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,-we � ,� <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH IS1ON <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG ' 5 �qq�#�_ � <br /> SITE ADDRESS 2 Q [ / AD AGENCY <br /> 'IV AGENCY CONTACT �hJ <br /> CONSULTANT CO I" <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACTE Or I fO FPKCNE <br /> SITE CODE # D PROG/ELEMENT 12,Z. BILLING CODE. ASSIGNED TO /\/) Z_ <br /> TITLE OF SUBMITTAL: L <br /> DATE RECEIVED /„ DATE ON SUBMITTAL Ste' / OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> QRTLY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: _/_J_ OT SCHEDULED: _J_/ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTHL INFO REQSTD SRP DUE <br /> .1 fill <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD P DUE <br /> RWQCS COMMENTS REPORT REVIEW COMPLETE h PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION �f FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUEDW / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL SILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />