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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISIr <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG qj� <br /> SITE ADDRESS �� p LEAD AGENCY <br /> /ZIP/{ <br /> AGENCY CONTACT <br /> CONSULTANT CO 1. I <br /> ` PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO {� PHONE <br /> SITE CODE # PROG/ELEMENT 29 BILLING CODE ASSIGNED TO <br /> i} w <br /> TITLE OF SUBMITTAL: !} I <br /> DATE RECEIVED / �7 DATE ON SUBMITTAL OT REQUESTIi � OT REQUEST DATE } <br /> TYPE OF SUBMITT L CODE TYPE WSU&ITTAL CODE ! <br /> � P <br /> o w <br /> I <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION / WRKPLN 10 PERMIT FEE PD CK #/CASH DATE 3` :r n <br /> SITE ASSESS WKPLH 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> .1 t <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 t . E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 i S <br /> i <br /> REMED ACTION ALN (RAP) 5 LETTER 18 I} $ <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 It REVIEW FEE PO CK #/CASH DATE <br /> F <br /> I <br /> INAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: / OT COMPLETED: <br /> 'r <br /> ACTION DATE ACTIONT DRTE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD 1NCCMPLETE/ADDTNL.INF0 REQSTD SRP DUE <br /> i <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION.REQSTD iI AR DUE M <br /> 41 I� <br /> RWQCS COMMENTS rREPORT;REVI C P TE - �.�Z PAR DUE <br /> ,R <br /> , - t8' I <br /> 4' OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED it REVISION DUE <br /> PERMIT ISSUED W- / B SPECIAL PERMIT ISSUED i OTHER AGENCY DUE DATE <br /> I� WORKPLAN REVIEW OMP1, T { CGMMENT LTR SE ,pROJEC7 COMPLETE/F]NAL BILL 1 <br /> —-- J ri <br /> EH 29 03 (PLNLOG revised 5/91) ` <br /> i, iE <br />