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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0545287
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2020 1:28:17 PM
Creation date
2/6/2020 11:52:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545287
PE
3528
FACILITY_ID
FA0000086
FACILITY_NAME
San Joaquin General Hospital
STREET_NUMBER
500
Direction
W
STREET_NAME
HOSPITAL
STREET_TYPE
Rd
City
French Camp
Zip
95231
CURRENT_STATUS
02
SITE_LOCATION
500 W Hospital Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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t✓ A�— <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 01 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG #�_ <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PffONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # /�jl f PROD/ELEMENT 12�QZUILLIING� C90E ASSIGNED TO <br /> TITLE OF SUBMITTAL: 14 <br /> /, J <br /> DATE RECEIVED1 L_ y OT REQUEST OT REQUEST DATE DATE ON SUBMITT <br /> ff �_ <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION tiro WRKPLIJ 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PER`4IT ACTIVITY 11 $ �-7r -7 7 <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S C/ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP b PUBLIC PART iHFO 19 REVIEW FEE PO CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 4 S <br /> STAFF REVIEW DUE: / / OT SCHEDULED: ^_/�/ OT COMPLETED: <br /> ACTION DATE ACTION DATF, ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT ETR RECVD REVISION RECSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/110 ACTION FRP DUE <br /> ADDS UM/ADDTNL INFOECVD r DENIED REVISICN DUE <br /> I4 <br /> ISSUED B l�l1 �CIAL PERMIT ISSUED OTHFR AGENCY DUE DATE <br /> 1111 CCI114EHT LTR SENT PROJECT CJ4PLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />
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