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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI ��d <br /> SITE MITIGATION/ASSESSMENT SL43MITTAL LOG # -� <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> Lnf NTACT N or INFO C/ JPHONE <br /> E <br /> E: <br /> CODE # PROG/ELEMENT 2!.,2jy— BILLING COOE ASSIGNED TO <br /> TITLE OF SUBMITTAL: / <br /> 1: <br /> DATE RECEIVED DATE CN SUBMITTAL �• OT 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 /> SITE ASSESS WKPLN 2� WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 E <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: OT SCHEDULED: .. � / OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOULG/COMMTMNT LTR REOSTO INCCMPLETE/ADDTNL.INFO REOSTE SRP DUE <br /> ACKNONLG/COMMTMNT LTR REM REVISION REQSTD _ PR DUE <br /> RWQCB COMMENTS REPORT REVIW 2. 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 OTHER AGENCY DUE DATE <br /> i <br /> WORKPLAN REVIEW COMPLETE CCMMENT,LTR.SENT PROJECT CCMPLETE/FINAL BILL <br /> i <br /> EH 29 03 (PLNLOG revised 5/91) <br /> I <br />