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Subattal Number 93-181 - Date Received 0L/2:'2'/93 <br /> Site Code: 1784 ! <br /> Site Name: BILL PARKS CHEVRON Lead Agency: <br /> Address: 66-33 PACIFIC AV Contact : 111 <br /> City: STOCKTON Zip: 95207 Phone: <br /> Billing/responsible Party Information —� <br /> Billing Name: Bill Info OK? <br /> Address: <br /> ! City: State: Zip: 4 <br /> Contact : Phone +1 <br /> Property Owner/Operator ' <br /> Name: Phone: <br /> Address: i <br /> City: State: Zip: <br /> Client Information of different from Owner/Operator) <br /> Name: Phone: <br /> Address: <br /> p City: State: Zip: <br /> ►Applicant' s name, date signed, title <br /> Name: Date: <br /> ! Title: <br /> ! Consultant Company: SIERRA ENVIR SERV <br /> Contact Name: Phone: <br /> Other, Contact name or Info: Phone: <br /> I� F� 'ropram Element: 3056 Billing Code: Assigned To: MM (� <br /> Title of Submittal : QM REPORT r <br /> Date of Submittal : 01/15/93 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 tI <br /> Check No. /Cash ! �� <br /> N Date Paid <br /> 1 � <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> Ack/Com Ltr Req Add. Inf Due <br /> Ack/Com Ltr Recd ! Bevis' a �t P Due <br /> RWQCB Comments Rppa Revue �l •6�7 Par Due <br /> �Othr Agency Appr Pilego FRP Due <br /> !Add. Info Recvd Denied 1 Revision Due <br /> !Permit Type: !Special e,r-R ]"d- _0th Agency Due <br /> f{Wrkpin Revw Comp ' CamRe e t �./-Aj/j, r P oject Complt <br /> -- -- i <br />