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Submttal Number 93-398 ��Qate Received 05/04/93 w��) <br /> Site Code : 1841 <br /> Site Name: BEACON STATION #695 Lead Agency: <br /> Address: 900 S CHEROKEE LN Contact : <br /> City: LODI Zip: 95240 Phone: <br /> Billing/responsible Party Information <br /> Billing Name: Bill Info OK? <br /> City: State : Zip: <br /> Contact : Phone <br /> Property Owher/Operator <br /> Name: Phone: <br /> City: State: Zip: <br /> Client Information (if different from Owner/Operator) <br /> Name: Phone: <br /> City: State : Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date : <br /> Consultant Company: REMEDIATION RISK <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone : <br /> gram Element : 352_6 Billing Code: Assigned To: LT <br /> Title of Submittal : 4TH 92 & IST 93 QMR <br /> Date of Submittal : 04/30/93 1 OT Request : N OT Request Date: <br /> of Submittal : 9 Quarterly Report/Post—Remedial Monitoring <br /> Permit Fee Paid 0. 00 <br /> Check No. /Cash <br /> Date Paid <br /> ermit Fee Paid 0. 00 <br /> Check No. /Cash <br /> Date Paid <br /> Staff Review Due: OT Scheduled : OT Completed: <br />