SITE INFORMATION AND CORRESPONDENCE

Home Browse Search

Billing Code: I Assigned To: MM Program Element: 3526 Name: Date: Title: Consultant Company: RESNA Contact Name: Phone: Other Contact name or Info: Phone: Submttal Number 93-340 Date Received 04/14/93 Site Code: 1864 Site Name: DONNA GARDNER Address: 26056 THORNTON City: THORNTON Zip: 95686 Lead Agency: Contact: Phone: Billing/responsible Party Information Billing Name: Bill Info OK? Address: City: State: Zip: Contact: Phone Property Owner/Operator Name: Phone: Address: City: State: Zip: Client Information (if different from Owner/Operator) Name: Phone: Address: City: State: Zip: Applicant's name, date signed, title Title of Submittal: OM REPORT Date of Submittal: 03/01/93 OT Request: N OT Request Date: Type of Submittal: 9 Quarterly Report/Post—Remedial Monitoring Permit Fee Paid Check No. /Cash Date Paid 0.00 Permit Fee Paid Check No. /Cash Date Paid 0.00 Staff Review Due: OT Scheduled: OT Completed: Action Date Action Date Action Date Ack/Com Ltr Reg Ack/Com Ltr Reed RWOCB Comments Othr Agency Appr Add. Info Recvd Permit Type: Wrkpin Revw Comp Add. Info Re std Srp Due PR Due Par Due FRP Due Revision Due 0th Agency Due Project Complt Revi ;Igit Reg ted Ati I. Regi-F': 7,,_. F e • ' tiD Denied Special Permit Issued: Comment Ltr Sent