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SAN JOAQUINCOUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI �/// <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG I� # C7 •� <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> K <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT N* r INFO w PHONE <br /> SITE CODE # 2 Q PROG/ELEMENT 2�. lam, BILLING CODE ASSIGNED TO �_S <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED % ^ DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SU ITTAL 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 S <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 S <br /> QRTLY RPT/POST REMED MONITORING S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWOCB COMMENTS REPORT XffkE 7� ,C AR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION I FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION CUE <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 />