Laserfiche WebLink
SAN JOAWIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV S <br /> SITE <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG O # <br /> SITE ADDRESS '— <br /> LEAD AGENMCD <br /> CONSULTANT CO AGENCY CONCONTACT NAME PHONE w/AR <br /> PHONE <br /> OTHER CONTACT NAME or INFO <br /> PHONE <br /> SITE CODE k PROG/ELEMENT 2�. BILLING CODE <br /> ASSIGNED TO <br /> TITLE OF SUBMITTAL /_— <br /> `/! <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST <br /> OT REQUEST DATE <br /> TYPE OF UBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION NKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 tltl S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 s <br /> REMED ACTION PLN (RAP) 5 LETTER 18 •f <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW feE PD CK N/CASH <br /> DATE <br /> FINAL REMED PLN (FRP) g s <br /> QRTLY RPT/POST REMED MONITORING 9 <br /> S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: —/—/_ OT COMPLETED: <br /> ACTION DATE ACTION <br /> DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO INCOMPLETE/ADDTNL INFO REQSTD i <br /> SRP DUE <br /> IACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR WE <br /> RWQCS COMMENTS REPORT REVIEW C LETE <br /> PAR DUE <br /> OTHER AGENCY APPROVAL FILE/ -fY <br /> v P DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED <br /> REVISION WE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED <br /> OTHER AGENCY DUE DATE <br /> �ivRKPLAN REVIEW COMPLETE CCMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> En 29 03 (PLNLOG revised 5/91) <br />