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Submttal Number~ 93-136 Date Received 02/09/93 Il <br /> Site Cade: 1828 <br /> 1 Site Name: MARLOWE PROPERTIES Lead '.'Agenry: <br /> Address: 4648 WATERLOO RD Contact: E <br /> City. STOCKTON Zip: 95215 { Phone: <br /> Pilling/responsible Party Information <br /> Billing dame: Bill Info OK? <br /> Address: <br /> City: State: Zip: <br /> Contact: Phone <br /> Property Owner/Operator <br /> ifh <br /> Nave: Phone: <br /> Address: <br /> f City: State: Zip: <br /> k Client Information of different from Owner/Operator? <br /> i Name: Pho"e: <br /> { Address: <br /> City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: i:' Date: <br /> Title: <br /> { Consultant Company: GAS <br /> { Contact Name: Phone: <br /> f tither Contact name or Info: Phone: <br /> Program Element: 3526 Billing Code: Assigned To: MM <br /> Title of Submittal: REPORT OF SITE ASST F <br /> } Date of Submittal: 18/01/92 OT Request: N OT Request Date: <br /> �1 Type of Submittal: 3 Assessment Report ' j <br /> Permit Fee paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> Permit Fee paid 0.00 <br /> . Check No. /Cash <br /> Date Paid <br /> Staff Review Due: OT Scheduled: s1 OT Completed: <br /> E Action Date Action Date" Action Date � <br /> r, Ack/Com Ltr Req Add. Info egstd Srp Due <br /> Ack/Com Ltr Recd Revis rF ePR Due <br /> RWQCP Comments R Pq m Par Due <br /> Othr Agency Appr iFiI n FRP Due y t <br /> EAdd. Info Recvd jDenied , Revision Due <br /> Permit Type: Specia ue Oth Agency Due <br /> Wrkpin Revw Comp Cnme Project Complt <br />