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Submttal Number 93-089 bate keceived 01/29/93 <br /> Site Code: 1883 ' p� 1 <br /> Site Name: UNION ICE/D01V1S DISTRIBUTING 1 Lead Agency: ofkwaea <br /> —Address— 1,22'0 W WEBER AV <br /> Contact : MIKE MCNULTY <br /> ! <br /> City: STOCKTON zip: 95803 I F'h on e: 209 948-5!i71 <br /> Pilling/responsible Party Information <br /> jBillinq Name: Pill Info OK? !i <br /> Address: ! <br /> It <br /> City: State: Zip: <br /> Contact: F'tzone 1 <br /> Property Owner/Operator f <br /> Y Name: Phone: <br /> Address: <br /> City: State: Zip: ` <br /> Client Information (if different from Owner/Operator) <br /> Name: Phone: 4 <br /> Address . � <br /> City: State: Zip: } <br /> Applicant' s name, date sinned. title I <br /> i Name: Date: <br /> it Title: I <br /> Consultant Company: WHF <br /> Contact Name: ✓�"nn� �Q�Qi� Phone: I <br /> Other Contact name or Info- d� Phone: <br /> IFF'ro-gr am Element: 3586 Pilling Code: I Assigned To: MM iI <br /> Ii <br /> Title of Submittal ; WORKPLAN TO INSTALL MW' S <br /> �+ Date of Submittal . 01/`6/9c I OT Req,_iest : N I OT Request Date: �I <br /> iL tl <br /> it Type of Submittal .- 11 Work Flan for Permit Activity <br /> It <br /> It �1 <br /> 11 F,ermit Fee F'aid 1 89. 001 I ! 11 <br /> jI Check No. /Cash ` 8407 I i� <br /> Date Paid 01/89/93 — �— <br /> k'ermit Fee Paid 0. 00 I 11 <br /> 11 Check No. /Cash 1 it <br /> It <br /> Date Paid { ` i it <br /> L 1 <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> f Action Date ` Action Date Action Date f; <br /> Ack/Com Ltr Req Add. Info Reqstd ! Srp Due <br /> IIAck/C:om Ltr Recd 1Revision Regsted I PR, Due li <br /> IEr DCB Comments (Report Revw Comp 4 F'ar� Due <br /> IOthAgency Appr File 'No Action I FRp Due jI <br /> fAdd. Info Recvd Denied Revision Due <br /> Ilper-mit Type: ISpecial Permit Issued: 10th Agency Due <br /> Wrkpin Revw Comp Comment Ltr SentF'ro-ject Complt y� <br /> t <br />