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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIROHMENTAL HEALTH DIVI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS I� �,L�.,e�� Lkn m LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO �5 } <br /> PHONE K/AREA C>> <br /> CONTACT NAME Key -fel . m�- PHONE CLr IS �j� / TUv <br /> OTHER CONTACT NAME or INFOFF""l�� PHONE <br /> SITE CODE # f (� PROD/ELEMENT 21. S 0 13ILLI1IG CODE s ASSIGNED TO ` Co f//�� <br /> TITLE OF SUBMITTAL: <br /> L-a'LF-c�L L/lJ X_ <br /> DATE RECEIVED J' v� �d2 DATE ON SUBMITTAL 1 �(} 1 3 OT 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 WKPLH 2 WORKPLAN for PERMIT ACTIVITY /2#?� <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 t <br /> REMED ACTION PLH (RAP) 5 LETTER 18 <br /> ASSESS RPT WRAP 6 PUBLIC PART ',HFO 19 REVIEW FEE PD CK #/�CpASH DATE <br /> FINAL REMED PLN (FRP) 8 cr ee3� <br /> $ <br /> 16L <br /> QRTLY RPT/POST REMED MONITORING 9 t <br /> STAFF REVIEW DUE: /�/_ OT SCHEDULED: _ -/ / OT COMPLETED: .____/_/____ <br /> ACTION DATE ACTION _ Dt,TF ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTO INCCMPLETE/ADDTNL INFO REQSTDI SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWQCB COMMENTS REE OO-RE EU p • R DUE <br /> LIS ` <br /> OTHER AGENCY APPROVAL FILE/NO ACT 0 FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OT14ER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COPI14ENT LTR SENT PROJECT CCHPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br /> r <br />