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SAN "QUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG it. 7 7d <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> i <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # , i PROG/ELEMENT 2 _ BILLING CODE ASSIGNED 70L <br /> -] <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED ( ' DATE ON SUBMITTAL l ,� 91 OT REQUEST OT REQUEST DATE <br /> =L <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 ACTIVITY11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVI6 14 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 3 <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) $ S <br /> QRTLY RPT/POST REMED MONITORING 4 f <br /> STAFF REVIEW DUE: / OT SCHEDULED: _/�/� OT COMPLETED: <br /> E <br /> I [ -,-, ' ' - <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLtTE/ADDTNL,INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR REM REVISION,REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W. / B SPECIAL PERMIT ISSUED k OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT..LTR SENT I � PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />