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Submttal Number 93-321 Date Received 04/12/93 <br /> UMMMMMMMMf►1MlYfMMMMMMMMMMMMMMMMMMMMP''`�IMMh1MMMM'M(�MMMMMMMMMMMMMMMMMMMPI4"''�1MMMMMMMMMB <br />'35ite Code: 1786123 3 3 <br /> JSite Name: CHEVRON STATION #96468 3 Lead Agency: 3 <br /> 3 Address: 5608 N PERSHING AV 3 Contact; 3 <br /> 3 City: STOCKTON Zip: 95207 3 Phone: 3 <br /> TMh1MMMMMMMfi1h1MMMAIMMMMMMI►1MMMMMh1h1MMMMMMMMMMMMMMOMMMMMMMMMMPIMMMMMMMMMMMMMMMMMMMMMM? <br /> Billing/responsible Party Information <br /> UMMMMMMMMMMMMMMMMMMMMh1MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMB <br /> oBilling Name: Bill Info OK? 3 <br /> 3 Address: 3 <br /> 3 City: State: Zip. 3 <br /> 3 Contact: Phone 3 <br /> TMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM3 <br /> Property Owner/Operator <br /> UMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMh1MMMMMMMMMMMMMMMMMMMMMMMMMB <br /> 3 blame: Phone: 3 <br /> 3 Address: 3 <br /> 3 City: State: Zip: 3 <br /> TMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM? � <br /> Client Information (if different from Owner/Operator) <br /> UMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMB <br /> 3 Name: Phone: 3 <br /> 3 Address: 3 <br /> 3 City: State: Zip: 3 <br /> TMMMMMMMMMMMMMMMMMMMMMMA1MMMh1MMMMMMMMMMMMMMMl+1Mh1MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM) � <br /> Applicant' s name, date signed, title <br /> UMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMB � <br /> 3 Name: Date: .3 <br /> I <br /> 3 Title: 3 <br /> TMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMRIMMMMMMMMMMMMMMh1MMMM) <br /> IDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDI3DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD? <br /> 3 Consultant Company: TOUCHSTONE DEV 3 <br /> 3 Contact Name: Phone: .s <br /> 3 Other Contact name or Info: Phone: . <br /> ADDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDlJDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY <br /> IMMMMMMMMMMMMMMMMMMMMMMMMMG�MMMMMMMMMMMMMMmMMMMMMMMMMMMt?MMMMMMMMMMMMMMMMMMMMMMM; i <br /> Program Element: 3526 3 Billing Code: 3 Assigned To: LT ` <br /> HMMMMMMMMMMMMMMMMMMMMMMMMMOMMMMMMMMMMMMMMMMMMMMMMMMMMMCIMMMMMMMMMMMMMMMMMMMMMMM� 1 <br /> Title of Submittal : WORKPLAN FOR SOIL REMEDIATION <br /> IMMMMMMMMMMh1MMMMMMMMMMMMMMMMMMMMM�MMMMMMMMMMMMMMMG�MMMMMMMMMMMMMMMMMMMMMMMMMMMM; <br /> Date of Submittal: 04/12/93 3 OT Request: N 3 OT Request Date: <br /> L <br />: Type of Submittal : 2 Site Assessment Work Plan <br /> L 9 <br />: Permit Fee Paid 3 0. 00 3 3 3 <br />: Check No. /Cash 3 3 3 3 <br />: Date Paid 3 3 3 3 ; <br />.SDDDDDDDDDDDDDDDDDEDDDDDDDDDDDDDEDDI7DD17DDDDDDDDEDIJDDDDDDDI)DDDDRDDDDDDDDDDDDDDD6 <br /> Permit Fee Paid 3 0.00 3 3 <br /> Check ND. /Cash 3 3 3 <br /> Date Paid 3 3 3 <br /> HMMMMMMMMMMMMMMMMMOPIMMMMMMMMMMMMtlMMMMMMMMMMMMMMaMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMf <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> 1MMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMi2MMMMMMMMMMMMMMMMMMMMMMMft1M; <br />.: Action Date 3 Action Date 3 Action Date <br /> L 9 <br />:Ack/Com Ltr Req 3-Add. Info Regstd 3 Srp Due <br /> i <br />:Ack/Com Ltr Recd .-Revision Reqsted 3 PR Due <br />:RWQCB Comments -Report Revw Comp 3 Par Due <br />:Othr Agency Appr .simile/No Act ' an 3 FRP Due <br />:Add. Info Recvd ,s'"Denied 3 Revision Due <br />:Permit Type: ,spec i h,Agency Due <br />:Wrkpin Revw Comp 3Com t r .S. nt 3 P oject Complt <br /> HMMMMMMMIrIMMMMMMMMMI�IMMMMMl1MOMMMMMMMM � � r • MOMM1�1Mh1h1!>1MMMMMMMMMMMMMMMMMM f <br />