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SAN JOAWIN COU _ 4 <br /> PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DI /J <br /> :21 <br /> � <br /> SITE NITICATION/ASSESSMENT SUBMITTAL LOG 1 / <br /> SITE ADDRESS �� ✓L.S <br /> LEAD AGENCY <br /> CONSULTANT CO /y� <br /> C"b) AGENCY CONTACT <br /> CONTACT NAME <br /> PHONE S/d (�il� PHONE N/AREA CD <br /> OTHER CONTACT NAME or INFO <br /> PHONE <br /> SITE CODE # r <br /> f� PROG/ELEMENT rJ, <br /> —r BILLING CODE <br /> TITLE OF SUBMITTAL: ASSIGNED TO ' <br /> DATE RECEIVED pr7� <br /> DATE ON SUBMITTAL II��- <br /> Z 07 REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL <br /> CODE TYPE OF SUBMITTAL <br /> CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN <br /> SITE ASSESS WKPLN 10 PERMIT FEE PD CK #/CASH <br /> 2 DATE <br /> WORKPLAN for PERMIT ACTIVITY <br /> 11 t <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 <br /> iIASSESS RPT W/WKPLN t <br /> OTHER AGENCY REPORT <br /> 17 I t <br /> �IREMED ACTION PLN (RAP) <br /> 5 LETTER <br /> 18 t <br /> ASSESS RPT N/RAP 6 PUBLIC PART INFO <br /> 19 y' REVIEW fkE PD CK X/CASH <br /> FINAL REMED PLN (FRP) 8 DATE <br /> iS <br /> GRTLY RPT/PoST REMED MONITORING 9 <br /> t <br /> STAFF REVIEW DUE: <br /> OT COMPLETED: <br /> ACTION DATE <br /> ACTION DATE <br /> ACTION DATE <br /> �ACKNOWLG/COMMTMNT LTR REOSTD INCOMPLETE/ADDTNL INFO REGSTD <br /> SRP DUE <br /> ACKNONLG/CUWTMNT LTR RECVD REVISION REGSTD <br /> PR WE <br /> i <br /> c CB CCANENTS REPORT REVIEW LETE <br /> PAR DUE <br /> OTHER AGENCY APPROVAL FILE/N A I <br /> F DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED <br /> REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED <br /> OTHER AGENCY DUE DATE <br /> ).RKPLAN REVIEW COMPLETE <br /> Q, V COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> En 29 03 (PLNLOG revised 5/91) <br />