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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS ' LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO ` <br /> PHONE w/AREA CO <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO 0 PHONE <br /> SITE CODE # PROG/'ELE/MENT 12_2. Z BILLING CODE ASSIGNED TO S <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED <br /> JDATE ON SUBMITTAL &A/h/I <br /> OT REQUEST OT REQUEST DATE <br /> TYPE OF S ITT L CODE TYPE OF LlBh6TAL 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 $ 2 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> ORTLY 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 REOSTD INCCMPLETE/ADDTNL INFO REOSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCS COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED Q/ B ('j �l SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE 1 COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />