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Submttai Number 93-130 Date Received 02/10/93 <br /> Site Code: 1227 ) <br /> Site Name: THRIFTY/BP SS172 Lead Acencv: r <br /> Address: 7647 PACIFIC AVE Contact: i <br /> City: STOCKTON Zip: 95207 Phone: <br /> Billing/responsible Party Information <br /> IBilling Name: Bill Info OK? <br /> Address: <br /> City: State: Zip: { <br /> Contact: Phone +! <br /> Property Owner/Operator <br /> Name: Phone: <br /> fAddress: y <br /> f+ City: State: Zip: <br /> Client Information (if different from Owner/Operator) <br /> Name: Phone: <br /> Address: <br /> fi City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: I <br /> Title: <br /> I <br /> Consultant Company: <br /> Contact Name: Flhone: y <br /> Other Contact name or Info: Phone: ti <br /> {( Program Element: 3526 Billing Code: Assigned To: MI 1' <br /> Title of Submittal: QM REPORT <br /> Date of Submittal: 02/05/93 OT Request: N OT Request Date: <br /> + 4� <br /> ! Type of Submittal : 9 Quarterly Report/Post—Remedial Monitorinq �- <br /> ?� Permit Fee Paid 0.00 <br /> Check No. /Cash I 1 <br /> Date Paid ` <br /> II Germit Fee Paid I 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> Staff Review Due: OT Scheduled: 01' Completed: <br /> Action Date Action Date Action Date , <br /> Ack/Com Ltr Req Add. Info Reqstd Srp Due <br /> Ack/Com Ltr Recd Revision Regsted PR Due <br /> RWQCB Comments Report Revw Comp ��� Par Due <br /> Othr Agency Appr File/No Action !!! FRP Due �f <br /> Add. Info Recvd Denied Revision Due �f <br /> Permit Type: Special Permit Is su d. 0th Agency Due Ii <br /> Wrkpin Revw Comp Comment Ltr Sent gZIs Project Complt <br /> I 1 <br />