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CS <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 0 I� 1 <br /> ' <br /> SITOnMITIGATIONASSCSSMENT SUBMITTAL LOG <br /> f �r SI E ADDRESS Q LEAD AGENCY ` <br /> f AGENCY CONTACT <br /> CONSULTANT CO y� ; <br /> / `� PIIONE u/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE ;c <br /> SITE CODE # 12 ,1 12 PROG/ELEMENT - Il[LLIIIG C�O� ASSIGNED TO ;l 1 <br /> TITLE OF SUBMITTAL: ` <br /> I <br /> DATE RECEIVED 3 DATE ON SUBMITTAL �[(3 �3 OT REQUEST _ OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE I <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLII 10 PERMIT FEE PD CK #/CASH` DATE <br /> - SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S j <br /> i <br /> i <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S { <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 � <br /> REMED ACTION PLN (RAP) S LETTER T 18 5 <br /> p <br /> ASSESS RPT N/RAP b PUBLIC PART INFO «� 19 REVIEW FEE PD CK ##/CASII,� DATE <br /> FINAL REMED PLN (FRP) 8 - & <br /> i <br /> ORTLY RPT/POST REMED MONITORING 9 <br /> f <br /> STAFF REVIEW DUE: _/ / OT SCHEDULED: ^J OT COMPLETED: <br /> ACTION DATE ACTION — Y� DAT F, TACTION jlp DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLET5/ADD1NL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD R DUE .� <br /> RWOCB COMMENTS REP�OR R 1 C Mid. lO.•-p .. PAR UE <br /> OTHER AGENCY APPROVAL F F N AC I0I4 � FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISIC14 DUE <br /> M <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE .E <br /> r <br /> WORKPLAN REVIEW COMPLETE C(lViENT LTR SENT PROJECT CJ4PLETE/FINAL BILL <br /> I <br /> EH 29 03 (PLNLOG revised 5/91) <br /> 4 <br /> } E <br />