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tj <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH W"IstOm <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # L-- -Z1 <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE M/AREA CD <br /> CONTACT NAME { r PHONE <br /> OTHER CONTACT N or INFO PHONE <br /> SITE CODE # 7 PROG/ELEMENT 2� BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: ! <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o WRKPLN 10 PERMIT FEE PO 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 3 <br /> ASSESS RPT w/WKPLN . 4 OTHER AGENCY REPORT 17 f <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMEO PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9, <br /> STAFF REVIEW DUE: f / OT SCHEDULED: /�/_ OT COMPLETED: <br /> _.... -7] 7 <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 /> RWQCS COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTIONY Y §FRP DUE <br /> ADDENDUM/ADDTNL INFO RZCVD DENIED REVISION DUE <br /> PERMIT ISSUED W,' / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br /> / <br />