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i Y - PUBLIC HEALTH SERVICE5/EN IRONMIENIX 1, - <br /> SFW JOPMIN <br /> T <br /> �F{ 'TI: MITLGATIONlASSESSMENT <br /> SUBMIT11L LOG il - <br /> SITE NAME OTMEZ!WdR' AcENc <br /> ADDRESS AGENCY CONTACT <br /> CITY IIP PHONE w/AREA CD <br /> CONSULTANT am CONTACT <br /> -nf <br /> OTHER CONTACT NAME or IWORMATI r <br /> FIGT S1TE 23. ASSESS—DHS / RWOCB 22. ENVIRON ASSES 22.48PILO 23.� FUND SOU F MASH 1 <br /> SWEEPS 1/91TE CODE1 DIST 2o. IZ LOC CD 0 L ASSIGNED 10 <br /> TITLE OF SUBMITTAL: <br /> 1 <br /> DATE RECEIVED �l,g! DATE OF SUBMI1 ! BILLING FO INITIATED _ll OT REOST _1_1_ <br /> TYPE OF SUBMITTAL IPILOTI COD TYPE OF SUBMITTAL IOTHERI COD FEE PD CK 1/CA DATE <br /> RE-EIICAV/SDIL CONTAMINATION WORHPLAN (SCUP) 1 PERMIT APPLICATION 10 1 <br /> SOIL CONTAMINATION REPORTl0EDIATION PLAN ISRP1 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM AM90T REPORT IPARI 5 ORTLY/MONITORING REPORT E5 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRHPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN IFRP1 B <br /> RIRTLY R:.PORTIPOST REMIED MONITOR 9 <br /> STAFF REVIEW DUE 1 I_ OT SCHEDULED _!_!� OT COMPLETED—/_,___/____ <br /> ACTION DATE ACTION. DATE ACTION DATE <br /> ACHNOWLG/COMMTMNT LTR REDSTO INCOMPLETEIADDTNL ILEO REDSTE SRP DUE <br /> ACHNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> WD COMMENTS REVIEW COMPLETE �Q PAR DUE <br /> OTHER AGENCY APPROVAL FILEINO ACTION FRP DUE <br /> ADDENDUM/ADDTNL IWO RECVD DENIED � REVISION DUE <br /> PERMIT Ism SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORHPLIW APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> IN 23-117 81-571 IV)12184 PLNLOG <br />