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Submttal Number 93-225 Date 'dived 03/04/93 <br /> t Site Code: 1356 <br /> Site game: USA PETROLEUM CO Lead Agency: r <br /> I Address: 2500 W LODI AV Contact: <br /> City: LODI Zip: 95243 Phone: r <br /> i <br /> Pilling/responsible Party Information <br /> Billing Name: Pill Info OK? i <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: Zap: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: WEOE <br /> Contact Name: phone: i <br /> Other Contact name or Info: phone: <br /> program Element: 3526 Pilling Code: Assigned To; LT <br /> Title of Submittal: SITE REPORT <br /> Date of Submittal: 03/01/93 OT Request: N OT 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 0.00 <br /> Check No. /Cash <br /> Date paid <br /> 1 <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> Ack/Com Ltr Req Add. egstd Srp Dale <br /> Ack/Com Ltr Recd R z i eq_stee�^ _ Date <br /> RWQCB Comments e w Ca p�� C ?7R <br /> r Due <br /> Othr Agency Appr F' 1 c p Due <br /> F <br /> Add. Infra Recvd eni ` Revision Due <br /> Permit Type: Specia z slued: 0th Agency Dine <br /> Wrkpin Revw, Comp Comment Ltr Sent Project. Complt 1� _ <br />