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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ NVIRONMENTAL HEALTH DIVI <br /> SITE MITIGATION/ASSESSMENT StOMITTAL LOG #—CLI^. <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> L� PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> i <br /> OTHER CONTACT NAME or INFO PHONE <br /> E <br /> E CODE # L PROD/ELEMENT 22 2� BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: c <br /> i <br /> DATE RECEIVED DATE ON SUBMITTAL �/ OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE W SU ITTAL 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 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVI Y 16 S <br /> ASSESS RAT W/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLM (RAP) 5 LETTER 18 $ <br /> ASSESS RAT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RAT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: /^�_ OT SCHEDULED: _/�/ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADOTNL,INFO RE ST SRP DUE <br /> ACKNOWLG/COMMTMNT. LTR RECVD REVISION REGSTD,,J • 11111D PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE AUG1A 2 IYYI PAR DUE <br /> I, <br /> OTHER AGENCY APPROVAL FILE/NO ACTION �. 'g 7 ' FRPI DUE <br /> ADDENDUM/ADOTNL INFO RECVD DENIED REVISION DUE <br /> �f <br /> PERMIT ISSUED W. / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENTLTR SENT PROJECT COMPLETE/FINAL BILL <br /> CH 29 03 (PLNLOG revised 5/91) <br />