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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITSGATION/ASSESSMENT SUBMITTAL LOG # 1 5� <br /> SITE ADDRESS` _ LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE WAREA CO <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO { PHONE <br /> SITE CODE # 3 � PROG/ELEMENT 22. Z BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL g' OT REQUEST OT REQUEST DATE <br /> TYPE OF SUOMI 4AL 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 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> .ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 i G <br /> GRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: �/_ OT SCHEDULED: f / OT COMPLETED: <br /> ACTION- DATE ACTION DATE ACTION DATE <br /> y. <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL,INFO/EQSTD SRP DUE <br /> mein <br /> ACXNOWLG/COMMTMNT LTR RECVD REVISION,REQSTD r ! PR *D <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO,ACTION . - IF . DUE <br /> ADDENDUM/ADDTHL INFO RECVDDENIED , REVISON DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED ETHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT. LTR SENT PROJECT COMPLETE/FINAL BILL i <br /> EH 29 03 (PLNLOG revised 5/91) <br /> I <br />