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♦ 4� f ' F <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVI 1 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # .1�5c?/ <br /> E <br /> ADDRESS } LEAD AGENCY <br /> AGENCY. CONTACT <br /> CONSULTANT CO <br /> f <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO 7 PHONE <br /> SITE CODE # PROG/ELEMENT BILLING COOE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL s� �� OT REQUEST OT:REQUEST DATE <br /> TYPE OF SUBMITT L CODE TYPE 0 SUl ITTAL° CGDE <br /> f . <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 RAT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) S LETTER 18 $ <br /> ASSESS RPT W/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 f <br /> STAFF REVIEW DUE: /, / F OT SCHEDULED: /_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQ5T0 IHCCMPLETE/ADOTNL,INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR <br /> RECVD1 REVISION,REQSTD PR DUE <br /> RWQCS COMMENTS r )REPORT AM = AR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION ',;" FRP DUE <br /> ADDENDLH/ADOTNL INFO RECVD DENIED REVISION DUE <br /> r' - <br /> PERMIT ISSUED W. / B SPECIAL PE I SUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE ILOMMENT R ROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) r <br />