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SAN JOAQUIN COY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL H,.. 4EqW4V1m%k1M1: <br /> NON-LOP SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS 7_4MAD AGENCY 7 <br /> SITE CODE # /L� PROG/EL MENT 2�. BILLING CODE I S ASSIGNED TO <br /> TITLE OF SUBMITTAL: TYPE CODE �� <br /> DATE RECEIVED /1 DATE ON SUBMITTAL /MOT REQUESTT - OT REQUEST DATE <br /> _ZqZl� <br /> PERMIT FEE PO CK #/ ASH DATE REVIEW FEE PD CK #/CASH DATE STAFF REVIEW DUE:1 . <br /> C , I �� OT SCHEDULED: <br /> IMW <br /> S 1 � /j c �.0 <br /> O f OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADMl, 100 RECVD DEN19D REVISION DUE <br /> PERMIT ISSUED W / ±CIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN'ItEvIEw COMPLETE COMMENT LTR SEAT PROJECT COMPLETE/FINAL BILL <br /> FOR AGENCY USE ONLY <br /> SITE MITIGATION PROGRAM FEE BASE MINIMUM HOURS MINIMUM AMOUNT RECEIVED DATE RECEIPT AMOUNT <br /> SCHEDULE FEE FOR SERVICE FEE RECEIVED BY # DUE <br /> UGT CORRECTIVE ACTION OVERSIGHT (CAP) $53.00/ <br /> HOUR 5 HOURS $265.00 <br /> HAZARDOUS MATERIAL TRANSMISSION $53.00/ <br /> PIPELINE ASSESSMENT OVERSIGHT HOUR 5 HOURS $265.00 <br /> ENVIRONMENTAL ASSESSMENT WORKPLN/ $53.001 <br /> REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> OTHER GOVERNMENT AGENCY OVERSIGHT $53.00/ <br /> WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> BASE AMOUNT RECEIVED DATE PERMIT ISSUANCE <br /> PERMIT ACTIVITY FEES FEE RECEIVED BY # DATE <br /> WELL/BORING PERMIT APPLICATION $89.00 <br /> (monitoring/extraction/vapor welts, EACH <br /> soil borings, vapor surveys, etc.) APPLC <br /> WELL DESTRUCTION PERMIT APPLICATION $60.00 <br /> EACH <br /> APPLC <br /> EH 29 06 (SILFRM12 revised 5/91) <br />