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SAN JO_AQUIN COUNTY -PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI ILI,SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> I <br /> SITE ADDRESS3 LEAD AGENCY <br /> s <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CO <br /> CONTACT NAME PHONE <br /> V i <br /> OTHER CONTACT N r INFO PHONE <br /> SITE CODE # PROG/ELEMENT 2 BILLfNG CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> r <br /> t <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SU ITT L CODE TYPE OF SUBMf TAL CODE <br /> F <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 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAA) 5 LETTER 18 $ <br /> E <br /> ASSESS RPT WRAP b PUBLLC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY 'RPT/POST REMED MONITORING 9 S <br /> r <br /> STAFF REVIEW DUE: _/_/_ OT SChHEDULED: / /� OT COMPLETED: <br /> ACTION DATEACTION DAT€ ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL.INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION,REQSTD PR DUE <br /> RWQCB COMMENTS REPORT�-REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADOTNL INFO RECVD DEf;IED's REVISION DUE <br /> PERMIT ISSUED. W. / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> r <br /> WORKPLAN REVIEW COMPLETE COIIENT.LTR SENT PROJECT GCMPLETE/FINAL BILL <br /> I� <br /> EH 29 03 (PLNLOG revised 5/91) <br /> j <br />