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i <br /> SAN dCVIaUIH COUNTY - PUBLIC HEALTH SERVICES/ENVIROHMEHTAL HEALTH DMS <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # - <br /> SITE ADDRESS D LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO ' 1 <br /> PHONE u/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or [NFO PHONE <br /> SITE CODE # PROG/ELEMENT � BILLING CODE <br /> n� SSIGNED TO <br /> TITLE OF SUBMITT " <br /> DATE RECEIVED �--- DATE ON SUBMITTAL Of REQUEST Of REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLII 10 PERMIT FEE PD : CK #/CASH DATE <br /> SITE ASSESS WKPLH 2 WORKPLAII for PERMIT ACTIVITY" 11 t <br /> ASSESSMENT REPORT 3 OTHER WRKPLII w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN G OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASII DATE <br /> FINAL REMED PLN (FRP) <br /> QRTLY RPT/POST REMED MONITORING 9 f <br /> STAFF REVIEW DUE: _/�/ Of SCHEDULED: T JT/_ Of COMPLETED <br /> ACTION DATE ACTION DA7F. ACTION DATE <br /> ACKNOWLG/COMMTMNT ETR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE 1 <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT V C T "' BAR DU <br /> OTHER AGENCY APPROVALFILE/N0 AC 1 FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / E3 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COPIMENT LTR SENT PROJECT CC14PLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />