Laserfiche WebLink
SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ NVIRONMEHTAL HEALTH DM`S 1991 <br /> SITE MITIGATION/ASSESSMENT MITTAL LOG �1uL- #_fz-- jQ <br /> SITE ADDRESS LEAD AGENCY <br /> r _ i <br /> AGENCY CONTACT <br /> CONSULTANT CO i I <br /> PHONE w/AREA CD <br /> CONTACT NAME P ONE I <br /> I <br /> OTHER CONTACT NAME or INFO ` f PHONE <br /> LEODE # 1 13 <br /> PROG ELEMENT 12f.Z BILLING CODE ASSIGNED TO <br /> / � <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL 1f/ OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SU ITTAL CODE <br /> RE•EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE AS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITr 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 1$ S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 14 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED ALN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: f / OT SCHEDULED: / /_ OT COMPLETED: <br /> ACTION DATE ACTION D E ACTION DATE <br /> : ............ f ris I _ f <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD S"UE <br /> _.._._. 7 177 <br /> ACKNOWLG/COMMTMNT LTR REM REVISION REQSTD, T�� -,PR DUE <br /> RWQC8 COMMENTS REPORT REVIEW COMPLETE �,� PAR DUE <br /> OTHER AGENCY APPROVAL 1 FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFG�RECVD j DENIED REVISION DUE <br /> .1d n4r <br /> PERMIT ISSUEp. `"�1� / B � SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW C%6 TE CCMMENT.;LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />