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*W* <br /> SAN JOAQUIN t,,. iY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL h'4..0l'H DlVlq*5N <br /> NON-LOP*SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS <br /> LEAD AGENCY <br /> SITE CODE # PROG/ELEMENT 2 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: TYPE CODE <br /> 70* <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST DATE <br /> PERMIT FEE PD CK WASH DATE REVIEW FEE PD CK #/CASH DATE STAFF REVIEW DUE: <br /> OT SCHEDULED: <br /> $ $ <br /> //' OT COMPLETED: <br /> ACTION DATE ACTION DATE J- ACTION DATE <br /> ACKNOWLG/CDMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQC8 COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED I W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> [WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> FOR ACFqCY' USE ONLY <br /> SITE MITIGATION PROGRAM FEE BASE MINIMUM ACIURS MINIMUM AMOUNT RECEIVED DATE RECEIPT AMOUNT <br /> SCHEDULE FEE FOR SEkVICE FEE RECEIVED By # DUE <br /> UGT CORRECTIVE ACTION OVERSIGHT (CAP) $53.00/ <br /> HOUR 5 HOURS $265.00 <br /> HAZARDOUS MATERIAL TRANSMISSION $53.00/ <br /> PIPELINE ASSESSMENT OVERSIGHT HOUR 5 HOURS $265.00 <br /> ENVIRONMENTAL ASSESSMENT WORKPLN/ $53000/ <br /> REVIEW AND INSPECTIONS If OUR 3 HOURS $159. <br /> 7 <br /> OTHER GOVERNMENT AGENCY OVERSIGHT $53.00/ <br /> WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS $159.OU <br /> BASE AMOUNT RECEIVED DATE PERMIT ISSUANCE <br /> PERMIT ACTIVITY FEES FEE RECEIVED BY # DATE <br /> WELL/BORING PERMIT APPLICATION SM OO <br /> (monitoring/extraction/vapor wells, EACH <br /> soil borings, vapor surveys, etc.) APPLC <br /> WELL DESTRUCTION PERMIT APPLICATION $60.00 <br /> EACH <br /> APPLC <br /> EH 29 06 (BILFRM12 revised 5/91) <br />