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SAN JOAQUIN CLVY - PUBLIC-HEALTH SERVICES/ENVIRONMENTAL HE I DIVIS <br /> LION-LOP SITE MITIGATION/ASSESSMENT SUBMITTAL LOG t <br /> SITE ADDRESS A � LEAD AGENCY ' . tv <br /> SITE CODE ' FROG/ELEMENT tag. BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED ( , DATE ON SUBMITTAL OT REQUEST <br /> OT REQUEST DATE <br /> PERMIT FEE PO CK #/CASH DATE REVIEW FEE PD CK #/CASH DATE STAFF REVIEW DUE: <br /> OT SCHEDULED; <br /> $URtiCTC? t C S OT COMPLETEDt <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REGSTO INCOMPLETE/ADOTNL 'INFO ROM SRP DUE <br /> ACKNOWLG/COMMTMNT ITR RECVD REVISION:REQSTD PR DUE <br /> RWQC8 COMMENTS :REPORT REVIEW C PAR DUE <br /> OTHER AGENCY APPROVAL FII EA0 ACTION: APR 92 TRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED SAN JOA Ir INN'ry REVISION DUE <br /> �Ljr,HE LTH gftC <br /> VIRO NAL MEA W Iv A <br /> PERMIT ISSUED m ! $ SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE , <br /> WORKPLAN REVIEW VOMPLETS COMMENT LTR SENT' PROJECT COMPLETE/FINAL Slid <br /> L! <br /> FOR AGENCY'USE=ONLY <br /> SITE MITIGATION PROGRAM FEE qFEE � <br /> MINIMUM HOURS MINIMUM AMOUNT RECEIVED DATE RECEIPT AMOUNT <br /> SCHEDULE €OR SERVICE FEE RECEIVED BY # DUE <br /> UGT CORRECTIVE ACTION OWRSIGHT (CAP) <br /> HOUR 5 HOURS $265,00 �s <br /> HAZARDOUS MATERIAL 'tltANSMISSION $53.W <br /> PIPELINE ASSESSMEWX:6VERSIGHT HOUR S;HOURS $265.00 <br /> ENVIRONMENTAL ASSESSMENT`WORKPLN/ 453.06/ <br /> REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> OTHER GOVERNMENT AGENCY OVERSIGHT S53.0O/ <br /> WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS 5159.00 <br /> BASE- AMOUNT RECEIVED DATE- PERMIT ISSUANCE <br /> PERMIT ACTIVItY FEES FEE RECEIVED BT .: DATE <br /> WELL/BORING PERMIT APPLICATION $89.00 <br /> (monitop ing/extreCtlon/vapor wet Lai EACH 39, <br /> soft borings, vapor surveys, etc..). APPLC <br /> Y' <br /> ;WELL:DESTRUCtIOfiI PERMIT APPLICATION $60,00 <br /> EACH <br /> APPLC <br /> EH 29 Qb (61:1,FRM12 .revisecis 9.1.x: <br />