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SAN JOAQUIN COUP- PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEAL IVI �9-/ <br /> SITE MITIGATION/AS'-SSMENT SUBMITTAL LOG <br /> S 1TE ADDRESS ZI2// �l+n r, . ,,`,,, „ i/J <br /> L ..J L WW1n7�-bu �L-C7 LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA DD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # 1 a/�(O / PROG/ELEMENT 2J/. 2�1r BILLING CODE ASSIGNED TO / <br /> TITLE OF SUBMITTAL: li I� I / <br /> DATE RECEIVED �Z DATE ON SUBMITTAL Z� �]iL, OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL/ CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION VKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPL4 w/o PERMIT ACTIVITY 16 S <br /> Am 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 PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUEDW / 8 SPECIAL PERMIT SSUED OTHER AGENCY DUE DATE <br /> 40RKPLAN REVIEW COMPLETE COMMENT ! PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />