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7 <br /> SRN ]DAO)It "QTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAI/'XTHI BLV( DN <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG ¢ELY 70 ! <br /> SITE MATE --- -- <br /> I•. ` D <br /> ADDRESS I <br /> AGENCY CONTACT <br /> CITY <br /> 11P PHONE w/AREA CD <br /> CONSULTANT COMPANY 1.4 / CONTACT <br /> OTHER CONTACT NAME or INFORMATI <br /> UGT SITE 23. ASSESS—BHS / RWOCB 22. ENVIRON ASSES 22.ti8 PILO 23.fj ElWD SOU S F TASK 1 <br /> SWEEPS US1TE CODE 1 I21� DIST 3� / MAC CD l / ASSIGNED TO �lC� <br /> TITLE OF SUBMITTAL. <br /> i <br /> DATE RECEIVED �Q/�/ DATE OF SUBMITT BILLING FORM INITIATED _/_/ BT REOST <br /> TYPE IF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL HITHER) COD FEE PD CK 1/ DATE <br /> NE-EXCAV/SOIL CONTAMINATION NOOIPLIW (SCUP( l PERMIT APPLICATION 10 l -- <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN ISRP) 2 WORKPLAN for PERMIT ACTIVITY Il <br /> PRELIMINARY REPORT IPR) 3 ASSESS REPORT 13 <br /> i <br /> PR/with ADDTL ASSESS PROPOSAL, 4 ASSESS REPORT/with WORKPLIVN 11 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 ORRY/MOIlTOR1NG REPORT 15 <br /> PAR/with RF361{1 ACTION PROPOSAL 6 OTHER WW" w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRPI g� <br /> DRILY REPORT/'POST REMED MONITOR t� <br /> 9 ` <br /> STIFF REVIEW DUE _/ /_ OT SCHEDULED�/_/_ OT COMPLETED_/_/_ <br /> ACTION DATE ACTION DATE (ACTION BATE l <br /> ACl0"LG/COMNTMNT LTR REOSTO INCOMPLETE/ADDTN. INFO REOSTI SRP DUE <br /> ACIDIIRLG/COINTMNT LTR RECVD REVISION REOSTB PR DIE <br /> RWOCB COMMENT REVIEW COMPLETE PAR DIE 4 <br /> OTHER AGENCY APPROVAL FILE/ND ACTION FAP DUE (! <br /> ADDENOIM/ADDTN. INFO RECVD DENIED REVISION DIE <br /> t <br /> PERMIT ISSUER,, SPECIAL PERMIT ISSUED OTHER AGENCY DE DATE i <br /> WOfBIX,IW APPROVED COMMENT LTR SEDT <br /> BILLING FOAM SUBMITTED !� <br /> EH 23-117 85-57(IV)12/09 PLILOG -- 1 <br />