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Submttal Number 93-426 Date eived 03/05/93 <br /> Site Code: 1633 <br /> Site Name: LES CALKINS TRUCKING MC Lead Agency: <br /> Address: 19501 N HWY 99 Contact : � <br /> City: ACAMPO Zip: 95220 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 /> - E <br /> Consultant Company: <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: i <br /> fi'rogram Element: 3527 Billing Code: Assigned To: ML <br /> Title of Submittal: SAMPLING REPORT ' <br /> Date of Submittal: 03%04/93 OT Request: N OT Request Date: <br /> Type of Submittal 3 Assessment Report <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> Permit-'Fee Paid 0.00 <br /> Cheek No. /Cash <br />�E Date Paid <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date 1 <br /> Ack/Com Ltr Req Add. Info Due <br /> Ack/Com Ltr Recd Revisi _Y Pit ue ll <br /> RWQCS Comments Repor Com �!Ip��3. ar Due <br /> Othr Agency Appr File/No 'FRP Due 1 <br /> Add. Info Recvd Denied Revision Due <br /> "ermit Type: Special r _1 s d• � . Oth Agency Due <br /> r4L - - - - - - - - <br /> ' Reyw. Camp _ - ;� rJ! omment,_Lt ,`�_yPro.�ect�Comp.lt ��_ <br />