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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DTVI4kl.7- <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS O LEAD AGENCY <br /> AGENCY CONT T <br /> CONSULTANT CO <br /> PHONE wlAREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # E�A2q PROG/ELEMENA\`�_ t` FuiLLitiG <br /> CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: :a k <br /> DATE RECEIVED .�h DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> L // <br /> TYPE OF SUBMITTAL!�/ CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY iG S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 f <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT WRAP b PUBLIC PART iIIFO 19 REVIEW FEE PD CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/w/� OT SCHEDULED: ^Jf/_ OT COMPLETED: <br /> ACTIONDATE ACTION DR1F.� ACTION DATE <br /> ACKNOWLG/COMMTMNT CTR REQSTD INCCMPtETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR E <br /> RWQCB COMMENTS REPORT Rl�WIEil `MPLCF J�Ir DUE <br /> OTHER AGENCY APPROVAL FILF./NO AC FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED THFR AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCfUMENT LTR,St ,C,� PRO CT COMPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />