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°4AY 2 5 19990 <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL CLOG # <br /> SITE ADDRESS / son <br /> / <br /> � / LEAD AGENCY <br /> c �, _^T AGENCY CONTACT <br /> CONSULTANT CO �� <br /> --- PHONE u/AREA CO <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAMEt or INFO ] PHONE <br /> SITE CODE # I PROG/ELEMENT I DS BILLING C00ASSIGNED TO d� <br /> TITLE OF SUBMITTAL: ��JJJ <br /> DATE RECEIVED a.21 L13DATE ON SUBMITTALr' ni 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 WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLH 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 u/RAP 6 PUBLIC PART iNFO 19 REVIEW FEE PD CK #/CASA DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> ORTLY RPT/POST REMED MONITORING r9 S <br /> STAFF REVIEW DUE: _/_/ _ OT SCHEDULED: ^��/�l OT COMPLETED: <br /> ACTION DATE ACTION I DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO INCCMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW MP E0 6 �� PAR DUE <br /> OTHER AGENCY APPROVAL FILE./NOT4 _ FRP D <br /> 14'ADDENDUM/ADDTNL INFO REMOENIEU REVISION DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CC11I4ENT LTR SENT PROJECT CCI4PLETE/PiNAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />