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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH OIVI <br /> / - <br /> SITE MITIGATION/ASSL•SSMENT SUBMITTAL LOG # <br /> SITE ADDRESS �� Id LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE u/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # l�G{- PROD/ELEMENT I , _� BILLING COOE ASSIGNED TO SS <br /> TITLE OF SUBMITTAL: <br /> q4ft <br /> GATE RECEIVED C LJ g DATE ON SUBMITTAL q'O�Z Oi REQUEST �� JOT 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 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 4 <br /> REMED ACTION RLN (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 $ <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: /_/ OT SCHEDULED: / _/�_1 OT COMPLETED: <br /> ACTION DATE ACTION I DA7r ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO INCCMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWQCB COMMENTS REPORT REVIFII COMPLETE YAR DUE <br /> OTHER AGENCY APPROVAL FILE./NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT PECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKP V T �- ,L :c;i4ENT LTR SENT PROJECT CCMPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />