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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> - LEAD AGENCY JRrJ <br /> SITE ADDRESS �D� � • � fJ l <br /> AGENCY CONTACT i <br /> CONSULTANT CO 1 <br /> PHONE W/AREA CD <br /> CONTACT NAME PHONE <br /> 3 <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CCOE # PROD/ELEMENT V BILLl1iG CODE ASSIGNED I <br /> r <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL qtnx�&T REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION Wo N1100 10 PERMIT FEE PD CK #/CASH DATE i <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTiVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLII w/o PERMIT !ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN G OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP b PUBLIC PART INFO w. Y 19 REVIEW FEE PD CK #/CASH DATE I <br /> FINAL REMED PLN (FRP) $ S <br /> ORTLY RPT/POST REMED MONITORING 9 s' x <br /> STAFF REVIEW DUE: / / OT SCHEDULED: �f�/� OT COMPLETED. <br /> ACTION DATE ACTIONDI.TF. ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD 1NCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/AODTNL I ECVD DENIED k REVISICN DUE <br /> PERNITSU / ;_ _ _ S•PEv ALPER{11T ISSU£D OTHER AGENCY DUE DATE <br /> WORKPLAf{ REVIEW Ca1I4ENT LIR SENTPROJECT COMPLETE/FINAL DILL <br /> EN 29 03 (PLNLOG revised 5/41) <br /> i <br />