Laserfiche WebLink
Submttal Number 93-212 Date Received 03/0,6/'J,5 <br /> Site,, Code: 241434 <br /> Site Name: UNION ICE Lead Agency: <br /> Address: 425 N UNION ST Contact : <br /> City: STOCKTON Zip: 95205 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: <br /> f y <br /> Consultant Company: 'WHF <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element: 3527 ,Billing Code: Assigned To: MM <br /> Title of Submittal : QM REPORT <br /> Date of Submittal : 03/02/93 OT Request.—N OT Request Date; <br /> Type of Submittal : 9 Quarterly Rep.ort/Post-Remedial Monitoring <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Raid <br />` Permit Fee paid 0.00 <br /> Check No. /Cash ! <br /> h Date Paid <br /> k Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> �Rck/Com Ltr Req <br /> Add/. I ,fo -q.s �� Srp Due <br /> Ack/Com Ltr Recd ee <br /> n Regsted, RR Due <br /> RWQCP Comments {. WRev _Comp �� Par Flue <br /> Othr Agency Appr FRP Due <br /> Acid. Info Recvd 03/03/93 De Revision Due <br /> Permit Type: Special Permit Issued: Oth Agency Due <br />`' Wrkpin Revw Comp Comment Ltr Sent Project Complt �! <br />