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SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV1S1 el <br /> 0 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG \ # - <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 /> SITE CODE_# ?/ iV PROG/ELEMENT 2 _ BILLING CODE S ASSIGNED TO — <br /> TITLE OF SU8MITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL / OT REQUEST OT REQUEST DATE <br /> TYPE OF S BMITTAL CODE TYPE�OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o WRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS NKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER VRKPLN 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 PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 $ <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 REOSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCS COMMENTS REPORT REVIEW COMPLET PAR DUE <br /> OTHER AGENCY APPROVAL _AC i ".j'.RP: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 />