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N• tato <br /> v egg . <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALT , <br /> SITE MITIGATION/ASSESSMENT MITTAL LOG #TL1- 1 .2 I <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> i <br /> OTHER CONTACT NAME or INFO PHONE (9w <br /> Q. ,�123 <br /> SITE CODE # ! PROG/ELEMENT 2 .^2� BILLING CODE ASSIGNED TO �. <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED $ y ATE ON SUBMITTAL 9 OT REQUEST 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 PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 f <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVI Y 16 S <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 1$ $ <br /> ASSESS RPT W/RAP 6 PUBLIC PART INFO 14 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> QRTLY RAT/POST REMED MONITORING 4 Er_ <br /> S <br /> STAFF REVIEW DUE: w/ fes„ OT SCHEDULED: �_/ / OT COMPLETED: <br /> ACTION DATE ACTION / DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO INCCMPLETE/ADDTNL.INFO REQST11 RIE W SR DUE <br /> ACKNONLG/COMMTMNT LTR RECVD REV ISI ON,REQSTD ; 1 1(�(�, kI DUE <br /> l <br /> RWGCB COMMENTS REPORT REVIEW COMPLETE -7 PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INi0 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 /> EH 29 03 (PLNLOG revised 5/91) <br />