Laserfiche WebLink
SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITI GATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS LEAD AGENCY4= 0� <br /> r.. <br /> CONSULTANT CO AGENCY CONTACT <br /> PHONE WAREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE _5 <br /> SITE CODE # L zfL Yz PROG/ELEMENT ��. 2,- BILLING COPE ASSIGNED TO L <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVEDG DATE ON SUBMITTAL �/-3/pJOT REQUEST OT REQUEST DATE <br /> __T <br /> TYPE OF BMITTAL / CODE TYPE 0 SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PO 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 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 $ _j <br /> STAFF REVIEW DUE: /^,_ OT SCHEDULED: ��/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOIPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQC8 COMMENTS REPORT REVIEW COMPLETEPAR DUE <br /> OTHER AGENCY APPROVAL FI P 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 CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />