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Sub'mttal Number 93-06(1 Date Received 01/21/93 <br /> Site Code: 2193 ..E <br /> Site Name: WALTS AUTO REPAIR Lead Agency: <br /> Address: 9172 ,,THORNTON ROAD Contact: <br /> City: STOCKTON Zip: 95212 Phone: <br /> Pilling/responsible Darty Information <br /> Billin Name: ? J <br /> g Dill Info OK. <br /> Address: <br /> City: State: Zip: <br /> I <br /> Contact: Phone <br /> Property Owner/Operator <br /> Name: Phone: <br /> Address: <br /> City: State: Zip: <br /> Client Information of different from Owner/Operator) <br /> J <br /> Name: Phone: <br /> Address: <br /> City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: ` <br /> Tine: <br /> Consultant Company: RESNA <br /> Contact Name: phone: <br /> Other Contact name or Info: phone: <br /> i <br /> I program Element: 3527 Billing Code: Assigned To ML ` <br /> Title of Submittal : PAR <br /> Date of Submittal: 01/21/93 OT Request: N OT Request Date: l <br /> } i <br /> I <br /> Type of Submittal : 3 Assessment Report <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> I <br /> I <br /> Permit Fee Paid 0. O0 I <br /> Check No. /Cash <br /> Date paid <br /> 1 <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/Com Ltr Recd Revision ey Due ! <br /> RWQCB Comments Report ar Due j <br /> Othr- Agency Appr File/N tion FRP Due <br /> Add, Info Recvd Denied Revision Due <br /> Permit Type: Special Permit Issued: 0th Agenc <br /> Wrkpin Revw Comp Comment Ltr Sent Project o 3 XS <br />