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SAN JOAQUIN COUNTY- PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 01VISi <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> SITE ADDRESS r S LEAD AGENCY ©! <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME orINFO I PHONE <br /> ,d s3 <br /> SITE CODE # PROD/ELEMENT 12-2. BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED 3 `/ v DATE ON SUBMITTAL 09b <br /> oT REQUEST OT REQUEST DATE <br /> TYPE OF SU9MITTAL CODE TYPE OF SUBMITTAL CODE { <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PO CK #/CASH: DATE <br /> i; <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 1i S <br /> ASSESSMENT REPORT ''I• 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 <br /> n <br /> ASSESS RPT w/WKPLN; L OTHER AGENCY REPORT 17 Skl <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S'!i� <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 f# <br /> a <br /> QRTLT RPT/POST RIMED MONITORING 9 ; <br /> STAFF REVIEW DUE:; / l_ OT SCHEDULED: Wf�_ a OT COMPLETED: _/_/_ <br />'E ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKMOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> f_ RWQCB COMMENTS i 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 /> WDRY.PLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />