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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVII <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG �# • � 7 <br /> SITE ADDRESSv/j LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE u/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # �� PROG/ELEMENT 2-f-5 BILLING CODE SSIGNED TO L <br /> TITLE OF SUBMITTAL: S <br /> DATE RECEIVED DATE ON SUBMITTAL s/S� OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMI. TAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o URKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 E <br /> ASSESSMENT REPORT 3 OTHER WRKPLN W/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT u/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 8 <br /> DRILY RPT/POST REMED MONITORING9 S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: _/_/_ <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCKPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW C TE r PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO A N (OI].j�' - FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED l REVISION DUE <br /> PERMIT ISSUED F <br /> W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />