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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI �6 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG •L�s'.:J.L"� <br /> SITE ADDRESS ` LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> 54- PHONE w/AREA CD <br /> CONTACT NAME a� I <br /> PHONE <br /> OTHER CONTACT NAME or INFO T �tJ PHONE <br /> SITE CODE # PROG/ELEMENT 2Z. JBILLING CODE ASSIGNED TO <br /> DD <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED `� G DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SU ITTAL / CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION NKPLN 1 PERMIT APPLICATION W/o WRKPLN 10 PERMIT FEE PO 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 $ <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: ^/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCS COMMENTS REPORT REVIEW COMPLETE 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 /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />