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ISite Code: 1988 <br /> Address: 1541 W CHARTER WY Contact: <br /> City: STOCKTON Zip: 95206 Phone: <br /> Billing/responsible Party Information <br /> Billing Name: Bill Info OK? <br /> State: Zip- <br /> Contact: Phone <br /> Property Owner/Operator <br /> Name: Phone: <br /> LCity: State: Zip: <br /> Client Information (if different from Owner/Operator) <br /> Name: Phone: <br /> ity: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Consultant Company: RESNA <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: 3526 Billing Code: <br /> Title of Submittal: INTERIM GW MITIGATION <br /> Date of Submittal : 02/17/93 OT Request: N OT Request Date: <br /> Type of Submittal: 16 Other Work Plan without Permit Activity <br /> Permit Fee Paid 0.00 <br /> Check No. /cash <br /> Date Paid I <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Staff Review Due: OT Scheduled: OT Completed: <br />