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i <br /> u <br /> SAN JOAGUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> i <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS ;! LEAD AGENCY <br /> �! AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> f <br /> I� <br /> SITE CCDE # / ,v/ PROG/ELEMEN BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL ' <br /> IS <br /> DATE RECEIVED DATE ON SUBMITTAL f/ OT REQUEST OT REQUEST DATE <br /> i f <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> ARE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKlPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WDRKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ....... 16 S <br /> I � <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT + 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ii <br /> a <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO ,y 19 REVIEW FEE PD CK #/CASH DATE <br /> i� <br /> FINAL REMED PLN (FRP) 8 f <br /> ' DRILY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DIRT: —Je OT SCHEDULED: _� � OT COMPLETED: <br /> ACTION DATE ACTION y DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCWLETE/ADDTNL INFO REQSTD -. SRP DUE , <br /> 9 <br /> ! i <br /> ACKNDWLG/COMMTMNT LTR RELUD REVISION REQS ft PR-DUE <br /> RWQCB COMMENTS T V ETE I� � . PAR DUE <br /> r <br /> . OTHER AGENCY APPROVAL LE/NO AC ON �I FRP DUE <br /> II <br /> ADDENDUM/ADDTNL INFO RECVD DENIED Ij REVISION DUE <br /> PERMIT ISSUEDW / B <br /> SPECIAL PERMIT ISSUED I! OTHER AGENCY DUE DATE <br /> kORKPLAN REVIEW COMPLETE COMMENT LTR SENT I' PROJECT COMPLETE/FINAL BILI <br /> ! <br /> EH 29 03 (PLNLOG revised 5/91) Ik <br />