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SAN JOAOUIN CO''TY - PUBLIC HEALTH SERVICES/ENVIRONMENTnL 1j"`TAVAON <br /> `,.ITE MITIGATION/ASSESSMENT SUBMITTAL LOG ��0 jt v <br /> SITE NAME - -,-- 0 R LEAD AGENC <br /> ADDRESS AGENCY CONTACT <br /> CITY 21P PHONE w/AREA CD <br /> CONSULTANT COMPANY CONTACT AME� <br /> r / <br /> OTHER CONTACT NAME or 1MFORM(AT1 <br /> UGT SITE 23. ASSESS—DHS / RWOCB 22. ENVIRON ASSESE 22.48 PILO 23 FUND SOU S / F T i <br /> SWEEPS t/SITE CODE 1 33/ DIST LOC CD �1 41 ASSIGNED TOt% L <br /> TITLE OF SUBMITTALtp CJ <br /> DATE RECEIVED /1Q/ DATE OF SUBMITT / /, BILLING FORM INITIATED _/_/ OT REOST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) COD FEE PO CK I/CASt DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORKPLAN (SCWP) 1 PERMIT APPLICATION 10 f <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT IPR1 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 DRTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRPI 8 <br /> ORTLY REPORT/POST REMEO MONITOR 9 <br /> STAFF REVIEW DUE _//_ OT SCHEDULED /_/_ 'Y OT TED—/—/— <br /> ACTION DATE r ACTION. / " "��UATE ACTION DATE <br /> ADDU LG/C"TMNT LTR REOSTD INCOMPLETE/ADDTN. INFO*Jlp - SRP DUE <br /> ACKNOW(.G/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWOCS COMMENTS REVIEW COMPLETE / 0 PAR DUE _ <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE"--- <br /> ADDCNDUM(/ADDTNL INFO RECVD DENIED _ REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKP(JW APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> EH 23-117 89-5711V)12/09 PLN.OG <br />