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w <br /> Submttal Number 93 -293 Da a Received 04 / 01 / 93 <br /> Site Code : 1060 <br /> Site Name : GASCO SERVICE STATION Lead Agency : <br /> Address : 749 E CHARTER WY Contact : <br /> City : STOCKTON Zip : 95206 Phone : <br /> Billing/responsible Party Information <br /> Billing Name : Bill Info OK? <br /> Address : <br /> City : State : Zip : <br /> Contact : Phone <br /> Property Owner/Operator <br /> Name : Phone : <br /> Address : <br /> City : State : Zip : <br /> Client Information ( if different from Owner/Operator ) <br /> Name : Phone : <br /> Address : <br /> City : State : Zip : <br /> Applicant ' s name , date signed , title <br /> Name : Date : <br /> Title : <br /> Consultant Company : CA GEOPHYSICAL GRP <br /> Contact Name : Phone : <br /> Other Contact name or Info : Phone : <br /> Program Element : 3526 Billing Code : Assigned To : MC <br /> Title of Submittal : QM REPORT <br /> Date of Submittal : 03 /29 /93 OT Request : N OT Request Date : <br /> Type of Submittal : 9 Quarterly Report /Post-Remedial Monitoring <br /> Permit Fee Paid 0 . 00 <br /> Check No . /Cash <br /> Date Paid <br /> Permit Fee Paid 0 . 00 <br /> Check No . /Cash <br /> Date Paid <br /> Staff Review Due : OT Scheduled : OT Completed : <br /> Action Date Action Date Action Date <br /> Ack/ Com Ltr Req Add . In a Srp Due <br /> Ack/ Com Ltr Recd Rev ' s ' f '-PR Due <br /> RWQCB Comments Re h /I� Par Due <br />