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/ <br /> SAN JflAQU1N COUNTY - PUBLIC HEALTHSERVICES/ENVIRONMENTAL HEALTH DIV # <br /> SITE MITIGATION/ASSCSSMENT SUBMITTAL LOG <br /> LEAD AGENCY <br /> Licho <br /> SITE ADDRESS __ <br /> --- AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> PHONE <br /> OTHER CONTACT NAME or INFO <br /> [SITE CODE # ' PRO;/ELEMENT _ BILLING COD J �S=IGNED=TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED , ��C)'L DATE ON SUBMITTAL J 9 Z OTMREQVES'I OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/0 WRKNLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN WORKPLAN for PERMIT ACTIVITY S <br /> y r <br /> ASSESSMENT REPORT 3 OTHER WrRKPLII w/o PERMIT ACTIVITY iG S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP b PUBLIC PART iHFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/�! OT SCHEDULED: __ / _/_ A OT COMPLETED: <br /> ACTION DATE ACTION � ✓ DATC: T� ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWQCB COMMENTS REPORT REVIEW CCNNiPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILF./NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CUINENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />