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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISIONu f} / <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG Q• "7/ <br /> SITE ADDRESS �� >� / LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE W/AREA CD <br /> CONTACT NAME PHONE ,�j - <br /> OTHER CONTACT NAME or INFO j J� PHONE <br /> SITE CODE # PROG/ELEMENT 2 BILLING CODE AS TO 5 <br /> TITLE OF SUBMITTAL: o <br /> DATE RECEIVED '/ DATE ON SUBMITTAL (% 6 OT REQUEST OT REQUEST DATE <br /> TYPE OF SU ITTAL CODE TYPE 01/SUBMI TAL 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 REPCRT 17 Y <br /> REMED ACTION PLN (RAP) S LETTER 18 S <br /> ASSESS RPT W/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 s <br /> QRTLY 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 REQSTD INCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCS COMMENTS REPORT REVIEW COMPLETE 10-Ml PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION to FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED <br /> REVISION DUE <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 />