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I im _ _ _ ; 3 1 s77—rr.: <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV ,,In ^ I W i i ^ <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG IIV v # - C-7 /1/ <br /> SITE ADDRESS LEAD AFFFFGEE____NCY <br /> �7 AGENCY CONTACT <br /> CONSULTANT CO _ ip��s <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # ru, D PROG/ELEMENT 2_. *210 I BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL : ,{�� <br /> DATE RECEIVED .7 '7a (0 ///� DATE ON SUBMITTAL '7 3� n2 OT REQUEST OT REQUEST DATE <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 $ <br /> ASSESSMENT REPORT OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN ( RAP ) 5 LETTER 18 8 <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 $ <br /> STAFF REVIEW DUE : _/_/_ OT SCHEDULED : _/_/_ OT COMPLETED : <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REOSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT RE E C PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION G' FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT 1 UED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT ROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91 ) <br />