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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL, LOG <br /> SITE ADDRESS LEAD AGENCY / /f <br /> AGENCY CONTACT <br /> CONSULTANT CO l <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT or INFO PHONE <br /> SITE CODE # �j� 7 7� PROG/ELEMENT 2j.,J fd BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: DO G <br /> .. I <br /> I <br /> DATE RECEIVED DATE ON SUBMITTAL 1 3 OT REQUEST OT REQUEST DATE <br /> TYPE OF 4UBMIT 1. CODE TYPE 4 SU84ITTAL 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 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 S <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE P9 CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: /�/ � OT SCHEDULED: /_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNI. INFO REOSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD �. PR DUE <br /> i <br /> RWOCS COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO REM DENIED REVISION DUE <br /> PERMIT ISSUEDW / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE OJECT COMPLETE/FINAL BILL <br /> -- <br /> EH 29 03 (PLNLOG revised 5/91) <br /> J <br />