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y <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIMS <br /> SITE MITIGATION/ASSCSSMENT SUBMITTAL LOG # <br /> SITE ADDRESS .3� / LEAD AGENCY <br /> / <br /> CONSULTANT CO AGENCY CONTACT , <br /> i <br /> � <br /> PHONE u/AREA CD <br /> CONTACT NAME A ,�� PHONE �/�_/'�-/ <br /> OTHER CONTACT NAME or INFO /D PHONE <br /> SITE CODE # PRO;/ELEMENT_ 25-1 CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVEDr ,-) Gs 7 DATE ON SUBMITTAL ] OT REQUEST OT REQUEST DATE ` <br /> i <br /> TYPE OF SUBMITTAL CODE TYPE 0 SUB TTTAL 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 WRKPLII w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT u/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLU (RAP) 5 LETTER 18 S <br /> ASSESS RPT u/RAP 6 PUBLIC PART ;NFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/ / OT SCHEDULED: ^/ /__1 OT XMPLETED: <br /> ACTION DATE. ACTION A� I DATr ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO RECSTD SRF DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> — g' 9 — <br /> OTHER AGENCY APPROVAL FILE/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 /> WORY,PLAN REVIEW COMPLETE CCIIIIENT LTR SENT PROJECT CCf4PLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />