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SAN JCAJ-I TY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL t1 rH D1VI51 1" ti <br /> NON-LOP SITE MITIGATION/ASSESSMENT SUBMITTAL LOG V # c:2 t? <br /> SITE ADDRESS ��J LEAD AGENCY I� <br /> SITE CODE # PROG/ELEMENT j2f'.=S4j4rlLLINGi CODE ASSIGNED TO / <br /> TITLE OF SUBMITTAL: TYPE CODE <br /> DATE RECEIVED DATE ON SUBMITTAL �� P� QT REQUE T OT REQUEST DATE <br /> PERMIT FEE PD CK IV./CASH j REVIEW FEE PD CK #/CASH DATE STAFF REVIEW DUE:OT SCHEDULED- <br /> $ OT COMPLLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWGCB 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 Y / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> FOR AGENCY USE ONLY <br /> SITE MITIGATION PROGRAM FEE BASE MINIMUM HOURS MINIMUM AMOUNT RECEIVED DATE RECEIPT AMOUNT <br /> SCHEDULE FEE FOR SERVICE FEE RECEIVED BY # DUE <br /> UGT CORRECTIVE ACTION OVERSIGHT (CAP) $$3.00/ <br /> HOUR 5 HOURS $265.00 / <br /> HAZARDOUS MATERIAL TRANSMISSION $53.00/ <br /> PIPELINE ASSESSMENT OVERSIGHT HOUR 5 HOURS $265.00 <br /> ENVIRONMENTAL ASSESSMENT WORKPLN/ $53.00/ <br /> REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> OTHER .GOVERNMENT AGENCY OVERSIGHT $53.00/ <br /> WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> BASE . AMOUNT RECEIVED DATE PERMIT ISSUANCE <br /> PERMIT ACTIVITY FEES FEE RECEIVED BY # DATE <br /> WELL/BORING PERMIT APPLICATION $89.00 <br /> (monitoring/extractiorVvbpor welts, EACH <br /> Boit hotings, vapor surveys, etc.) APPLC <br /> WELL DESTRUCTION PERMIT APPLICATION $60.00 <br /> EACH <br /> APPLC <br /> EH 29 06 (BILFRM M revised 5/91) <br />