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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DTVI I( 19 -71 <br /> 91 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG O`'� # `G rA[ - <br /> SITE ADDRES5 , LEAD AGENCY <br /> r <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE W/AREA Co <br /> CONTACT NAME PHONE Z <br /> OTHER CONTACT NAME or I do PHONE <br /> SITE CODE # PROG/ELEMENT 12f._ BILLING CODE ASSIGNED TO 5 S <br /> TITLE OF SUBMITTAL: i J <br /> DATE RECEIVEDDATE ON SUBMITTAL OT REQUEST OT REQUEST DATE i <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o WRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN W/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT u/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> ' REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 - S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: ..__./�f � OT SCHEDULED: f�/ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL,INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION.REOSTD OR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE 1�,��,c�l , PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION �� FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT. ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT' LTR.SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />