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u we allu <br /> N SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISIjUN. 5 . 1991 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG #_ ,�- ^335/ <br /> ���---_ <br /> SITE ADDRESS LEAD AGENCY / / / <br /> I AGENCY CONTACT FFF.//� <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # /O /_ PROG/ELEMENT 2j.: BILLING CODE ASSIGNED TO SS <br /> TITLE OF SUBMITTAL : �v <br /> DATE RECEIVED y DATE ON SUBMITTAL 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 3 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 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD 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 INCOMPLETE/ADDTNL INFO RE414TD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD JUL 3 \ ,- PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE , 4I PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION / FRP 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 />