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a09 <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTHry SFON �7 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG V #_qL- jai 2 <br /> SITE ADDRESS LEAD AGENCY <br /> �I. 77- <br /> AGENCY CONTACT <br /> CONSULTANT CO17 _ <br /> � =PHCMEW/AREA CD <br /> CONTACT NAME HE <br /> OTHER CONTACT NAME or INFO (� <br /> I PHONE <br /> SITE CODE # PROG/ELEMENT BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> I{ <br /> DATE RECEIVED DATE ON SUBMITTAL / OT REQUEST i OT REQUEST DATE <br /> TYPE OF S BMITT L CODE TYPE 4 SU ITTAL CCOIE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10�j PERMIT FEE PD CK #/CASH DATE <br /> 1 SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 � S . <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> J <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 3 ;' <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19I� REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S :k s <br /> I QRTLY RPT/POST REMED MONITORING 9 <br /> STAFF REVIEW DUE: _/�/ OT SCHEDULED: / / i 1 OT COMPLETED: <br /> I <br /> ACTION DATE ACTION DATE ' ACTION DATE <br /> r ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL.IN REQST ElD I3 }RP DUE <br /> ACKNOWLG/COMMlTMNT LTR RECVD REVISION.REQSTD 1p i PR DUE <br /> R 13 „} � <br /> WQCB COMMENTS REPORT REVIEW C LETE PAR DUE <br /> F <br /> OTHER AGENCY APPROVAL FILE/NO.ACTION I FRP DUE <br /> w <br />` ADDENDUM/ADDTNL INFO RE CVD • � OENIED REVISION DUE <br /> PERMIT ISSUEDW / B SPECIAL PERMIT ISSUED i OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCMMENT- LTR.SENT P„ROJECT COMPLETE/FINAL BILL <br /> t' <br /> . I <br /> EN 29 03 (PLNLOG revised 5/915 <br /> Ef <br />