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SAH JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> n SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS <br /> LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> IV i PHONE WARE <br /> A r <br /> CONTACT NAME PHONE <br /> } <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # � PROG/ELEMENT 2 $ILLINC CODE ALi <br /> SSIGNED TOf <br /> T <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED ` DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SU/BMITT L 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 f <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 f <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 f <br /> REMED ACTION PLN (RAP) 5 LETTER 18 f <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH T DATE <br /> FINAL REMED ALN (FRP) 8 9 <br /> ORTLY ROT/POST REMED MON"ITORING 9 f <br /> e <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,,.J PR DUE `S„ <br /> RWQCS COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> r <br /> ADDENDUM/ADDTNL INFO RECVO DENIED REVISION DUE <br /> PERMIT ISSUED W. / B, SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE .. �j COMM ENT.LTR,,SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5%91) <br /> 1 . <br /> ,rte. __ � ,a „_ _. ,�,.. -- �. .� ,_ - _• -_ - _�- <br />