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SAH JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVIS! <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO � R <br /> PHONE WAREA CD I <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE tf ZS��~ PRO"/ELEMENT �V2�. 'r 6ILLIHG COD ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED Q/� DATE ON SUBMITTAdgii�,Lol <br /> . REouEST JOT REOUEST 'DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL COOS <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION u%o WFIKPLH 19 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 1r <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT u/WKPLN 4 OTHER AGENCY REPORT 17 S . <br /> REMED ACTION PLN (RAP) S LETTER 18 S <br /> ASSESS RPT WRAP b PUBLIC FART INFO 17 REVIEW FEE PD CK # ASII DATE <br /> FINAL REMED PLN (FRP) "`b 8 Slla .� OZ�SZ 8 b (1 <br /> QRTLY RPT/POST REMED MONITORING 9 S I <br /> STAFF REVIEW DUE: ,/ / OT SCHEDULED: f _/ OT COMPLETED: <br /> ACTION DATE I� ACTION DrTF ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCOMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE II <br /> RWOCS COT4MENTS REPO 1 '1P C E 'T ",Z/ rj� PA {SUE ? <br /> OTHER AGENCY APPROVAL FILE/NO - FRP DUE <br /> w <br /> ADDENDUM/ADOTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED K / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE � <br /> WORKPLAN REVIEW COMPLETE COEA4EHT LTR SEAT ETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/41) <br />