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- <br /> Submttal Number 93-392Date Received 04/30/93 <br /> �� <br /> Site Code : 1671 <br /> Site Name : PACIFIC GAS Lead Agency : <br /> Address : 2088 MARIPOSA RD Contact : <br /> City : STOCKTON Zip: 95205 Phone : <br /> Billing/responsible Party Information <br /> Billinn Name : Bill Info OK? <br /> City : State : Zip: <br /> Contact : Phone <br /> Property Owner/Operator <br /> Name : Phone : <br /> Client Information ( if different from Owner/Operator) <br /> Name : Phone : <br /> City : State - Zip: <br /> Applicant' s name, date signed, title <br /> Name : Date : <br /> Consultant Company : GAS <br /> Contact Name : Phone: <br /> Other Contact name or Info : Phone : <br /> =-oqram Element : 3527 Billing Code : PA ssigned To : LT- <br /> Title of Submittal : PIER <br /> Date Of Submittal : 04/15/9 juest : N OT Request Date : <br /> of Submittal : 3 Assessment Report <br /> Plermit Fee Paid 0. 00 <br /> Check No. /Cash <br /> Date Plaid <br /> lermit Fee Plaid 0. 00 <br /> Check No. /Cash <br /> Date Paid <br /> Staff Review Due : OT Scheduled: OT Completed: <br />