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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DI'tAl'Bl'ON <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # !� - <br /> SITE ADDRESS LEAD AGENCY <br /> j��ff yyjj/�� t,' AGENCY CONTACT <br /> CONSULTANT CO L/I��YYt W <br /> ',,���,, Q'//- (� PHONE w/AREA CO <br /> CONTACT NAME \G �— PHONE %� <br /> OTHER CONTACT NAME or INFO u PHONE <br /> SITE CODE # PROG/ELEMENT 27.1_1- _ BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED9 7 DATE ON SUBMITTAL Q ZQ / OT REQUEST OT REQUEST 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 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 f <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: „/_/� OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNI INFO RE TDQ13D" SR UUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD .01:T U 7 k D E <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE kyr&l PAR UE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FR DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED T <br /> W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />