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Jam' <br /> �clo2. <br /> SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITIGATI011/ASSESSMENT SUBMITTAL LOG # 75 <br /> SITE ADDRESS —�—_— LEAD AGENCY C� <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAM <br /> OTHER CONTACT NAME ar INFO <br /> . ( PHONE <br /> Uj2 BILLING COO'E SITE CODE # <br /> _ f ASSIGNED TO — <br /> TLE OF SUBMITTA <br /> DAZE RECEIVED /��7 DATE ON SUBMITTAL —/ OT REOVESF I OT REQUEST DATE <br /> TYPE OF SUBMITTAL off- 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 Y <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PL11 (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART NIFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY 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 REQSTD INCCMPLETE/ADDTNL INFO REOSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENOUM/ADOTNL INFO REM DENIED REVISICN DUE <br /> PERMIT ISSUED W / D SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CUIMENT LTR SENT PROJECT COMPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />