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5uomttal Number 93-`62 Date Received 03/15/93 <br /> Site Code: 1502 <br /> Site Name: MOORE RETROLE*"-K Lead Agency`!"' <br /> Address: 5491 F ST Contact: <br /> City: BANTA Zip: 95304 Rhone: <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 /> Nane: Rhone: <br /> Address: <br /> City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: AEGIS <br /> Contact Name: Rhone: <br /> Other Contact name or Info: Rhone: <br /> Frogran Element: 3526 Billing Code: Assigned To: ML <br /> 9 <br /> Title of Submittal: QM REPORT <br /> Date of Submittal: 03/09/93 OT Request: N OT Request Date: <br /> Type of Submittal : 9 Quarterly Report/Rost-Remedial Monitoring <br /> Permit Fee paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> Permit Fee Raid 0.00 <br /> 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. Inf Reqstd Srp Due <br /> Ack/Com Ltr Recd Revisi d ' Due <br /> RWQCB Comments 1 Repo , 116 113 R Due <br /> Othr Agency Appr Fil / FRP Due <br /> Add. Info Recvd De ' d Revision Due , <br /> lPermit Type: Special r e th Agency Due <br /> Wrkpin Revw Comp Commen r Project Complt <br />