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SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 01 1 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> SITE ADDRESS ` LEAD AGENCY <br /> AGENCY CONT <br /> CONSULTANT CO <br /> PHONE WARCONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE #j/ O PROD/ELEMENT BILLING CODE =ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIV DATE ON SUBMITTAL 0T REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 f <br /> STAFF REVIEW DUE: / / OT SCHEDULED: _ /�/_ OT COMPLETED: <br /> ACTION DATE ACTION � I IDt.TF.� ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOST PR DUE <br /> RWQCB COMMENTS REPrf R PLETE ����3 P R OUE <br /> OTHER AGENCY APPROVAL Fll . FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PEPJ11T ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CC1114ENT LTR SENT PROJECT CCI4PLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />