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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH Ws1i.4 19g1 <br /> SITE MITIGATION/ASSESSMEENT SUBMITTAL LOG # <br /> =SITEADDRESS <br /> LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO �' W <br /> CONTACT NAMPHONE w/AREA CD <br /> E PHONE <br /> OTHER CONTACT or I PHONE <br /> II -. <br /> SITE CODE # PROG/ELEMENT z 1. ID BILLING CODE ASSIGNED 70 <br /> TITLE OF SUBMITTAL: <br /> �r <br /> DATE RECEIVED1171911 <br /> DATE ON SUBMITTAL / OT REQUEST OT REQUEST DATE <br /> TYPE OF SU ITTAL CODE TYPE OF SU ITTAL 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 /> 67 Z Y <br /> 7. <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 <br /> 18 g - <br /> _ . <br /> ASSESS RPT u/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) $ g <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> ku <br /> STAFF REVIEW DUE: /��_ �' OT SCHEDULED: �_/_/ `.':0T COMPLETED: <br /> ACTION k DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR`REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNCWLG/COMMTMNT LTR.;RECVD REVISION REQSTD PR DUE <br /> RWQC8 COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> r <br /> OTHER AGENCY APPROVAL': FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADOTHL 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 />