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t3UOUTtal NUMDer 16-1b9 Date Heceived ve .5 <br /> Site Code: 2393 <br /> Site Name: ROYAL OAKS SP%nwNGS & LOAN Lead Agency <br /> Address: 510 N MAIN ST Contact: <br /> City: MANTECA Zip: 95336 ` Phone: <br /> Pilling/responsible party Information <br /> Pilling Name: Pill 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: WWF <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> F'rograz► Element: 3526 Pilling Code: Assigned To: ML " <br /> Title of Submittal: QM REPORT <br /> Date of Submittal : 02/04/93 OT Request: N OT Request Date: <br /> Type of Submittal: 9 Quarterly Report/Rost-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 y <br /> Date Paid <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> Ack/Com Ltr Req Add. Info p Due <br /> Ack/Com Ltr Recd A <br /> eqsted ue <br /> RWQCP Comments w Com ��g�3 par ue <br /> Othr^ Agency Appr //jj FRR Lie <br /> Add. Info Recvd ision Due <br /> Permit Type: ere slue Oth Agency Due <br /> Wrkpin Revw Coup Comment Ltr Sent Project Complt <br />