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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVI <br /> SITE MITIGATION/AS SSMENT SUBMITTAL LOG <br /> SITE ADDRESS <br /> LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE u/AREA CD <br /> CONTACT NAME � l � PHONE �C,�� �_SSL <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # 2 S PROG/ELEMENT 2!2 S C BILLING CODE sf_ ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED C - DATE ON SUBMITTAL /!� OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE COG 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 S <br /> ASSESSMENT REPORT 3 ' OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 s <br /> REMED ACTION PLN (RAP) 5 LETTER 18 s <br /> ASSESS RPT WRAP 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 I s <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTDI SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REGSTO 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 CUE <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 rcvised 5/91) <br />