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��flJ/ <br /> SAN JOIAQUIN COUNTY - PUBLIC HEALTII SERVICES/ENVIRONMENTAL HEALTH 01V zO� <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # . <br /> SITE ADDRESSLa 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 CODE # /Q PROG/ELEMENT 2� BILLING CODE =_— ASSIGNED TO �T <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED / DATE SUBMITTAL 3` OT REQUEST TAJOT <br /> REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION 14/0 NRKPLII 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLII w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPF w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART ;ttFD 19 REVIEW FEE PD CK #/CAStI DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/�/� OT SCHEDULED: T f_/ OT COMPLETED*. <br /> ACTION DATE ACTION T DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD [NCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT ETR RECVD REVISION REQSTD 2R DUE <br /> RWQCD COMMENTS R• T 11.11 P -TE r PAR UE <br /> .r <br /> OTHER AGENCY APPROVAL F f I FRP DUE <br /> ADDENDUM/ADOTNL INFO REM DENIED REVISION DUE <br /> PERMIT ISSUED W / H SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CUIPLETE/FINAL BILL <br /> fH 29 03 (PLNLOG revised 5/91) <br />