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i L <br /> Site Code : 243; <br /> Site Name : STEVES RENTA Leadency : <br /> Address : 275 E GRANTLINE Contact : <br /> City : TRACY Zip: 95376 Phone : <br /> ,{ <br /> Pilling/responsible Party Information <br /> ik <br /> Pilling Name : E: Pill Info DK? <br /> Address : <br /> City : E State : Zip: <br /> Contact : Phone <br /> Property Owner/Operator <br /> E Name : - f' Phone: <br /> Address: <br /> 11 City : State : Zip: <br /> Client Information ( if different from Owner/Operator) M <br /> —� <br /> Name : —� � �� Phone <br /> 4 Address : li <br /> City: State : Zip:; <br /> Applicant' s name, date signed, title <br /> Name . Date . <br /> Title : <br /> Consultant Company : URIAH ENVIRO" NMENTAL <br /> !` Contact Name : Phone : <br /> Other Contact name or Info : Phone : 4 <br /> 1 _ <br /> 4 program Element : 3526 Pilling Code : ; Assigned To: MM <br /> Title of Submittal : QM REPORT ' <br /> ! Date of Submittal : 05/25/93 OT Request : N DT Request Date : E! <br /> Type of Submittal : 9 Quarterly Report/Most--Remedial Monitoring 111E <br /> Et Permit Fee Paid 0. 00 <br /> Check No. /Cash ' <br /> Date Paid A <br /> Permit Fee paid 0. 00 <br /> 11 Check No. /Cash � ! <br /> Date Paid E <br /> - -- i <br /> Staff Review Due: OT Scheduled OT Completed : <br /> Action _ Dateli <br /> Action Date 1 Action Date I' <br /> 1 <br /> Ick/Com Ltr Req Add. Info Reqstd Srp Due <br /> 1pi-UCom Ltr Recd Revision ed JR Due <br /> WQCP Comments Report ompFj,2q � Par Due <br /> -hr Agency Appr Fi 1 e/N '1 FRP Dire <br /> d. Info Recvd Denie Revision Due �E <br /> rmit Type : Special Perm Agency Due ! <br /> 1}pin Revw Comp Comment Lt Sent ' o ect Complt 4 <br />