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0 a& <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH OIVIS <br /> ;4 1 <br /> S TE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> LEAD AGENCY <br /> SITE ADDRESS <br /> AGENCY CONTACT <br /> CONSULTANT CO - <br /> / /� PHONE W/AREA CD <br /> CONTACT NAME ;J/ ✓ PHONE <br /> OTHER CONTACT NAME or INFO /' PHONE <br /> SITE CODE # GJU' Gj' - PROG/ELEMENT 2� BILLING CODE s' ASSIGNED TO M� <br /> cc / <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED /.z DATE ON SUBMITTAL 1. G� OT REQUEST OT REQUEST PATE <br /> TYPE OF SUBMITTAL 77 CODE TYPE OF 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 37 OTHER WRKPLN W/o PERMIT ACTIVITY 16 <br /> ASSESSMENT REPORT 37 f <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 $ <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) B S <br /> ORTLY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: _/_/__ OT SCHEDULED: /_/__ OT COMPLETED: <br /> ACTION DATE ACTION DATE � ACTION <br /> DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADOTNL INFO REQSTD fff SRP DUE <br /> ACKNOWLG/CCMMTMNT LTR RE CVD REVISION REQSTD PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION CUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENOY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />