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• **V.LV1 <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 01 I�10A�1` <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG bV c• # I - <br /> SITE ADDRESS n i •7 LEAD AGENCY C <br /> AGENCY CONTACT � . <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO �- PHONE <br /> SITE CODE # G'J > PROG/ELEMENT BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> i <br /> DATE RECEIVED /L' j ' DATE ON SUBMITTAL <-j / OT REQUEST OT REQUEST DATE <br /> / <br /> TYPE OF SUBMITTAL CODE TYPE OF 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 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> DRILY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR REM REVISION REQSTD PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE R DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION �' a�/�/ FRP DU <br /> ADDENDUM/ADDTNL INFO RECVD DENIED VISI ' DUE <br /> n <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED I �''�" Q ER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT FF PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />