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Submttal Number 93-334 Date Received 04/14/93 <br /> Site Code: 1275 <br /> Site Name, QLD SYSTEM 99 LeadAgency: <br /> Address: 601 S VENTURA AV Contact, <br /> City: STOCKTON Zip: 95203 Rhone: <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 /> hon :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 /> Consultant Company: RESNA <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> 11 H <br /> am Element: 3526 Billing Code: Assigned To: MM <br /> Title of Submittal : QM REPORT <br /> Date of Submittal: 04/13/93OT Request: N O Request Date: <br /> I---t I <br /> Type of Submittal : 9 Quarterly Report/Post—Remedial Monitoring <br /> Permit Fee Paid 0.00 <br /> Check No, /Cash <br /> Date Paid <br /> Permit Fee Paid O.Od► <br /> Check No. /Cash <br /> Date Paid <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> I <br /> Action Date fiction Date Action Date <br /> Ack/Com Ltr Req Add, In "'o Re Srp Due <br /> Ack/Com Ltr Recd Revegsted _ PR Due <br /> RWQCB Comments - wyt * - -wCo i3 Far Due <br /> Othr Agency Appr x 1 I FRP Due <br /> Add. Info Recvd Denied Revision Due <br /> Permit Type: Special Permit Issued: 0th Agency Due <br /> Wrkpin Revw Camp Comment Ltr Sent Project Complt <br />