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iu ✓/pnnp// ate. <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVIS(Q� �1'(�/r M <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> { ADDRESS E LEAD AGENCY <br /> r` AGENCY CONTACT <br /> ` CONSULTANT CO <br /> �(/ CONTACT NAME / C PHONE w/AREA CD <br /> PHONE <br /> OTHER CONTACT NAM INFO J PHONE <br /> T f <br /> SITE CODE # Z// PROG/ELEMENT 2f. Z('O BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: i <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION NKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WXPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> i <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ I <br /> i <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: �/_/� OT.SCHEDULED: �_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCKPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMHT LTR RECVD REVISION REQSTD PR DUE <br /> RWOCB COMMENTS REIFT�RE- ..�•. P R DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> I <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE " <br /> i <br /> PERMIT ISSUED. W. / B 6 _SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE ! <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR,SENT PROJECT CCMPLETE/FINAL DILL I� <br /> 1 <br /> EH 29 03 (PLNLOG.revised 5/91) - _ <br />