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Submttal Number 93--200 Date Received 02/25/33 <br /> Site Code: 1995123 <br /> Site Name: BP OIL SITE 3211yie Lead Agency: <br /> Address: 1403 COUNTRY CLUB BL Contact: <br /> City: STOCKTON Zip: 95204 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: 1 <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: $ <br /> Consultant Company: ALISTO ENGINEERING i <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone:. <br /> Program Element: 3526 ! Billing Code: Assigned To: MI <br /> t <br /> Title of Submittal : QM REPORT <br /> Date of Submittal : 01/27/93 OT Request: N OT Request Date: <br /> Type of Submittal : 9 Quarterly Report/Post-Remedial Monitoring <br /> Permit Fee Paid 0.00 s <br /> Check No. /Cash I <br /> Date Paid <br /> l <br /> Permit Fee Plaid f 0. 00 <br /> f Check No. /Cash <br /> Date Paid I i� <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date l <br />' I I <br /> Ack/Com Ltr Req Add. Info Reqstd Srp Due <br /> Ack/Com Ltr Recd Revision Reqsted PR Due <br /> RWQCB Comments Report Revw Camp,5-f% Par Due <br /> Othr Agency Appr File/No Action FRP Due <br /> Add. Info Recvd Denied Revision Dace �y <br /> yPermit Type: Special Permit Issued: Oth Agency Dace <br /> Wrkpin Revw Comp Comment Ltr Sent Project Complt <br /> j_ t <br />