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SAN JOAQUIN COUNTY - PUOLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITIGIITION/ASSESSMENT SUBMITTAL LOG Ic <br /> f SITE ADDRESS --�=� <br /> _ LEAD AGENCY /f� <br /> r AGENCY CONTACT C �•/ <br /> CONSULTANT CO <br /> PHONE w/AREA'CD <br /> CONTACT NAME ` PHONE <br /> S~ � <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE #= -1 1 1 == <br /> PROG/ELEMENT 2 '.;� BILLING COO£ ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SU lTTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> r <br /> SITE ASSESS WKPLN RKPLAN for PERMIT ACTIVITY 1] S <br /> i <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT :17 S <br /> REM£D ACTION PLN (RAP) 5 LETTER 18 S <br />.F 1 <br /> ASSESS RPT w/RAA 6 PUBLIC PART INFO 19 REVIEW FEE PD CIC #/CASH DATE <br /> FINAL REMED PLN (FRP) $ g <br /> F <br /> TLY RPT/POST REMEDY MONITORING S <br /> STAFF REVIEW DUE: �/ fOT SCHEDULED: � / OT COMPLETED: <br /> ACTION DATE _- ACTION µ DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD V R DUE <br /> RWQCS COMMENTS REPORT REVIEW COMPL E mm T 2 PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W. J B SPECIAL PERMIT I5 LIED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE � `COMMENTLTR=� _ f PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />