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1%ml, NOW <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESSLa/,- <br /> LEAD AGENCY <br /> 77 r <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE u/AREA CD <br /> CONTACT NAME <br /> L�� <br /> PHONE <br /> OTHER CONTACT NAME or INFO PHONE �23j/i G C4 _ S <br /> SITE CODE # �% PROG/ELEMENT 2�.� BILLING CODE ASSIGNED TO S <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED ?� 2 DATE ON SUBMITTAL A[OTUEST FREQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE 0 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 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 /> ORTLY RPT/POST REMED MONITORING 9 S T- i <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: ^/�/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD 1NCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEi�� E /�_ PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION ; FRP DUE <br /> i <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />