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Submttal Number 93-273 Date Received 03/22/93 <br /> Site Code: 9096 MW <br /> mite Name: U S CHEMICAL CO Lead Agency: <br /> n Address: 1448 SHAW RD Contact: <br /> City: STOCKTON Zip: phone: 1 <br /> Billing/responsible party Information <br /> Billing Name: Bill Info OK? <br /> Address: A <br /> City: State: Zip: <br /> Contact : Phone <br /> Property Owner/Operator <br /> Name: Phone: <br /> Address: I <br /> City: State. Zip: i <br /> Client Information (if different from Owner/Operator) <br /> I Name: Phone: <br /> j Address: ; <br /> City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: ' <br /> Title: <br /> Consultant Company: HLA <br /> Contact Name: phone: <br /> Other Contact name or Info: Phone: { <br /> Program Element: 2960 Billing Code: SB Assigned To: MI '! <br /> Title of Submittal: QM REPORT <br /> Date of Submittal: 03/17/93 OT Request: N OT Request Date: <br /> Type of Submittal : 9 Quarterly Report/Post—Remedial Monitoring {i <br /> Permit Fee paid 0. 00 <br /> Check No. /Cash <br /> Date Paid <br /> i <br /> Permit Fee Paid 0. 00 ` <br /> Check No. /Cash <br /> i <br /> Date Paid <br /> i <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> �i <br /> Ack/Com Ltr Req Add. Info Re _ Srp Due !# <br /> Ack/Com Ltr Recd Rev ted 'R Due ` <br /> RWQCB Comments P r °ir Z,//p, Due it <br /> Othr Agency Appr /l L7 F Due +`7 <br /> Add. Info Recvd Dcr,i Revision Due 11 <br /> Permit Type: Special Permit Issued: Oth Agency Due `1 <br /> Wrkpin Revw Comp Comment Ltr Sent Project Complt <br /> � �1 <br />