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SAN JOAOUIF JNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL LTN DIVISI <br /> NON-LOP SITE MITIGATION/ASSESSMENT SUBMITTAL LOG - <br /> _ r F <br /> SITE ADDRESS / LEAD AGENCY <br /> f <br /> SITE CODE # PROG/ELEMENT 2�., BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: TYPE CODE QL <br /> DATE RECEIVED DATE ON SUBMITTAL QT'REQUEST OT REQUEST DATE <br /> PERMIT FEE PD CK #/CASH DATE REVIEW.FEE PD CK #/CASH DATE STAFF REVIEW DUE: <br /> OT SCHEDULED: <br /> $ / Z OT COMPLETED: <br /> f ' <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE F <br /> ACKNOWLG/COMMTMNT LTR REM REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUEDW / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> FOR AGENCY USE ONLY <br /> SITE MITIGATION PROGRAM FEE BASE MINIMUM HOURS MINIMUM AMOUNT RECEIVED DATE RECEIPT AMOUNT <br /> SCHEDULE FEE FOR SERVICE FEE RECEIVED BY # DUE <br /> UGT CORRECTIVE ACTION OVERSIGHT (CAP) $53.00/, <br /> HOUR 5 HOURS $265.00 <br /> HAZARDOUS MATERIAL TRANSMISSION $53.00/ <br /> PIPELINE ASSESSMENT OVERSIGHT HOUR 5 HOURS' €265.00 <br /> ENVIRONMENTAL ASSESSMENT WORKPLN/ $53.1)0/ <br /> REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> OTHER GOVERNMENT AGENCY OVERSIGHT $53.00/ <br /> WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> ,F <br /> BASE AMOUNT RECEIVED DATE PERMIT ISSUANCE <br /> PERMIT ACTIVITY FEES FEE RECEIVED BY # DATE <br /> WELL/BORING PERMIT APPLICATION $$9.00 <br /> (monitoring/extraction/vapor weLLs, EACH:' <br /> soil borings, vapor Surveys, etc.). APPLC( <br /> WELL DESTRUCTION PERMIT APPLICATION $60.00 <br /> EACH- <br /> APPLC. <br /> EH 29 06 (BILFRMI2 revised 5/91) <br /> k <br />