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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI Y <br /> SITE MITIGAT ON/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS r LEAD AGENCY <br /> /// AGENCY CONTACT <br /> CONSULTANT CO <br /> � r <br /> PHONE w/AREA CD lokd <br /> CONTACT NAME PHONE l� �Q'�z/ �j , <br /> OTHER CONTACT NAME or INFO / u ! v PHONE <br /> SITE CODE # PROG/ELEMENT 22. BILLING CODE ASSIGNED TO L <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED ATE ON SUBMITTAL ZJOT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SU ITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 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 /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW )R DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EN 29 03 (PLNLOG revised 5/91) <br />