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SAN 10AQUIN Y - PUBLIC HEALTH SERVICESIENVIADNIIFNTAL DI <br /> OW <br /> T SUOM1 LOG pyb <br /> SITE NAME � � <br /> OTHE' AGENC <br /> ADDRESS —" <br /> AGENCY CONTACT <br /> CITY ZIP PHONE w/AREA CD <br /> CONSULTANT COMPANY CONTACT <br /> OTHER CONTACT NAME or Il~FORMAII <br /> UGT SITE 23. ASSESS—DHS= ,RWOCB 22. ENVIRON ASSES 22.48 PILO 23. FUND SOU S / Tf1SK 1 <br /> SWEEPS 1/SITE CODE 1 DIST LOC CD ASSIGNED TO — <br /> TITLE OF SUBMITTAL: �jJ <br /> DATE RECEIVED2.Z ------ <br /> DATE OF SUBMITT �1 I BILLING FORM INITIATED ) I OT REOST II 1 <br /> TYPE OF SUBMITTAL IPILQI) CUD TYPE OF SUDMITTAL (OTHER) COD FEE PO CK t/CA DATE <br /> RE-EIfCAV/SOIL CONTAMINATION ~WORKPLAN (SCNP) l PERMIT APPLICATION 10 t <br /> SOIL CONTAMINATION REPORT/RMIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 3 <br /> PRELIMINARY REPORT IPR) 3 ASSESS REPORT <br /> l3 <br /> PR/with ADDTL ASSESS PROPOS(1L 4 ASSESSIREPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PARI S ORTLY/MONITORING REPDATr- <br /> 15 _ <br /> PAR/with REMEDIAL ACTION PROPOSAL b OTHER WAKPIJIN w/o PERMIT ACTIVITY 16 <br /> ADDIT10NrL ASSESF,tfNT PROPOSrL 7 � 1 <br /> FINAL REMEDIATION PLAN (FRP) d <br /> J--I <br /> 1 <br /> ORTLY REPORTIPOST REMED MONITOR 9 <br /> -- � f <br /> STAFF REVIEW WE OT SCHEDULED l�/ <br /> -- — DT COMPLETED / 1 <br /> ACTION DATE — — � <br /> ACTION. N• DATE ACTION <br /> DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTO INCOMPLETE/ADDTNL,INFO � SRP <br /> DUE <br /> ACI(NOWLGICOMMTMNT LIR RECVD REVISION REDSTD <br /> DLIEF <br /> RWOCB CCNWS REVIEW E <br /> PAR D <br /> OTHER AGENCY APPROVAL FILE/NO ACTI <br /> DLIE <br /> ADDEN"/ADDTNL INFO RUUO DENIED <br /> REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> AI�PAQVEQ <br /> a* T LTR SENTt�:7�BILLINGUBMITTED <br /> CH 23-117 89-57(IV)12/09 PLNLOG ___ <br />