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Or- <br /> SAN JOAQUIN COUNTY - PUBLIC HEAL711 SERVICES/ENVIRONMENTAL HEALTH DIV j <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG ' <br /> SITE ADDRESS 2 2 LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PRONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # [2 FROG/ELEMENT CODE I ASSIGNED TO � <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED �� �/ 9 y DATE ON SUBMITTAL ll (� v Oi REQUEST Of REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION si/o WRKPLH 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <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) 5 LETTER 18 E <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/�1_ Of SCHEDULED: / /_ OF COMPLETED: <br /> ACTION DATE ACTION DATFi ACTION GATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB C014MENTS REPORT REVIEW CANPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/N0 AC710H 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 =CQU4ENT SENT PROJECT CGMPLETE/FINAL DILL <br /> EN 29 03 (PLNLOG revised 5/91) <br />