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Submttal Number 93-283 Da`eg Received 03/29/93 <br /> Site Code: 1211 <br /> Site Name: REGAL SERVICE STATION Lead Agency: <br /> Address: 6425 PACIFIC AV Contact: <br /> City: STOCKTON Zip: 95207 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: WEGE <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: 3526 Billing Code: Assigned To: MM <br /> Title of Submittal: QM REPORT <br /> Date of Submittal: 03/29/93 FOT Request: N TOT 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 /> 1 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. InWto <br /> tdiz�� <br /> Srp Due <br /> Ack/Com Ltr Recd RevisiZ Due <br /> RWQCB Comments Repo b.c� r Due <br />