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VUU111trVR1 1VtAluUCf' 7.D".7..1C_ UaLe Kecelvea w4/lb/`j6 <br /> Site Code: 1061 <br /> Site Name: MORITA BROTHERS Lead Agency: <br /> Address: 814 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: HUNTER <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: 04/12/93 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. Info Reqstd Srp Due <br /> Ack/Com Ltr Recd Revision Reqsted -.FR Due <br /> RWQCB Comments Rep6�c pevw Comp/ Y6�3 Par Due Agency Appr F�14/oto �io0-/< 2 FRP Due <br /> AddLeInfo Recvd Deh,,ed � ! Revision Due <br /> Type: Special Permit Issued: Oth Agency Due <br /> Revw Comp Comment Ltr Sent Project Complt <br />