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� I <br /> SAN 1QAOUINiTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL ( IH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG ��j / <br /> " -1 / = <br /> SITE NAME OTHER LEAD AGENC C <br /> ADDRESS /j/ AGENCY CONTACT <br /> ` �+ <br /> CITY IIP 3 PHONE w/AREA CD <br /> CONSULTANT COMPANY CONTACT NP <br /> OTHER CONTACT NAME or INFORMATI <br /> LET SITE 23. ASSESS--QHS / RWQCB 22. ENVIRON ASSESE 22.48 PILO 23. FUND SOUR Sl F TAS}{ # u <br /> SWEEPS #/SITE CODE # QI5T �j ? LOC CQ ?� ASSIGNED TO - - - <br /> TITLE OF SUBMITTAL: ✓` <br /> i <br /> DATE RECEIVED /�1 S�l DATE OF SUBMITT ZZ-J O'Z14 BILLING FORM INITIATED _l�l OT REOST <br /> TYPE OF SLR)MITTAL (PILOT) COQ TYPE OF SUBMITTAL (OTHER) COD FEE PD CK #ICA% DATE <br /> ... RE-E%CAV/SOIL CONTAMINATION WORKPLAN (SCUP) 1 PERMIT APPLICATION 10 1 "U <br /> Imo, <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRF) 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 (PAR) 5 QRTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL b OTHER WRKPLAN w/o PERMIT ACTIVITY 16 G <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> ORTLY REPORT/POST REMED MONITOR 9 <br /> STAFF REVIEW DUE _/ l OT SCHEDULED / /_ OT COMPLETED /_I_____ -W <br /> ACTION DATE ACTION DATE ACTION DATE b <br /> ACKNOWLG/COMMTNNT LTR REOSTD INCOMPLETE/ADDTNL INFO REGSTE SRP DUE a <br /> A=WLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQC�SS REVIEW COMPLETE PAR DUE — <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED n '� <br /> EH 23-117 89-57(1012/89 PLNLOG <br />