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SAN JOAQUIN COUNT,Y*p,WBIIC HEALTH SERVICES/ENVIRONMENTAL HEAL~L!�IS 1E�Lz—z SITE MITIGATION/ASSESSMENT SUBMITTAL LOG ���/// l <br /> SITE ADDRESS S <br /> LEAD AGENCY <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 # 7I,P,R�OG{I//ELEMENT 22. 5j 1 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTALL: <br /> DATE RECEIVED �(/ �� (�/L. DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o WRKPLN 10 PERMIT FEE PD 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 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING L9 <br /> S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTICN DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCOMPLETE/ADDTNL INFO REOSTD SRP DUE <br /> ACKNOWLG/CCMMTMNT LTR RECVD REVISION REOSTD ; PR DUE <br /> RWOCB COMMENTS REPORT RFl PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADOTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUEDW / S SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLHLOG revised 5/91) <br />