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SRN 3OA01 JNTY — PUBLIC HEALTH SERVICES/ENVIRONMENTAL LTH DIVISION <br /> SITE M1T161TION/RSSESSMENT SUBMITTAL LOG <br /> SITE NAME -- -- — --__—: OTHER LEAD AGENCI <br /> 0 <br /> ADDRESS AGENCY CONTACT N <br /> zz e 1991 <br /> CITY IIP PHONE w/AREA CD <br /> CONSULTANT COIIP(WY ----- CONTACT <br /> 6wyz AL <br /> Dy�3k 3 <br /> OTHER CONTACT NAME or INFOAMATI <br /> UGT SITE 23. ASSESS—DHS / RNDCD 22. ENVIRON ASSES 22. 48 PILO 23. _ FUND SOUR ' S / F In% I <br /> SWEEPS I/SITE CODE I DIST LOC CD ASSIGNED TO <br /> TITLE OF SUDMITTAL: <br /> DATE RECEIVED DATE OF SUBMITT L2,- j /�/4 BILLING FORK 1NITIATER _/_/ OT REUST <br /> TYPE OF SUBMITTAL IPILOTI COD — TYPE OF SUBMITTAL (OTHER) COD FEE GD CR I/DISI DATE <br /> AES)(CAV/SOIL CONTAMINATION WORKPLAN (SCWP) I PERMIT (WPLICII11ON <br /> SOIL CONTAWINATI(N REPORT/REMEDIATION PLAN (SAP) 2 WORMA for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) ASSESS REPORT 13 <br /> GR/with ADDTL ASSESS PROPOSAL 1 ASSESS REPORT/with WORKRA lh <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 ORTLY/MONITURING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRRIXJN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PUN (FM) p <br /> DRILY REPORT/POST REMED MONITOR q <br /> STAFF REVIEW DUE OT SCHEDULED _/_/_ OT COMPLETED_/ /_ <br /> -- — ACTION DATE ---ACTION GATE ACTION DATE <br /> ACHNOWLG/C"IMNT LTA REMID INCOMPLETE/ADDTNL INFO REOST SM DUE -- <br /> ACMNOWLG/CDMMTMNT LTR ASCVD REVISION REDSTD �A 6 ppiDUE <br /> AWOCD COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION v * FRP DILE <br /> ADDENDUM/ADDTN_ INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLfN APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> F.H 13-111 84-57 ( IV112/O1 PLNLOO <br />