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SITE INFORMATION AND CORRESPONDENCE_CASE 2
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SITE INFORMATION AND CORRESPONDENCE_CASE 2
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Last modified
2/10/2020 5:49:18 PM
Creation date
2/10/2020 4:23:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 2
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH D V S <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS D LEAD AGENCY <br /> AGENCY CONT <br /> CONSULTANT CO <br /> ----- PHONE w/AR D <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # Q PROD/ELEMENT Jz � BILtlIJG CODE ASSIGNED TO _�j <br /> TITLE OF SUB AL: <br /> DATE RECEIVED — , .J DATE ON SUBMITTAL / OT REQUEST 70T REQUEST DATE <br /> oc <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLH T PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 9 <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLII (RAP) 5 LETTER 18 S <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASJI DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING t <br /> STAFF REVIEW DUE: / / OT SCHEDULED: f / OF COMPLETED: <br /> ACTION DATE ACTION I DA1F, ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETF/ADDINL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWOCD COMMENTS REPO EV I E1E �j l <br /> ]A)DU17E <br /> OTHER AGENCY APPROVAL FI ./HO A ION ` FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> ___L__'r <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT C94PLETE/FINAL DILL <br /> EN 29 03 (PLNLOG revised 5/91) <br />
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