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Submttal Number 93-OSIS Date Received 61 / 19/ 93 <br /> Site Code : 10194 <br /> Site Name : ARCO STA #2130 Lead Agency : SOP <br /> Address : 796E IV EL DORADO ST Contact : <br /> ggg City : STOCKTON Zip : 95210 Phone : 209 / 957-2987 ' <br /> Billing / responsible Party Information <br /> Billing Name : Rill Info OK ? <br /> 1 Address : <br /> f City : State : Zip : ' <br /> J Contact : Phone <br /> I Property Owner / Operator <br /> Name : Phone : <br /> N Address : <br /> fJl City : State : Zip : <br />� Client Information ( if different from Owner / Operator ) <br /> Name : Phone : <br /> Address : <br /> l <br /> City : State : Zip : <br /> I <br /> Applicant ' s name , date signed , title <br /> Name : Date : <br />{ Title : 3RD QM REPORT <br />;I Consultant Company : RESNA <br />+� Contact Name : Phone : — <br /> I Other Contact name or Info : Phone : <br /> i <br />'l Program Element : 35c6 Billing Code : Assigned To : MI <br /> ti Title of Submittal : 3RD QM REPORT <br /> l �! Date of Submittal : 01 / 19 / 93 ' OT R� equest :N I -OT Request Date % <br /> ' Type of Submittal : 9 Quarterl 'v Report /Post - Remedial Monitoring <br /> II Permit Fee Paid 01 . 00 <br /> Check No . /Cash <br /> Date F'aid <br /> 1 Permit Fee Paid 0 . 00 <br /> �+ Check No . / Cash <br /> Date Paid <br /> Staff Review Due : OT Scheduled : OT Completed : <br /> Action Date Action Date Action Date <br /> � Ack / Com Ltr Req Add . Info Reqstd Srp Due —� <br /> �44441Ack /Com Ltr Recd Revision Reqsted PR Due <br /> RWQCB Comments Report Revw Comp - 2'22 3 Par Due <br /> Othr Agency Appr File / No Action eeX (iGt� FRP Due ` <br /> Add , Info Recvd Denied Revision Due <br /> Permit Type : Special Permit Issued : Oth Apency Due <br /> � Wrkpin Revw Camp Comment Ltr Sent Project Complt <br />