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r <br /> D rl/ <br /> a SAN JOAQUIN COUNTY-- PUBLIC HEALTH 5ERVICES/ENVIRONMENTAL HEALT I <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL BOG r f <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO "/,�� <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE �� <br /> OTHER CONTACT NAME or INFO PHONE <br /> i <br /> i <br /> SITE CODE # 170, PROG/ELEMENT 2�. j _ BILLING CODE ,i ASSIGNED TO <br /> Z9L i rlil I <br /> r� TITLE OF SUBMITTAL: f <br />�= <br /> FOATERECEIVEDCal$ 9L DATE ON SUBMITTAL pbJ OT REQUEST I OT REQUEST DATE <br /> 4 <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> r <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> k <br /> ASSESSMENT REPORT OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br />` ASSESS RPT w/WKPLN OTHER AGENCY REPORT 17 $ q <br /> -1 <br /> —Nk <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> k <br /> d <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> b , <br /> FINAL REMED PLN (FRP) 8 S ] <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: f._ _ / OT SCHEDULED: fes_ 'JOT COMPLETED: <br /> ACTION DATE ACTION DATE. ACTION DATE <br /> f <br /> ACKNOWLG/COMMTMNT LTR REGSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> I I� <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> -•y � ;i <br /> RWOC8 COMMENTS REPORTVIRCETE `PSR DUE <br /> k OTHER AGENCY APPROVAL FILE/NO ACTION I FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> ;I <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) f <br /> a <br />