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Site•+�.+����-o <br /> ode.e':' <br /> ..+te1745r <br /> � Cf�ri <br /> Site Name: CAL WEST CONCYE CUTTING INC LeadlAgency: <br /> Address: 1153 VANDERBILT CIR Contact: <br /> City: MANTECA Zip: 95336 Phone: <br /> Billing/responsible Party Information j <br /> 4Billing Name: Bill Info OK? <br /> ff 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/Operatdr) <br /> Name: Phone: <br /> Address: <br /> City: State. Zip: <br /> 0 <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Consultant Company: KLEINFELDER <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> ,z <br /> Program Element: 3527 Billing Code: {; Assigned To: LT <br /> Title of Submittal: ASST REPORT <br /> Date of Submittal: U3/91/93 OT Request: N OT Request Date: <br /> Type of Submittal: 3 Assessment Report <br /> Permit Fee Paid 9.00 y <br /> Check No. /Cash <br /> Date Raid 't <br /> �E If <br /> Permit Fee Raid 9.99 <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. Inf Srp Due 1` <br /> Ack/Com Ltr Recd JRI n Reqa II____ PR Due <br /> 1JRWQCB Comments Revw Comp3j0IG1'!��'4 1 pa Due 1� <br /> }�Othr Agency Appr 1 tion I '' FRF Due <br /> f1flAdd. Info Recvd evision Due S� <br /> (Permit Type. {Spe al Lie ", 0th Agency Due i <br /> I)Wrkpin Revw Comp ,Comment Ltr Sent !� Project Complt ! <br /> I ll t 1 <br />