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k` <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVSIN l j <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG �C� <br /> SITE ADDRESS Z;�TP� �d'1 i LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> II <br /> CONTACT NAME I PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br />` SITE CODE # PROG/ELEMENT 2 .�i� BILLING CODE ASSIGNED TO <br /> I <br /> TITLE OF SUBMITTAL: ' <br /> ii <br /> DATE RECEIVED 9 Z5 Lq DATE ON SUBMITTAL9`0' OT REQUEST OT REQUEST DATE j <br />{ <br /> i TYPE OF SUBMITTAL CODE �ii TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMST APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 <br /> " OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> i <br /> REMED ACTION ALN (RAP) S LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED ALN (FRP) 8 $ <br /> CRTLT RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: /�� OT SCHEDULED: �f� /� OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISI.ON.REQSTO PR DUE <br /> RWOCS COMMENTS REPORT;REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY,APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED,` REVISION DUE j <br /> PERMIT ISSUEDFW / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> E WORKPLAN REVIEW COMPLETE CCMMEHT,LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br /> { i <br />