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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI - <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> SITE ADDRESS Z LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE W/AREA CO <br /> CONTACT NAME PHONE Q <br /> OTHER CONTACT NAME or INFO / PHONE <br /> SITE CODE # Gf PROG/ELEMENT 2y_6.6 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVEDOATS ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE Of UBM14AL CODE TYPE OF SU ITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o WRKPLN 10 PERMIT FEE PD 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 W/WKPLN 4 OTHER AGENCY REPORT 17 $ <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 S <br /> QRTLY RPT/POST REMED MONITORING 9 : <br /> STAFF REVIEW DUE: _/,/_ OT SCHEDULED: ^/_/� 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 REQSTD PR DUE <br /> RWQCS COMMENTS REPORT REVIEW C r LET E PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTq111 MP 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 COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />