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lll� N../ <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> SITE ADDRESS LEAD AGENCY //T <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE WARE <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO fT PHONE <br /> n/. <br /> SITE CODE it PROG/ElEMENT,/ 2 ., BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: T,4j2 <br /> __7DATE RECEIVED DATE ON SUBMITTAL J OT REQUEST OT REQUEST DATE <br /> TYPE OF S BMIT AL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLH 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> =ORTLYRPT/POST REMED MONITORING 9 <br /> $ <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE T <br /> ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUEDW / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT /f of PROJECT COMPLETE/FINAL BILL_/9" 1 A/ <br /> EH 29 03 (PLNLOG revised 5/91) <br />