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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVI - <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LUG <br /> SITE ADDRESS LEAD AGENCY <br /> _;,� <br /> AGENCY CONTA <br /> CONSULTANT CO <br /> C...� PHONE u/A1tEA CO <br /> CONTACT NAME PRUNE <br /> OTHER CONTACT NAME or INFO PHONE <br /> PROG/ELEMENT .[� BILLINGCODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST I OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION Wo WRKPLH 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 5 <br /> ASSESSMENT REPORT 3 OTHER WR KPLN w/a PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 f <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT WRAP 6 PUBLIC PART ;NEO 19 REVIEW FEE PD CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: / /� OT SCHEDULED: -f /____] OF CCMPLETED: <br /> ACTION DATE ACTION I DATE ACTION DATE <br /> ACKNOWiLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDINL INFO RECSTDI FFFFFF SRP OUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWQCB COMMENTS REPORT E .r i TE 5PADUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTIO FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / s SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> LVORYPLAN REVIEW COMPLETE CQFA4E T �- AROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />