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Site Code: 5588 <br /> Site Name: RIVERSIDE CEi'�iT COMPANY Lead hRenc�e <br /> Address: 2825 W WASHINGTON ST Contact: - <br /> City: STOCKTON Zap: 95203 ; Phone: <br /> Pilling/responsible Party Information <br /> I <br /> Billing Name: ,Bill Info OK? <br /> Address: j <br /> 4 <br /> City: State: Zip: <br />�I <br /> E Contact: Rhone <br /> Property Owner/Operator <br /> Name: <br /> Phone.* <br /> Address: 1 <br /> ! City: State: Zip: ! <br /> Client Information of different from Owner/O erator=) <br /> P r <br /> I <br /> Name: Phone: <br /> E Address: <br /> City: State` Zap: <br /> i • <br /> Applicant' s name, date signed, title <br /> Name: <br /> Date: <br /> Ba e• <br /> Title: <br /> 4 <br /> , <br /> Consultant Company: HUNTER <br /> 4 Contact Name: Phone: <br /> Other Contact name or Info: Rhone: ` <br /> FProgram Element: 35 :7 Pilling Code: Assigned To: <br /> Title of Submittal: WORKPLAN FOR SITE ASST <br /> Date of Submittal: 02/15/93 OT Request: N It OT Reg6est Date: � 1 <br /> } Type of Submittal: S Site Assessment Work plan <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> E t� <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> Staff Review Due: OT Scheduled: OT;.'Completed: <br /> j <br /> Action Date Action Date Action Date <br /> Ack/Cor: Ltr ReqAdd. Info Regstd i Srp'•Due <br /> ios <br /> �lAck/Com Ltr Recd Revision Reqsted PR Due <br /> 'IRWQCB Comments JReport Revw Comp Par Due <br /> Othr Agency Appr File/No Action FRP- Dire <br /> Add. Info RecvdDenied Revision Due <br /> (Permit Type: ISpecial Permit. Issued: Oth Agency Dose <br /> I <br /> �lWrkpin Revt Comp Comment Ltr Sent Project Complt !� <br /> i <br />