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a <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVIS 0 L6 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG A # <br /> SITE ADDRESS ZR'Tcn LEAD AGENCY LO <br /> Zorn AGENCY CONTACT <br /> i <br /> CONSULTANT CO �} ? <br /> wvt PHONE w/AREA CD <br /> CONTACT NAME - PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br />- Ik <br /> SITE CODE # PROG/ELEMENT 22. 2 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> OT REQUEST t(i OT REQUEST DATE <br /> DATE RECEIVED11:9 <br /> b <br /> r3 DATE ON SUBMITTAL � �(�� <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 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> I <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK 4/CASH DATE <br /> FINAL REMED PLN (FRP) 8ti ate' S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: OT SCHEDULED: _rf� OT COMPLETED: <br /> 0 <br /> ACTION DATE ACTION DATE ACTION; DATE <br /> ACKNOWLG/COMMTMNT LTR RE©STD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQC3 COMMENTS REP b Y E _jE'�� j� LL� PAR DUEPAE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION {v 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) Y1 <br />