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Submttal Number 9 -411 ^ Date Received 05/11/93 w <br /> Site Code . 1102 y <br /> Site Name : COS/SMITH CANAL PUMP STA Lead Agency : <br /> Address : FONTANA DR/SMITH CAN Contact : <br /> City : STOCKTON Zip: 95204 Phone * <br /> Billing_/responsible Party Information <br /> Billina Name : Bill Info OK? <br /> Address: <br /> City : State : Zip: <br /> Contact . Phone <br /> i <br /> ProDerty Owner/Operator <br /> Name : Phone : <br /> Address : <br /> City : State : Zip: <br /> Client Information ( if different from Owner/Operator) <br /> Name : Phone : <br /> Address . <br /> City : State : Zip: <br /> Applicant' s name, date siqned, title <br /> Name : Date : <br /> Title : <br /> Consultant Company : RESNA <br /> Contact Name : Phone : <br /> Other Contact name or Info : Phone : <br /> Program Element : 3526 Billing Code : Assigned To : LT <br /> Title of Submittal : GMR <br /> Date of Submittal : 05/11/93 OT Request . N DT Request Date : <br /> Type of Submittal : 9 Quarterly Report/Post—Remedial Monitoring <br /> Permit Fee Paid 0. 00 <br /> Check No. /Cash <br /> Date Paid <br /> Permit Fee Paid 0. 00 <br /> Check No. /Cash <br /> Date Paid <br /> Staff Review Dire : OT Scheduled : OT Completed : <br /> Action Date Action Date Action Date <br /> Ack/Com Ltr Req Add. Info Reqst Srp Due <br /> Ack/Com Ltr Recd Revision Reas PR Due <br /> RWQCB Comments Report--Revw _pl94f� , ar Due 1 <br /> Othr Agency Appr File/No Actio =RP Due <br /> Add. Info Recvd Denied Revision Due <br /> Permit Type : Special Permit Issued : Oth Agency Due � <br /> Wrkpin Revw Comp Comment Ltr Sent Project Comolt ii <br />