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SAN JOAQUIN COUNTY - PUBLIC'NEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI t <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> } <br /> SITE ADDRESS /_ LEAD AGENCY �O <br /> AGENCY CONTACT J <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> i <br /> I <br /> OTHER CONTACT NAME or INFO <br /> EE]ODE # 2 /^� PROG/ELEMENT 12fBILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: cJ <br /> F <br /> DATE RECEIVED121A A <br /> DATE ON SUBMITTAL S OT REQUEST OT REQUEST DATE <br /> TYPE OF S BMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 71 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY 16+ S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ '` <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RAT WRAP 6 PUBLIC PART INFO 19. REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RAT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: / fes_ OT SCHEDULED: -- l /_ _ OT COMPLETED: _/Y/_ <br /> ACTION m DATE ACTION DATE ACTIOM DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO iNCCMPLETE/ADDTNL,IHFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR REM REVISION.REQSTD. PR DUE <br /> RWQCB COMMENTS REPORT_REVIEW PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION- .r. FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED: REVISION DUE <br /> PERMIT ISSUED W- / B SPECIAL PERMIT 1SSU OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCMMENT'. LTR..S /� PROJECT CCMPLETE/FINAL BILL <br /> xR <br /> EH 29.03 (PLNLOG revised.5/91) t^f'` n/{! <br /> i c kkse 1 <br /> tl <br /> iE i <br />