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-7, <br /> :SAN JOAQUi COUNTY - PUBLIC HEALTH SERVCCES/fNVIRONIA <br /> ENTAL.HI:ALTN, DIVISION '-`�• L';Cj"LL:i, <br /> SITE MITIGATION SUBMITTAL <br /> 1991 <br /> f OCA NOT WRITE IN THIS AREA-AGENCY USE ONLY Q2_ SUBMITTAL LOG NUMBER <br /> G7 SITE 23:� SSESS- DNS f RWQCB22. � NVIRON ASSES 22.48 ; TNER (PROD/ELEMENT PILOT PROGRAM <br /> WEEPS #/SITE CODE # COMPUTER # �i <br /> DATES OF SERVICE FROM f /� TO <br /> sz <br /> LOC CODE `' [DISTRICT SSFGNED TO <br /> r YPE OF SUBMITTAL or <br /> i4 <br /> ESCRIPTION OF SERVICE TYPE <br /> ODE <br /> DATE RECEIVED / / l DATE OF SUBMITTAL � f f � T REQUESTED ATE OT REQUESTED <br /> F <br /> ERMIT FEEPD t/tr #fCASN ATE ?�, i EYIEW FEE PD K#fCASNU ATE <br /> STAFF REVIEW DUE �/ /� OT SCHEDULED �f tt��� OT COMPLETED__f_T /_ 1E <br /> ACTION DATE ACTION DATE! ACTION DATE <br /> CKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> CKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD �$ R DUE <br /> WQCS COMMENTS REVIEW COMPLETE AR DUE <br /> THEIR AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> DENDUM/ADDTNL INFO RECVD DENIED <br /> REVISION DUE <br /> ERMIT ISSUED SPECIAL PERMIT ISSUED TNER AGENCY DUE DATE. <br /> �r- <br /> RKPLAN APPROVED OMMENT LTR SENT ILLING FORM SUBMITTED <br /> ,4 <br /> jr <br /> FOR AGENCY USE ONLY �{ <br /> Fee is Oue: Per Unit Per Site Each <br /> ii <br /> itling emittance Amount emit Checked <br /> Program Element ase xptanation Date Date emitted MOUNT DUE Amount <br /> !i <br /> GT Corrective Action Oversight <br /> State/Federal Authorized) 53.DO/hr 5 hour minimem <br /> azardous Material Transmission <br /> ipet ne Assessment Oversight 53.00/hr 5 hour minimum <br /> lnviron ental Assessment Work Ptanf <br /> eport Review and Inspections, 53%.00/hr 3 hour minimum <br /> ther Government Oversight Work Plan/ j <br /> Report Review and inspections 53.00/hr 3 hour minimam <br /> eceved By ate eceipt No. ssuance hate ailed <br /> PAGE TWO OF TWO <br /> EH 230/4 (2/91) 89-006(VI)2/91 8ILFRM128 <br /> `i <br />