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101 q <br /> SAN JOAWIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV SI /t`_S.L�" l!/ <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> SITE ADDRESS \ LEAD AGENCY <br /> AGENCY COCT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO �j��/ J �����' TPHONE <br /> 42 eQ <br /> SITE CODE # � PROG/ELEMENT lV 21"7�/.1,R_I BILLIIIG CODE I�FSS[GNED T — <br /> TITLE OF SUBMITTM, i. J��� '1 Y' <br /> DATE RECEIVED /,ar��� DATE ON SUBMITTAL U�/�'lfiYOT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION NKPLN 1 PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS NKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLNI 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 N/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASA DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: /_/ OT SCHEDULED: f_/� T OT COMPLETED: <br /> ACTION DATE ACTION DATr: ACTION DATE <br /> ACKNCWLG/COMMTMNT LTR REOSTD INCCHPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQS D PR DUE <br /> RWOCS C014MENTS RE T REV ET ?, PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED N / B SPECIAL PERMIT 1 UED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CpIM LT P ECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />