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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0009040
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
10/1/2019 4:59:08 PM
Creation date
10/1/2019 4:49:10 PM
Metadata
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Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0009040
PE
2960
FACILITY_ID
FA0004009
FACILITY_NAME
CALIFORNIA FUELS/D ATWATER
STREET_NUMBER
838
STREET_NAME
MOKELUMNE
STREET_TYPE
ST
City
WOODBRIDGE
Zip
95258
APN
01509082
CURRENT_STATUS
01
SITE_LOCATION
838 MOKELUMNE ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI - � <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO � <br /> PHONE WAREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO c PHONE <br /> SITE CODE # 2,2 O PROG/ELEMENT 12_?_(/ (j 1 BILLING CODE S g ASSIGNED TO <br /> TITLE OF SUBMITTAL: 3 / <br /> — Z2 <br /> cl Atz <br /> DATE RECEIVED DATE ON SUBMITTAL / OT REQUEST OT REQUEST DATE <br /> TYPE OF SU !/TAL CODE TYPE O SU ITTAL 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 S <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPCRT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 = <br /> STAFF REVIEW DUE: _/_/_ 07 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 T • 15•1Z 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 CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />
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