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SUbmttal Number '3,5-11b uate Kecelvea uciioi76 <br /> Site Code: �«s— 10 q1d� <br /> Site Name; �EFEitl �tEl`- W� Rte' /� eZ ad Rgen� <br /> Address: � dd�� Contact: <br /> City: +RACYCtmn/le� Zip: 053-761,5330 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: y <br /> Address: y <br /> City: State. Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: ESE <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Grogram Element: 2954 Billing Code: I Assigned To: NL <br /> Title of. Submittal: RI/FS REC OF DECISION-OPUNIT 1 <br /> Date of Submittal: 01/01/93 OT Request: N OT Request Date; <br /> 1 Type of Submittal: 8 Final Remedial Plan (FRP) <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/Con Ltr Recd Revis' a PR Due <br /> RWQCB Comments R vw Comp Par Due <br /> Othr Agency Appr / tion 3(a-) FRP Due <br /> Add. Info Recvd a Revision Due <br /> Permit Type: S ssued: Oth Agency Due <br /> Wrkpin Revw Comp Commen Ltr Sent Project Complt <br />