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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 0�)AI$1 I' <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG �� # - <br /> SITE ADDRESS zz / LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO r <br /> PHONE w/AREA CD <br /> CONTACT NAME ONE ��JS�a _(O yZ <br /> OTHER CONTACT NAME or 1 0 PHONE <br /> SITE CODE # <br /> ZZ— PROG/ELEMENT 22.ZZj�) BILLING CODE ASSIGNED TO za <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE 0 SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> QRTLY RPT/POST REMED MONITORING C9 <br /> $ <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <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 />