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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI 4 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # - <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT ' <br /> CONSULTANT CO <br /> PHONE u/AREA CD <br /> CONTACT NAME PHONE - 3 <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # PROG/ELEMENT 2 .�_L BILLING CODE ASSIGNED TO L <br /> TITLE OF SUBMITTAL: <br /> t � <br /> DATE RECEIVED i DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL / CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLH 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 E <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 /91 1 <br /> $ <br /> STAFF REVIEW DUE: _/_/� OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/CDMMTMNT LTR REQSTD INCOMPLETE/AOOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWOCB COMMENTS REPORT REV W T P R DUE <br /> OTHER AGENCY APPROVAL FILE/NO A 7� FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION 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 /> EH 29 03 (PLNLOG revised 5/91) <br />