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Submttal Number 9.5-V4b uace Keceivea vi/i.3/v3 <br /> Site Code: 1152 <br /> Site Name: MOHR-FRY RANCHES �"� Lead Agency: CAF' <br /> Address: 950 INDUSTRIAL WY Contact: <br /> City: STOCKTON Zip: 95206 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: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: WORKPLAN CONTINUED ASST <br /> Consultant Company: WHF <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Grogram Element: 295 7 Billing Code: Assigned To: DH <br /> Title of Submittal: WORKPLAN FOR SITE ASST <br /> Date of Submittal: 01/13/93 OT Request: N OT Request Date: <br /> Type of Submittal: 11 Work Plan for Permit Activity , <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 /> ,%I I I I i <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> Ek/Com Ltr Req Add. Info Reqstd Srp Due <br /> k/Com Ltr Recd Revision Reqsted PR Due <br /> RWQCB Comments Report Revw Comp Par Due <br /> Othr Agency Appr File/No Action FRP Due <br /> Add. Info Red Denied Revision Due <br /> Permit Type: Yb1,�J1'1_40 Special Permit Issued: 0th Agency Due <br /> Wrkpin Revw Comp Comment Ltr Sent Project Complt <br />