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Submttal Nunber 93-194 Date Received 02/24/93 <br /> Site Cad-- e:-.15.`+1 :S1te <br /> � <br /> Nafine: RUIZ GROCERY Lead Agency: <br /> Address: 4491 W M FERRY Contact: <br /> City: TRACY 9376 Phone: <br /> Billing/responsible Party Information <br /> T Bill Info OK" <br /> Billing Name: <br /> Address: State: Zip: <br /> City: phone <br /> Contact: <br /> Property Owner/Operator <br /> Name: Phone: <br /> Address: <br /> City. State: Zip: <br /> Client Information (if different from Owner/Operator) <br /> Nate: Phone: <br /> Address: <br /> City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: DELTA <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program 526 Billing Code: Assigned To:Program Element- 3��. MM <br /> Title of Submittal: QM REPORT <br /> Date of Sub;:ittal : 02/19/93 OT Request: N DT Request Date: <br /> Type of Submittal: 9 Quarterly Report/Post-Remedial Monitoring <br /> -J <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> �J <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> action Date Action Date Action Date <br /> Ack/Com Ltr Req Ad o t Sr Due <br /> Ack/Cox Ltr Recd PRPDL <br /> AWQCB Contsents por Revw Comp�a , Par Du <br /> � Othr Agency Appr Fi Action FRP D <br /> Rdd. Info Recvd Denied vision Due <br /> Pr,. Type: Special Permit Issued: Oth Agency Due <br /> �-��Wrkpin Revw Comp IComment Ltr Sent Project Cocplt <br />