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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVT <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS LEAD AGENCY <br /> lhostim—m:d6 iz <br /> t AGENCY CONTAC <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT MA1IE or INFO Pwm <br /> SITEPRQO/ELEMENT BIL 11110 CODE ASSIGNED TO <br /> CODE if 1 /0 <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED / DATE O SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> IM-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PO CK VCASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 f <br /> ASSESSMENT REPORT ; OTHER WRKPLN w/o PERMIT ACTIVITY 16 S; <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 f <br /> REMED ACTION PLN (RAP) 5 LETTER Is $ i <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REHM PLN (FRP) 8 S <br /> CRTLY RPT/POST RENO MONITORING 9 f <br /> STAFF REVIEW DUE: %� OT SCHEDULED: / ,/� _. OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION =DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTO INCCMPLETE/ADOTHL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENOt51/ADOTNL INFO RECVD DENIED REVISICN 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 /> EN 29 03 (PLNLOG revised 5/91) <br />