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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH D Vi <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # - <br /> ESITEADDRESsLF�/L <br /> LEAD AGENCY <br /> AGENCY CONTA <br /> CONSULTANT CO <br /> D—&± PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> __ I ____ - - -T <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # PROG/ELEMENT 2%0& BILLING CODE ASSIGNED TO J <br /> TITLE OF SUBMITTAL: , <br /> DATE RECEIVED j//—L-5__,?4DATE ON SUBMITTAL �(� OT REQUEST =EQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL 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 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 � f <br /> REMED ACTION PLN (RAP) 5 LETTER 16 f, <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL RE14ED PLM (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING S <br /> STAFF REVIEW DUE: ��_ OT SCHEDULED: �f__� OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLS/COMKTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS { REPOR - EVI1 _ E — _. ��-•_� R-Z AR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br /> 1 <br /> n <br />