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SRN JOUIN Q&Y - PUBLIC HEALTH SERVICES/ENVIRONMENTAL No DLVjj� <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG B B�Q <br /> SITE NAMECRWQCJ3 <br /> RODAE5Sl 5 AGENCY CONTACT k <br /> CITY " ZIP ,��� S PHONE w/AREA CD <br /> CONSULTANT COMPANY � CONTACTJZ2 ((�Iq) c45/ a16 <br /> OTHER CONTACT NAME or INFDRMATI — <br /> UGT SITE 23. ASSESS-MUS / AWOCB 22. tJ ENVIRON ASSES 22.46 PILO 27._ FUNp SOURCES / F TASK 1 <br /> SWEEPS 1/STYE CODE AI Ido DIST Sas LOC CD ! ( ASSIGNED i02, <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED 1/ / MATE OF SUBMITT /J3 /�I BILLING FOAM INITIATED _/_/ Of AEOST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) BE FEE PD CK t/CJA DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORKPLMM ISCWPI 1 PERMIT APPLICATION _-- 10 t <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 UORKPLAM for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDiL MESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 ORTLY/MONITDRINI REPORT CIS <br /> (MIR/with REMEDIAL ACTION PROPOSAL 6 OTHER WR1lAM w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL. ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) p <br /> DRYLY REPORT/POST REMED MONITOR q <br /> STAFF REVIEW ME _/_/- BT SCHEDULED -/-/-� OT COMPLETED <br /> ACTION DATE ----(ACTION DA MITE <br /> --_�— � g 1990 ACTION--_ _ <br /> ADMWLG/COMMTMNT LTR REDSTO 1NCMIPLETE/ADDYNL INFO REDST SRP DUE <br /> RCKNOWLG/COMMTMNT LTR ASCVD =REVISION OSTD PR D(E <br /> RWOCB COMMENTS REVIEW COMPLETE PAR DOE <br /> OTHER AGENCY APPROVAL FILE/NI ACTION FRP DUE <br /> 0�3-fid . <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISM OTHER AGENCY DIE MATE <br /> WOW" APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> GH 23-117 81-57(1V)12/81 PLNLOG �- - - - <br />