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SAN JOAQUIN Ca' PUBLIC HEALTH SERVICESIENVIRONMENTAL HEP,''' D <br /> WTE MIT16AIlDNIASMSSKNT SUBMITTAL. LOG `1 t =!b <br /> SITE NAME <br /> r <br /> ADDRESS AGENCY CONTACT <br /> CITY IIP PHONE w/AREA CD <br /> CONSULTANT COMPANY CONTACT <br /> OTHER CONTACT NAME or 1NFORMATI <br /> FTS <br /> ITE 23.7j ASSESS--DHS / RWQCB 22. ENVIRON ASSESS 22.48 PILO 23. FWD SOUR' S / F TASK I <br /> SWEEP'S I/SITE CODE I DISTJ LOC CD ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE OF SUBMITT 2lf�l BILLING FORM INITIATED OT REOST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) COD FEE PO CH IICASI DATE <br /> RE:-EXCAVISOIL CONTAMINATION WORKPLAN ISCWPI l PERMIT APPLICATION 14 1 — <br /> SOIL CONTAMINATION REPORT/KNEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT IPAR) 5 ORTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPLl1N w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSES" PROPOSAL. 7 <br /> FINAL REMEDIATION PLAN (FRP) B <br /> QRTLY REPORT/POST REMED MONITOR 4 <br /> E <br /> STAFF REVIEW DUE OT SCHEDULED OT COMPLETED <br /> ACTION <br /> ��DATAE l.��� pAT --��ACTION DATE <br /> ACKNOWLGICOMMTMNT LTR REOSTD IN( ETE/ADDTNL IWQ,.RqOi 6 SRPDUE <br /> ACKNOWL6/COMMTMNI LTR RECVD iREYISION REQSTD P R 3 1991 PR ft / \ <br /> 1 _v <br /> AM COMMENTS REVIEW MIPL.ETE. �3 PAR DUES !j 2c7 9 <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRA DUE K <br /> ADDENDUM/ADDINL INFO RECVD -DivNIEED -REVISION DUE —-----�� <br /> PERMIT ISSLI:D SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> EH 23-117 89-5711012189 PLNLOG <br />