Laserfiche WebLink
- - <br /> 4 <br /> Ua <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # L f <br /> i <br /> SITE ADDRESS f LEAD AGENCY <br /> AGENCY CONTACT i <br /> CONSULTANT CO <br /> PHONE W/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT N l o INFO PHONE - <br /> SITE CODE # I Z,7 ZZ PROG/ELEMENT 2_2.2.i:�_ BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED /� d _! DATE ON SUBMITTAL _ �; OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL r CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/0 WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 s <br /> ASSESSMENT REPORT 3 OTHER WRKPLN W/o PERMIT ACTIVITY 16 s <br /> I1 ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> 1 <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT W/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 _ S <br /> ORTLY RPT/POST REMED MONITORING L9 <br /> - s ' <br /> iI <br /> I. STAFF REVIEW DUE: _/�/� OT SCHEDULED: �_/� OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REOSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQS N PR DUE <br /> R.E REV ...- L R DUERWOCS COMMENTS -i E <br /> TV <br /> OTHER AGENCY APPROVAL FILE/NO ACTION ._ - FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised,�5/91) - - - <br />