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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 01 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT 1 <br /> CONSULTANT COQ <br /> PHONE w/AREA CO <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # (4 4 1 2 PROr,/ELEMENT . _ BILLING CODE SIGNED TO �L <br /> TITLE OF SUBMITTAL: ane <br /> DATE RECEIVED rc g 9 2 DATE ON SUBMITTAL �� /� 92 OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT WRAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/�/� OT SCHEDULED: _,�/ OT COMPLETED: <br /> ACTION DATE ACTION Dr7r; ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPL.ETE/ADDiNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTDy PR DUE <br /> RWOCB C014MENTS REPURT"REVIEW'C(' PLETE `o q� PAR DUE <br /> ` s 14 1K, <br /> OTHER AGENCY APPROVAL FILE/NO ACT 1014Y <br /> FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUEDTW / B SPECIAL- PERIIT6j SSUED OTHER AGENCY DUE DATE <br /> �F � <br /> WORKPLAN REVIEW COMPLETE C9IIMENT I,R; TI� ��� ��� 1 PROJECT COMPLETE/FINAL 131LL <br /> .7 <br /> EH 29 03 (PLNLOG revised 5/91) <br />