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Su6&ttal Number 93-312 Dat4efReceived 03/31/93 <br /> Site Code: 1401tj U JJLIU n ItAll H �)LKV <br /> Site Name: DESERT PETROLEUM STATION #787 ency: r.• .Gy <br /> Address: 950 W ELEVENTH ST SAN J0A U1j1"tact: <br /> City: TRACY Zip: 9537fPG1 KHA NA M.D.,M.PPbone: <br /> .. :� <br /> Billing/responsible 6x1MVf4ft=Hazdton Avenue)s Stockton,Catifomia 95201 q<<FORe� <br /> Billing Names (2093=3400 Bill Info OR? <br /> Address: <br /> City: State: Zips <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: <br /> Applicant's name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: WEGE <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: 3526 Billing Code: Assigned To: LT <br /> Title of Submittal: REQUEST FOR CLOSURE <br /> Date of Submittal: 03/25/93 0T Request: N OT Request Date: <br /> Type of Submittal: 8 Final Remedial Plan (FRP) <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 /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> Ack/Com Ltr Req Add. Inf astd Srp Due <br /> Ack/Com Ltr Recd Revi%A - <br /> te Due <br /> RWQCB Comments Due <br /> Care S.,. �� <br />