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r <br /> SAN JOAQUIN COY - PUBLIC HEALTH SERVICLs/ENVIRONMEHTAL L i DIV <br /> SITE M1TIBATION/ASSESSMENT SUBMITTAL LOG <br /> SITE NAME OTHER AkNC <br /> ADDRESS - AGENCY CONTACT,- <br /> CITY IIP �7i`l PHONE w/AREA CD <br /> CONSULTANT COIWAINY CONTACT P <br /> i <br /> OTHER CONTACT NAME or INFORMATI <br /> UGT SITE 23. ASSESS—DHS I RWOCB 22. ENVIRON ASSES 22.49 PILO1 23.9 F1W S / F TASK A J? <br /> SWEEPS AISITE CODE A 3 TJ DIST LOC CD, ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> D <br /> DATE RECEIVED �I_lt_1 b rDAJE OF SUOMITT (Q,ILI LI BILLING FORK INITIATED lI OT REDST <br /> a. <br /> F _ <br /> TYPE OF SUBMITTAL 1PILOT) - COD TYPEOF SUBMITTAL (OTHER) COD FEE PD CK A/CA DATE <br /> RE-£XCAV/SOIL CONTAMINATION NOW" (SW) 1 PERMIT APPLICATION 10 1 <br /> SOIL CONTAMINATION REPORT/REKEDIRTION PLAIN (SRP) 2 WORKPLAN. for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORTS 13 <br /> PR/with ADOTL ASSESS PROPOSX 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM MSES90T REPORT (PARI 5 DRTLY/MONITORING REPORT 15 <br /> PAR/with REIIEDIAL ACTION PROPOSAL 6 OTHER WRKPLAN'w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) B <br /> DRILY REPORT/POST REINED MONITOR 9 <br /> STAFF REVIEW DIA: ! /_ OT SCHEDULED _/_/ OT COMPLETED—/_/_ <br /> ACTION DATE ACTION. DATE ACTION DATE <br /> ACKMXG/COMKTMIT LTR REOSTD INCOMPLETE/ADDTNL INFO REOSIE SRP DUE <br /> ACHNOWLG/COMNTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWDCB COMMENTS REVIEW COMPLETE PAR.DUE <br /> OTHER AGENlCY APPROVAL. FILE/ND ACTION FRP DUE � <br /> ADDENDLW/ADDTNL IWO MD DENIED � . REVISION DILE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED I OTHER AGENCY DUE DATE <br /> WOMILM APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> EH 23-117 89-57(1012/01 PLNLOG <br />