Laserfiche WebLink
Sfcbmttal Number 93-388 ,Date Received 04/28/93 �. <br /> a <br /> -•µ- { <br /> Site Code : 1 :16 <br /> Site Name : ARCO MINI MART Lead Agency: <br /> Address : 4511 PACIFIC AV Contact : <br /> City : STOCKTON Zip: 95207 Rhone: <br /> Billing/responsible Party Information <br /> Billing Name : Hill Info OK? <br /> Address: <br /> City : State : Zip: <br /> Contact : Phone <br /> i <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 /> I <br /> Name: Date: <br /> Title : <br /> Consultant Company : SAS <br /> Contact Name : phone : <br /> Other Contact name or Info : phone : <br /> Program Element : 35 :7 Pilling Code : Assigned To: DH, <br /> Title of Submittal : QM REPORT <br /> Date of Submittal : 04/28/93 OT Request : N OT Request Date . <br /> Type of Submittal : 9 Quarterly Report/post--Remedial Monitoring <br /> Permit Fee Raid 0. 00 <br /> Check No. /Gash <br /> Date Paid <br /> Permit Fee Raid 0. 00 <br /> Check No. /Cash <br /> Date Paid <br /> Staff Review Due : OT Scheduled : dT Completed : <br /> Action Date Action Date Action Date <br /> Ack/Com Ltr Req Add. Info Regstd Srp Due <br /> Ack/Com Ltr Recd Revision Reqsted PR Due <br /> RWQCB Comments Report Revw Comp -511 3 Par Due <br /> Othr Agency Appr File/No Action FRP Due <br /> Add. Info Recvd Denied Revision Due <br /> Permit Type : Special Permit Issued : Oth Agency Due <br /> Wrkpin Revw Comp Comment Ltr Sent Project ,Complt <br />