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Ik :! <br /> t SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI 1 ) <br /> SITE MITIGATION/ASSESSMENT SUBMITTAI LOG <br /> SITE ADDRESS [�S LEAD AGENCY ' <br /> ,f k <br />{ II AGENCY CONTACT <br /> CONSULTANT CID i <br /> �l PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> .Zo 9S6�d <br /> ,r <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # PROG/ELEMENT 122..2Z-1BILLING CODEASSIGNED TO <br /> TITLE OF SUBMITTAL: I�, ,I� <br /> DATE RECEIVED r/ DATE ON SUBMITTAL f+/ OT REQUESTi OT REQUEST DATE <br /> TYPE OF SU ITTOTAL CODE TYPE 0(SU ITTAL CODE <br /> r} 'I <br /> RE•EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 101 PERMIT FEE PD CK #/CASH DATE <br />` SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11l $ I` <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 �. $ ,9 <br /> Ir I" f <br /> ASSESS RPF w/WKPLN 4 OTHER AGENCY REPORT 17 � S .� <br /> REMED ACTION PLN (RAP) 5 LETTER is ! $ <br /> a i <br /> 4 <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> iR <br /> QRTLY RPT/POST REMED MONITORING 9 f <br /> STAFF REVIEW DUE: _/�� OT SCHEDULED. / / ` OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE , <br /> � 3 <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE M <br />[ ACKNOWLG/CCMMTMNT LTR RECO REVISION REQSTD ! PR DUE <br /> �IP w <br /> RWOCB COMMENTS REPORT_ EVIEW-C E -_- R DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION i FRP DUE <br /> r � <br /> ADDENDUM/ADDTNL INFO RECVD DENIED # REVISION DUE <br /> PERMIT ISSUEDW / B SPECIAL PERMIT ISSUED i OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> I'r <br /> II EH 29 03 (PLNLOG revised 5/91) } <br /> I'r ) <br />