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Submttai Number 93-210 Date Received 03/03/93 <br /> Site Cade: 1341 <br /> Site Name: ARCO STA #434 Lead Agency: <br /> Address: 501 W KETTLEMAN LN Contact: <br /> City: LODI Zip: 95240 Phone: 7 <br /> i <br /> Billing/responsible Warty Information <br /> Billing Name: Pill Info OK? <br /> Address: <br /> City: State: Zip: <br /> Contact: Phone <br /> Property Owner/Operator <br /> Name: Phone: t <br /> Address: } <br /> City: State. Zip: I� <br /> 1 <br /> Client Information (if different from Owner/Operator) <br /> Name: Phone- <br /> Address: <br /> h ne:Address: <br /> City: State- Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: B & C <br /> Contact Name: phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: 3526 Billing Code: Assigned To: ML <br /> Title of Submittal : AIR POLLUTION TESTING <br /> I <br /> Date of Submittal: 03/01/93 OT Request. N OT Request Date: <br /> Type of Submittal: 17 Other Agency Report <br /> Permit Fee Paid 0.04 <br /> I <br /> Check No. /Cash <br /> Date Paid <br /> I <br /> Permit Fee Paid 0.00 <br /> ► Check No. /Cash <br /> Date Paid <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> i <br /> Fc <br /> tion Date Action Dat Action Date <br /> I <br /> Ack/Com Ltr Req Add. Inf s -- Srp Due ! <br /> Ack/Com Ltr Recd Revz ReqstedR Due E <br /> RWQCB Comments R vw C m ����� P r Due <br /> Othr Agency ApprRP Due <br /> Add. Info Recvd Revision Due <br /> Permit Type: Specia ssued: Oth Agency Due <br /> Wrkpin Revw Comp Comment Ltr Sent Project Complt <br /> I <br />