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+ SAN JOAQUIN COUNT PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTIT VISION 9� �y,(.`��/� <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # '_LLS,_ <br /> SITE ADDRESS L v S LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO N� <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE �CIJO�J j <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # / I y� PROD/ELEMENT 2�. Sa BIILIHG COOEi •_—_—ASSIGNED�TO �� <br /> _ n <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED ��DATE ON SUBMITTAL 5 (9_) OT REQUEST Of REQUEST DATE <br /> TYPE OF SUBMITTAL FCODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN PERMIT APPLICATION w/o NRXPLII 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> ASSESSMENT REPORT 3 OTHER WIRKPLH W/o PERMIT ACTIVITY 16 <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART ;Hr0 19 [REVIEW FEE PO CK #/CASA DATE <br /> FINAL REMED PLN (FRP)DRILY RPT/POST REMED MONITORING 9 <br /> STAFF REVIEW DUE: !/—/ OT SCHEDULED: —/_/ �� Of COMPLETED: —/—/— <br /> ACTION DATE ACTION Dt.TE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCOMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWOCB COMMENTS REPORT REVIEW CQMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/110 ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECCVVDD DENIED REVISICN DUE <br /> PERMIT IS W // BI 5 3 SP\C IAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORK,PL REVIEW LE l'OMI1ENT LTR SENT PROJECT CCIIPLETE/FINAL HILL <br /> EH 29 03 (PLNLOG revised 5191) <br />