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Subnttal Number 93-203 Date Received 02/24/93 <br /> Site Code: 1772 e✓ <br /> Site Name: U—HAUL CO #70950 Lead Agency: <br /> Address: 2701 N WILSON WY 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 {t <br /> Property Owner/Operator= <br /> Name: Phone: <br /> I Address: <br /> City: State: Zip: 4 <br /> Client Information (if different from Owner/Operator) <br /> Name: Phone: <br /> Address: <br /> ! City: State: Zip: <br /> lC T <br /> Applicant' s name, date signed, title <br /> Name: Date: { <br /> Title: +! <br /> I <br /> Consultant Company: APPLIED CONSULTANTS <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: i <br /> Program Element: 3526 Billing Code: Assigned To: MI �I <br /> u <br /> Title of Submittal: ADDN SITE ASST WORKPLAN <br /> Date of Submittal: 02/12/93 OT Request: N OT Request Date: <br /> Type of Submittal: 2 Site Assessment Work Plan <br /> L _ <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> .i <br /> 1 <br /> II <br /> Permit Fee Paid 0.00 I } � <br /> Check No. /Cash !� 1 <br /> Date Paid �f <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date ' <br /> f <br /> t <br /> L <br /> tr Req Add. Info Regsta Srp Duetr Recd Revision Regsted PR Duements Report Revw ComF � ��� Par Duecy Appr- File/No Action /W; FRP Due <br /> Recvd Denied ( Revision Due <br /> pe: Special Perrai� 0th Agency Due <br /> vw Comp Comment Ltr Sent Project Complt <br />