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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVIS f <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL, LOG #�-� <br /> SITE ADDRESSLEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT DO <br /> � I <br /> PHONE K/AREA CO <br /> CONTACT NAME 1 PHONE //„ <br /> OTHER CONTACT NAME or INFO ! l!� PHONE <br /> SITE CODE # PROG/ELEMENT, 12-2 BILLING CODE ASSIGNED TO x/ <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST OT REOUEST'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 S <br /> �F <br /> ASSESSMENT REPORT 3' OTHER NRKPLN w/o PERMIT ACTIVITY 16 S <br /> ' • I <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> i <br /> REMED ACTION PLN (RAP) 5 LETTER18 S <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S I <br /> ORTLY RPT/POST REMED MONITORING 9 JE <br /> I <br /> STAFF REVIEW DUE: �/ /, - OT SCHEDULED: �f�/ OT COMPLETED: <br /> ACTIONDATE I ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REGSTD INCCMPLETE/ADDTHL INFO REQSTD 'SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTDT. PR DUE <br /> RWOCB COMMENTS (REPORT,REVIEW. L 3-'T ' ` AR DUE' <br /> OTHER AGENCY APPROVAL FILE/NO ACTION - , FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUEDW / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE 'COMMENT LTR SEN _ ROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />