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SAN JOAQUIN COUNTY - PUBLIC 14EALTII SERVICES/ENVIRONMENTAL HEALTH DIVTSI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG N <br /> SITE ADDRESS f LEAD AGENCY / <br /> AGENCY CONTACT <br /> CONSULTANT CO � <br /> PHONE u/AREA CD <br /> CONTACT NAME PHONE �) q <br /> OTHER CONTACT NAME or INFO __ PHONEzi <br /> SITE CODE # /� � PROG/ELEMENT 2 k41LLIHG CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: ---JJJ U� <br /> 14/ <br /> DATE RECEIVED7 DATE ON SUBMITTAL 7/U OT REQUEST i! OT REQUEST DATE:i�-�-,A) <br /> TYPE OF SUBMITTAL 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 b <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PL11 (RAP) 5 LETTER 1$ S <br /> ASSESS RPT WRAP 6 PUBLIC PART iUrO 19 REVIEW FEE PO CK it/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: / _/^_ OT SCHEDULED: /!,/ OF COMPLETED: <br /> ACTION DATE ACTION DATE �t T ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRF DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTO PR DUE <br /> RWQCB COMMENTS REPORT REVIEW CCMPLEIE PAR DUE <br /> OTHER AGENCY APPROVAL FILF./NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCIIIIENT LTR SENT PROJECT CJ4PLETE/FINAL BILL <br /> EH 29 03 (PLIILOG revised 5/91) <br />