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i <br /> SAN JOAOUIN COLI` - PUBLIC HEALTH SERVICES/EHVIRONIIENTAL HIED' IV[SION. <br /> ;E MITIGATION/ASSESSMENT SUBMITTAL L11 9l -<3.2- <br /> SITE NAME — - - ��x Nn <br /> AGENCN <br /> ? <br /> ADDRESS ! J AGENCY CONTACT <br /> CITY IIP PHOt+1= wlAREA CD <br /> CONSULTANT COMPANY • CONTACT 5 3 <br /> OTHER CONTACT NAME ar INFORMATION1 2zze�� <br /> FS I TIE 23. ASSESS—DHS 1 RWDCB 22. ENVIRON ASSESS 22.48 H23.1-0 FWD 5011 / F TASK i <br /> SWEEPS 1/SITE CODE 1 �� D15T �2! LOC CD &I ASSIGNED TD <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED I,�1 DATE OF SUBM[TT 1Z BILLING FORM INITIATED _I_/ OT REOST 1_l� <br /> TYPE OF SUBMITTAL IPILOTI CODi -- <br /> TYPE OF SUBMITTAL (OTHER) COD FEE PD CH I/M DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORHPLAN (SCWP) l PERMIT APPLICATION 10 I <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN )SRP WDRKPLAN for PERMIT ACTIVITY It <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORHPLIIH 14 <br /> PROBLEM ASSESSMENT REPORT IPAR) 5 ORTLY/MONITORING REPORT L5 <br /> i <br /> PAR/with REMEDIAL ACTION PROPOSAL. 6 OTHER URRPLAN w/o PERMIT ACTIVITY 16 � <br /> ADDITIOWL 1)SSES" PROPOSAL. 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> ORTLY REPORT/POST REMED MONITOR 9 <br /> STAFF REVIEW DUE —I—/— OT SCHEDULED _1_1_ OT COMPLETED____/, <br /> ACTION DATE ACTION. ,0. DATE ACTION DATE <br /> ACHHOWLG/COMiMTMNT LTR REUSTO INCOMPLETE/ADD INFO SRP DUE <br /> i <br /> ACHHOWLG/COMMTMNT LTR RECVD REVISION REOSM PR DUE ` , 3 !O <br /> WB COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER W00 APPROVAL FILE/NO ACTION'_, �' I FRP DUE <br /> ADDENDUM/ADOTNL INFO MD DENIED �` REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUN; DATE �y <br /> UOf&" APPROVED q :COMMENT LTR SENT 8[LLING FORM SUBMITTED <br /> EN 23-117 89-5711VI12/81 PLNLOG <br />