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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL H• DIVISIryI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG V `/ # ,• yam <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY [i C� <br /> CONSULTANT CO CONTACT <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO / PHONE <br /> SITE CODE # �'J��j/ L PROG/ELEMENT 2 ,5-9 BILLING CODE ASSIGNED TO L <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED / DATE ON SUBMITTAL )r _ OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o VRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 E <br /> ASSESSMENT REPORT 3 OTHER VRKPLN w/o PERMIT ACTIVITY 16 $ <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 /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO AC N //``. Z 2/ FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED �6L 7 REVISION DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENY PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />