Laserfiche WebLink
Submttal Number 93-277 Dam Received 03/25/93 <br /> Site Code: 23331 <br /> Site Name: MODESTO DRY ICE Lead Agency: <br /> Address: 260 S MAIN ST Contact: <br /> City: MANTECA Zip: 95336 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: <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: 3527 Billing Code: Assigned To: ML <br /> Title of Submittal: MONITORING WELL DESTRUCTION <br /> Date of Submittal: 03/25/93 OT Request: N OT Request Date: <br /> Type of Submittal: 10 Permit Application without Work Plan <br /> Permit Fee Paid 60.00 <br /> Check No./Cash 172 <br /> Date Paid 04/06/93 <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 /> F <br /> omLtr Req Add. Info Reqstd Srp Due <br /> omLtr Recd Revision Reqsted PR Due <br /> Comments evw Comp Par <br /> 46(93 �� <br />