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SAN JOAQUIN Y - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI(�V�1('Ln`��JrypJn��1'1lu la� <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG (" #--L—I ' <br /> SITE ADDRESS ��� LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE W/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> i <br /> SITE CODE # 7, <br /> 7 PROC/ELEMENT 2-2� BILLING CODE ASSIGNE � <br /> 4 <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED / DATE ON SUBMITTAL / OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMIT AL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION NKPLN 1 PERMIT APPLICATION w/o NRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS NKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER NRKPLN w/o PERMIT ACTIVITY 16 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 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY 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 /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> ti <br /> OTHER AGENCY APPROVAL 'MEOO ACT , e P DUE <br /> YCA .rCn <br /> ADDENDUM/ADDTNL INFO RECVO DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />