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Nib ltmh � <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> y SITE MITIGATION/ASSESSMENT SUBMITTAL LOG � j /., iy4 #.EL- (off <br /> 1 i <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE W AREA CD <br /> CONTACT NAME ` PHONE 2 2 �,3y� <br /> OTHER CONTACT NAME or INFO C PHONE <br /> T <br /> SITE CODE # PRO'G//ELEMENT 2±m fC Z BILLING CODE ASSIGNED TO /No <br /> TITLE OF SUBMITTAL : <br /> DATE RECEIVED v A <br /> �A DATES ON -SUBMITTAL 1/0 <br /> OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMI 4AL 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 $ <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN ( RAP ) 5 LETTER 18 $ <br /> ASSESS RPT W/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN ( FRP ) 8 $ <br /> DRILY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE : _/_/ OT SCHEDULED : _/_/_ OT COMPLETED : <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REGSTD INCCMPLETE/ADDTNL INFO REOSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REGSTD 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 <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/ FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91 ) <br />