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1-28 `?ate Received 02/04/93 <br /> Submttal Number 93— r _, <br /> Site Code: 1993 Lead Agency: + <br /> Site Name: GRANITE CONSTRUCTION Contact— JAMES ESSICY. <br /> Address: 10500 S HARLANN�RD Phone: 209-9822-4750 ` <br /> City: FRENCH CAME' Zip: 95231 <br /> Pilling/responsible party Information <br /> Pill Info, OK? ? <br /> Pilling Name: , <br /> Address: <br /> State: Zip: <br /> City: <br /> Contact: <br /> Phone <br /> Property Owner/Operator ' <br /> Name: phone: <br /> Address: <br /> Zip: <br /> City: State: <br /> � I <br /> Client Information (if different from Owner/Operator) <br /> f <br /> Name: Phone: <br /> Address: } <br /> City: State: Zip: f <br /> Applicant' s names date signed, title <br /> Name: Date: y <br /> Title: <br />' Consultant Company: WALLACE—KUHL <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone:. <br /> Program Element: 3557 Pilling Code: Assigned 70: MC {� <br /> Title of Submittal: SITE ASST WORKPLAN <br /> Date of Submittal: 01/28/93 ! OT Request: N OT Request Date: 4 <br /> i 1 <br /> f Type of Submittal: 2 Site Assessment Work plan ,) <br /> ' 1! permit Fee paid 0.00 <br /> f Check No. /Cash <br /> + Date paid <br /> Permit Fee paid 0.00 <br /> !! Check No. /Cash ! 4 <br /> Date Paid , <br /> I <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> !� Action Date Action Date Action Date <br /> 1,Ack/Com Ltr Req Add. Info Reqstd Srp Due <br /> lAck/Com Ltr Recd Revision Reqsted ! PR Due ! <br /> �RWQCP Comments Report Revw Comp Par Due <br /> Othr Agency Appr File/No Action FRP Due <br /> Add. . Info R 4),*n ied Revision Dene !1 <br /> yyPermit T J` S cial Permit Issued: 0th Agency Due <br /> i�Wrkpin mment Ltr Sent Project Complt <br /> jjtt i ' 1 <br />