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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DTVI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # / <br /> SITE ADDRESS LEAD AGENCY Q <br /> -- AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE^ !^ <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # / PRO;/ELEMENT ( BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: 01 <br /> �l <br /> DATE RECEIVED `'f"_4__?� DATE ON SUBMITTAL OT REOVEST OT REQUEST DATE <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 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLII (RAP) S LETTER 18 $ <br /> ASSESS RPT w/RAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASA DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/�/ OT SCHEDULED: / /� l OT COMPLETED: <br /> ACTION DATE ACTION ^� I�DATF! N�` ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPIETE/ADDTNL INFO RECSTD SRF DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWQC8 COMMENTS REPORT REVIEW COMPLETE IZ•l�. PAR DUE <br /> OTHER AGENCY APPROVAL _ FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENTED REVISICN DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORY,PLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CJIPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />