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n <br /> SAN JQAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENY[RONMENTAL HEALTH DIYI51 1 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS Df LEAD AGENCY <br /> AGENCY CONTACT s <br /> CONSULTANT C.0 <br /> v PHONE w/ARE <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAM o INF!j <br /> PHONE <br /> SITE CODE # PROG/ELEMENT j2fF_ 6 I BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED 1-�/A DATE ON SUBMITTAL 31 & OT I tEQUEST 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 /> I <br /> i <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 WAXPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLM (RAP) 5 LETTER 1s $ <br /> ASSESS RPT it/RAA 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 3 S <br /> QRTLY RAT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: ��/� OT COMPLETED: <br /> ACTION DATE ACTION r DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO INCCMPLETE/ADDTNL.INFO REQSTDI SRP DUE I <br /> I <br /> ACKNOWLG/COMMTMNT LTR REM REVISION REIQSTD^ PR DUE <br /> RWQCB COMMENTS REPORT REVIEWT 1 44 <br /> 90Z. P R DUE <br /> OTHER AGENCY,APPROVAL FILE/NOACTION FRP DUE <br /> ADDENDUM/ADD,TNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W. / B _SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT,LTR-SENT PROJECT COMPLETE/FINAL BILL <br /> I <br /> EH 29 03 (PLNLOG revised 5/91) <br />