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SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> /1 SITE MITIGATION/ASSESSMENT SUBMITTAL LOG CONTACT �r <br /> ggx/�� ,,�� <br /> SITE ADDRESS /_ L LEAD AGENCY LW u/ <br /> LP ll.Ci AGENCY <br /> CONSULTANT CO ' <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE � <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # 21f„Z A PROG/ELEMENT 29, Z(p BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: W `/,�, / i. I <br /> Amii <br /> DATE RECEIVED Z�2-Lf A2 ,XDATE—ON SUBMITTAL �Z`ZJ'��1C�'I OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL- I CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 q <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 s <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 s <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <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 q <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADDTNL INFO REQSTO SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/AODTNL INFO RECVO DENIED REVISION CUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />