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Submttal Number 93-265 Date Received 03/22/93 <br /> Site Code: 1708 <br /> Site Name: ARCO STATION #6100 Lead Agency: <br /> Address: 25775 PATTERSON PASS Contact: y <br /> City: TRACY Zip: 95376 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: y <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 /> Consultant Company: RESNA <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> +' Program Element: 3527 Billing Code: Assigned To: ML 1� <br /> Title of Submittal: ADDN TO WORK PLAN 1 <br /> I Date of Submittal : 03/18/93 OT Request: N OT Request Date: ---4 <br /> 11 ,� <br /> �! Type of Submittal : 2 Site Assessment Work Flan <br /> 1 Permit Fee Paid 0.00 <br /> ' Check No. /Cash <br /> Date Paid <br /> 11 <br /> Permit Fee paid 0.00 <br /> Check No. /Cash <br /> �1 Date F'aid I 111' �� <br /> 1Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> IAck/Com Ltr Req Add. In f Re Srp Due ` <br /> l�Ack/Com Ltr Recd 'Re,' egsted ue <br /> t mp0! F'ar ue <br /> Othr Agency Appr it Due <br /> Add. Info Recvd Denie Revision Due <br /> +1 Permit Type: (Special Permit Issued: Oth Agency Due ,1 <br /> +Wrkpin Revw Comp Comment Ltr Sent Project Complt ,I <br />