> I,Wrkpin Revw Camp Comment Ltr Sent Project Complt4 <br />