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�. <br /> SAH JOAQUINCOUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> t. --s. L <br /> SITE MITIGATION/ASSESSMENT SUBMITTA1 LOG # <br /> SITE ADDRESS ' LEAD AGENCY <br /> AGENCY CONTACT <br />' CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME <br /> OTHER CONTACT N TOr <br /> INFO I PHONE <br /> f <br /> SITE CODE # �Zf PROG/ELEMENT 2 S BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: �� II r <br /> DATE RECEIVED DATE ON SUBMITTALOT REQUEST LTEQUEST DATE <br /> ;} 1 <br /> TYPE OF SMITTAL CODE TYPE OF SUBMITTAL CODE <br /> i <br /> RE-EXCAVATION WKPLN l PERMIT APPLICATION w/o WRKPLN 10 « PERMIT FEE PD CK #/CASH DATE <br /> t � <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY 16 f <br /> ASSESS RAT w/WKPLN 4 OTHER AGENCY REPORT 17 t <br /> i <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> i I <br /> 4 ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE- <br /> C. ; <br /> FINAL REMED PLN <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: / /� OT SCHEDULED: �_/_ I OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE i <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD RP DUE <br /> .7 — <br /> w <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD * ; <br /> Ij PR DUE <br /> F <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE ! PAR DUE <br /> i f <br /> OTHER AGENCY APPROVAL FILE/NO ACTION ! FRP DUE <br /> I , <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE E 4 NOJECT COMPLETE/FINAL BILL <br /> y- <br /> EH 29 03 (PLNLOG revised 5/91) �. <br /> �� E <br />