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Submttal Number 93-066 Date Received 01/26/93 <br /> Site Code: 9236 <br /> Site Name: MANTECA PUSIN�.,S CENTER Lead Agency: - <br /> Address: 415 N MAIN ST Contact: ` <br /> +� City: MANTECA Zip: 95336 1 Phone: <br /> Pilling/responsible Party Information <br /> Billing Name:Name: Pill 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) f <br /> Name: Phone: <br /> Address: <br /> City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: ATEC ENVIRON <br /> Contact Name: GREG POPE Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: 2950 Billinq Code: Assiqned To: MC <br /> � 11 <br /> Title of Submittal : ASSESSMENT REPORT <br /> ft <br /> I Date of Submittal : 01/26/93 OT Request : N i OT Request Date: <br /> ++ Type of Submittal : 3 Assessment Report <br /> � I <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid 1 I <br /> Permit Fee F'aid 0. 00 �I <br /> Check No. /Cash <br /> � Date Plaid <br /> 1 if <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> 1RWQCB <br /> IAck/Com Ltr Req Add. fo Re Srp Due <br /> �Ack/Com Ltr Recd Rev' Regsted --PR Due Comments v ��z/W/113 Par,Due <br /> ��Othr Agency Appr F ion FRP Due <br /> iAdd. Info Recvd Denie Revision Due <br /> �Permit Type: Special Permit Issued: 1I0th Agency Due „jWrkpin Revw Camp Comment Ltr Sent i Project Complt <br /> I� iJ q <br />