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.nuumTTai tvumoer Date Keceivea <br /> Site Code: 2435 <br /> Site dame: STEVES RENTALS Lead Agency: <br /> Address: 2275 E GRANTLINE Contact: <br /> City: TRACY Zip: 95376 Phone: <br /> Billing/responsible Party Information <br /> Billing Name: Dill 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: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: APPLIED ENVIRON SOL <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone- <br /> Eo g:r::am <br /> hone:Program Element : 3526 Billing Code: Assigned To: MM <br /> Title of Submittal: QM REPORT <br /> =Date of Submittal: 03/01/93 OT Request: NOT Request Date: <br /> Type of Submittal : 9 Quarterly Report/Post—Remedial Monitoring <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. Info Reqstd Srp Due <br /> Ack/Cam Ltr Recd Revisio Due <br /> RWQCB Comments Repo f ,�3 P Due <br /> Othr Agency Appr File RP Due <br /> Add. Info Recvd Deni d Revision Due <br /> Permit Type: Special Permit Issued: Oth Agency Due <br /> Wrkpin Revw Comp Comment Ltr Sent Project Complt <br />