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ri <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE COOS # 67- 1 PROD/ELEMENT 2 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED !� CJ DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF S SMITTAL CODE. TYPE F S BMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLH 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT-REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 t <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RAT WRAP b PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 8 <br /> ORTLY RPT/POST REMED MONITORING 9 E <br /> STAFF REVIEW DUE: /�/_ OT SCHEDULED: / /_ OT COMPLETED: <br /> ACTION DATE ACTIW DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL,INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQS TD PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION .,. FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE i <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMEHT, LTR.SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLHLOG reV{sed 5/91) .Y <br />