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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH <br /> 0IV15I <br /> SITE MIATION/ASSESSMENT SUBMITTAL LOG # <br /> T{D <br /> SITE ADDRESS 1 LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO r/ 7' PHONE <br /> SITE CODE # PROD/ELEMENT 1 2;,�.,� BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATEa/zym , ON SUBMITTAL 11112-,S-1OT REQUEST OT REQUEST DATE <br /> F <br /> TYPE OF SU ZITTAL CODE TYPE W SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 f <br /> ASSESS RPT u/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT tis/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) _S_-- S <br /> QRILY RPT/POST REMED MONITORING9 <br /> STAFF REVIEW DUE: / f OT SCHEDULED: ��/ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCUIPLETE/ADOTNL INFO REGSTO SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION.REQSTD PR UE <br /> RWQCB COMMENTS REPORT-REVIEW COMPLETE " "IL)� � PA DUE <br /> OTHER AGENCY APPROVAL F1LE/N6ACTION FRP DUE <br /> L ! <br /> ADDENDUM/ADDTNL INFO RECVD DENIED 0� <br /> REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUEQ OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT. LTR,SENT PROJECT CCMPLETE/FINAL BILL <br /> £N 29 03 (PLNLOG revised 5/91) F <br />