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• �• -� r��• apeciai rermiz issued: Uth Agency Due <br /> Wrkpin Revw Comp Comm, t Ltr Sent Project Ct <br /> c <br /> Submttal Number 93-373 Date Received 04/23/93 <br /> Site Code: tall <br /> Site Name: CLAUDE C WOOD CO Lead Agency: <br /> Address: 17300 E JAHANT RD Contact: <br /> City: CLEMENTS Zip: 95227 Phone: <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 <br /> ip: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: CCW <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: 3527 Billing Code: Assigned To: LT <br /> Title of Submittal: WORKPLAN FOR CLOSURE <br /> Date of Submittal: 04/23/93 OT <br /> Request: N OT Request Date: <br /> Type of Submittal: 16 Other Work Plan without Permit Activity <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 Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> Ack/Co■ Ltr Req Add. Info Re Srp Due <br /> Ack/Com Ltr Recd Revision Due <br /> RWQCB Comments Report p �ayr Due <br /> Othr Agency Appr File/N cti FRP Due <br /> Orta Tnfn 0 --t nodi ort Roui ci nn <br />