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• • <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH OIVIS <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL �8� <br /> SITE ADDRESS f5�[O� (- <br /> PQG{i LEAD AGENCY Lop p <br /> vv �w ,'"' <br /> CONSULTANT CO AGENCY CONTACT - <br /> CONSULTANT <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # 21/_Z PROD/ELEMENT ._'1�,. 9 _ OILLIHG Coo E __ ASSIGNED TO I <br /> TITLE OF SUBMITTAL: '[� Ii1 <br /> DATE RECEIVED I I'tZ) 9 z JDATE ON SUBMITTAL 11;/q. OT REQUEST I 0T REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION UKPLN ,,��1 ,, PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN F-[p WORKPLAN for PERMIT ACTIVITYv 11 E <br /> ASSESSMENT REPORT �3 1 OTHER WRKPLN w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER ^` 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INTO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> DRILY 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 REOSTO INCCFIPLETE/ADDTNL INFO REOSTD Y SRP DUE <br /> ACKNOWLG/COMMTMNT LTR REM REVISION REOSTD _ PR DUE <br /> RWOCO COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED v REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE GATE <br /> WORKPLAN REVIEW COMPLETE COIIIIENT LTR SENT PROJECT COIPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />