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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION«<JJJ/, n�- /[13 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # `� ` <br /> SITE ADORES$ LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> CONTACT NAME PHONE /� PHONE w/AREA CD <br /> tY <br /> [OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # PROG/ELEMENT 2!Z._LL BILLING CODE ASSIGNED TO LA <br /> � rr <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED2 $/ DATE ON SUBMITTAL / 1,9240T REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTA CODE TYPE OF SUBM TTAL 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 S <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 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 f <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 REQSTO INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RW0C8 COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL F DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EN 29 03 (PLNLOG revised 5/91) <br />