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yFVE 5pecial Permit issued: Oth Agency Due <br /> Wrkpin RevwComp Comet Ltr Sent Project C--plt <br /> Submttal Number 93-359 Date Received 04/22/93 <br /> 'i <br /> Site Code: 1409 <br /> Site Name: 7-11 FOOD STORE 2243-20304 Lead Agency: <br /> Address: 455 W GRANTLINE OD Contact: <br /> City: TRACY Zip: 95376 phone: <br /> Billing/responsible Party Information <br /> Billing Name: Bill 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: i State: Zip: <br /> Applicant' s name, date signed, title <br /> Name; ° Date: <br /> Title: <br /> Consultant Company: GTI <br /> Contact Name: 'i Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element : 3526 Billing Code: Assigned To: MM <br /> Title of Submittal: QM REPORT <br /> i <br /> Date of Submittal: 04/14/93 OT Request: N POT Request Date: <br /> Type of Submittal: 9 Duarterly Repp rt/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 kile <br /> /t� PR Due <br /> RWICB Comments C� Par Due <br /> Othr Agency Appr FRP Due <br /> ',fl <br /> 0r4,1.-4hJ nFn .0--A non ori"', ' "� ' n ui c i nn n!7�o. <br />