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Submttal Number 93-393 ("p) Date Received 04/.:0/93 <br /> i <br /> Site Cade : E000 I <br /> Site Name : SAN JOAQUIN BEVERAGE COMPANY L_` ad (Agency: <br /> Address : 1149 W WEBER ST I Contact : <br /> City : STOCKTON Zip: 95203 f ` Phone <br /> Pilling/responsible Party Information I� <br /> , <br /> Billing Name : ji Bill Info OK? <br /> Address : <br /> City : State : Zip: <br /> Contact , p'hon'e <br /> Property Owner/Operator I <br /> i <br /> Name : Phone: <br /> Address : <br /> p <br /> City : State : Zip: <br /> iM <br /> i <br /> Client Information ( if different from Own er~/Oper,ator) <br /> II <br /> Name : Phone : <br /> Address : .i <br /> City : State : Zip: <br /> ,I .M <br /> Applicant' s name, date signed, title r� j <br /> Name : Date : <br /> Title : I <br /> Consultant Company : GAS I � <br /> Contact dame : I! Phone : <br /> Other Contact name or Info : I phone : <br /> ;, Ip <br /> Program Element : 3526 Billing Code : i� Assigned To : MM }} <br /> Title of Submittal : OMR <br /> Date of Submittal : 04/01/9u OT Request : N,� OT Request Date : <br /> Type of Submittal : 9 Duarterly Report/Post—Remedial Monitoring <br /> mi <br /> TPermit Fee paid 0. 00 iM <br /> Check No. /Cash <br /> Date Paid I� <br /> Permit Fee paid 0. 00 <br /> Check No. /Cash ; E <br /> Date Paid <br /> Staff Review Due : OT Scheduled : � � OT Completed: <br /> i <br /> Action Date Action Date Action Date I <br /> i <br /> Ack'ICom L_tr Req Add. Info Reqstd ; Srp Due <br /> AcklCom Ltr Recd Revision Reqs" i PR Due <br /> RW .CB Comments Report Revw amp 5.;2Fj '!`13 r Df-te ll$ <br /> Othr Agency Appr File/No Act on I Due <br /> Add. Info Recvd Denied inion Due <br /> Permit Tyne: Special Perm I so th Agency Due <br />