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SAN JOAQUIN COUNTY ^ PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH•DIV1$,IOlL��1 1 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG `Q j�� # L' 3 <br /> LTEADDRESS ir—rl LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA <br /> CONTACT NAME PHONE / Z— <br /> OTHER CONTACT N r INFO PHONE <br /> SITE CODE # PROVE LEMENT 2.Z. -ra--1 81LLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED -7 Z DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL 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 WPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 8 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 f <br /> TLT RPT/POST REMED MONITOR1kG 9 <br /> QRS <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: ,T/ / OT COMPLETED: <br /> ACTION DATE w ACTION-.'' _-DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL.INFO REQSTD �E� SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD» ! Z tDl1E <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE J�Wf PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUEDW. / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR..SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />