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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # �` <br /> SITE ADDRESS / /�� ! LEAD AGENCY <br /> +'y <br /> J/y <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> it PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAMEfrltkFPHONE. <br /> SITE CODE # 1- PROG/ELEMENT 22Z(4 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED //�blq7 <br /> [DATE ON SUBMITTALOT REQUEST:. OT REQUEST DATE <br /> TYPE OF S &MIT L CODE TYPE 0 SUBM TIAL CODE <br /> ! k <br /> RIE-EXCAVATION WKPLN I PERMIT APPLICATION W/o WRKPLN W 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 <br /> � v 1 <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 1T S p ) <br /> REMED ACTION PLM (RAP) S LETTER 18l3+ S <br /> ASSESS RPT WRAP b PUBLIC PART INFO 19' REVIEW FEE PD CK #/CASH DATE <br /> i <br /> FINAL REMED PEN (FRP) <br /> QRTLY RPT/POST REMED MONITORING 9 s.,{ <br /> STAFF REVIEW DUE: / / _ OT SCHEDULED: ��/� 4F OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> 3 <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTDI} SRP DUE <br /> -{ JI <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD { PR DUE <br /> RWQCB COMMENTS REPORT'REVIEW — E�SItoQ PAR DUE ! <br /> OTHER AGENCY APPROVAL FILE/NO ACTION i1 FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / & SPECIAL PERMIT ISSUED ! OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCMMENT LTR SENT <br /> I} PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />