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� • t�/�Igv <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DTVI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS LEAD AGENCY <br /> -- AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO T PHONE <br /> 9 1 <br /> SITE CODE # `5 PROD/ELEMENT 2 q. �� BILLING CODE I ASSIGNED TO L <br /> TITLE OF SUBMITTAL: v <br /> DATE RECEIVED V169 <br /> it DATE ON SUBMITTAL �� I /1� Oi REQUEST I` OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/0 WRKPLH 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT IT S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART ;Ilio 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/`/ OT SCHEDULED: _/ /!, OF COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADOTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION 'R DUE <br /> RWOCB C014MENTS RE(0)RT I - CIE 2I I�1 PAR UE <br /> OTHER AGENCY APPROVAL FILE/ _ ✓ FRP DUE <br /> ADDENDUM/ADDTNL INFO REM DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCtIMENT LTR SENT PROJECT CC(4PLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />