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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISIOM� <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG P# <br /> SITE ADDRESS { j LEAD AGENCY <br /> v ' C� / C AGENCY CONTACT / <br /> CONSULTANT CO <br /> PHONE W/AREA CO <br /> CONTACT NAME l/i PHONE <br /> OTHER CONTACT NAME or INFO 7G PHONE <br /> SITE CODE # r PROG/ELEMENT 2j/ BILLING CODE ASSIGNED TO �', <br /> c�— <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED i TT G DATE ON SUBMITTAL %. OT REQUEST OT REQUEST DATE <br /> W <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 % <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 % <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 % <br /> REMED ACTION PLN (RAP) 5 LETTER 18 % <br /> ASSESS RPT W/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 % <br /> QRTLY RPT/POST REMED MONITORING 9 % <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO INCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/CCMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVO DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />