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I A9----' / <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV d <br /> /` - ���J <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG 111 <br /> SITE ADDRESS 1399 �. LEAD AGENCY LY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE W/AREA CD <br /> CONTACT NAME =PHONE <br /> OTHER CONTACTNAME or INFO Li PHONE <br /> SITE CODE # PROG/ELEMENT 7J 7. MILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: /� 1rG7 <br /> DATE RECEIVED G�?j DATE ON SUBMITTAL OT REQUEST I OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE•EXCAVATION WKPLN 1 PERMIT APPLICATION H/o WRKPLH 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 i <br /> ASSESSMENT REPORT 3 OTHER WRKPLII w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT u/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: /^/� OT SCHEDULED: ^/�/�j OT COMPLETED: <br /> ACTION DATE ACTION I DtTr� ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD - PR DUE <br /> RWQCB C014MENTS REPORT REYIE W CM7LETE a�l�3 PAR DUE <br /> �r t r <br /> OTHER AGENCY APPROVAL FSLI (NO ACTWH� ! 6.. - FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED til / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />