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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVIS Q rJ- <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESSLEAD AGENCY <br /> s)�� �r <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE W/AREA CD <br /> CONTACT NAME u PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # ]J A[PROG/ LEMENT G – El tLLI!!G CODE ASSIGNED <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED= <br /> Z DATE ON SUBMITTAL !� �� Z OT REOUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION Wo WRKPLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY IG E <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PW (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASA DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING s <br /> STAFF REVIEW DUE: /�/ OT SCHEDULED: J / OT COMPLETED: <br /> ACTION DATE ACTION —� DATE. ACTION DATE-� <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDlNL INFO RECSTO SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWQCD C01414ENTS PeniFE # I;eMPL[TE PAR E <br /> OTHER AGENCY APPROVAL F ON RP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE C9114ENT LTR SENT PROJECT CG14PLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />