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iiPermit Type: Spec`l Permit lssuea: ucnHgenc�uue <br /> Wrk In Revw Comp Co it Ltr Sent Project f -ilt <br /> 41 <br /> #.... ) <br /> Submttal Number 93--367 Date Received 04/26/93 <br /> Site Cade: 1128 <br /> Site Name: TOYOTA TOWN Lead Agency: <br /> Address: 2150 E HAMMER LN Contact: <br /> City: STOCKTON Zip: 95210 Phone: <br /> Billing/responsible Warty 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 /> Name: Phone: <br /> Address; <br /> City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: AQUA GEOSCIENCES <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: 3527 Billing Cade; Assigned To: MI <br /> Title of Submittal: INTERIM REPORT) <br /> Date of Submittal : 01/01/9=OT equest; N OOT Request Date: <br /> Type of Submittal : 3 Assessment Report <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> Permit Fee Paid 4. 00 <br />! Check No. /Cash <br /> r <br />�. Date Paid <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br />€ Ack/Com Ltr Req Add. east rp Due K0 <br /> Ack/Cam Ltr Recd vi i3 PR Due <br /> RWQCB Comments ep ev n �Z^y3 P Due ; <br /> l <br /> Othr Agency Appr Fa. n FRP Due <br /> .......... - ... .F?a.n..i_a ri. 2 Rc,%t i c i nn non—....... ..... .�-.-- <br />