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Permit Type: Special Permit Issued: Oth Agency Due <br /> Wrkpin Revw Comp Comment Ltr Sent Project Co-nit <br /> Submttal Number 93-369 Date Received 04/26/93 <br /> Site Code: 1341 <br /> Site Name: ARCO STA #434 Lead Agency: <br /> Address: 501 W KETTLEMAN LN Contact : <br /> City: LODI Zip: 95240 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 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: B & C <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: ii267 Billing Code: Assigned To: ML <br /> Title of Submittal: QM REPORT <br /> Date of Submittal: 04/222/93 OT Request: N OT 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 Due: OT Scheduled: OT Completed: <br /> LAction Date Action Date Action Date <br /> Ack/Com Ltr Req Add. Info qs Due <br /> Ack/Com Ltr Recd Revision R Dlae <br /> RWQCB Comments Repor p � � r Due <br /> Othr Agency Appr File on _ _ FRP Due I� <br /> n,,4A T"oF— D-, tpf1 non ori I Aavi ci nn flea <br />