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SAN JCAOUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVI / 11-32 <br /> Y� <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> EAD:DREss- <br /> LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CO <br /> CONTACT NAME 7 f PHONE ------------- <br /> OTHER CONTACT NAM o INFO (/ PHONE <br /> SITE CODEPROG/ELEMENT BILLING COOS ASSIGNED TO � <br /> TITLE OF SU8MITTAL: / <br /> DATE RECEIVED DATE ON SUBMITT 1-5—` OT REQUEST OT EQUEST DATE <br /> TYPE OF SU 17T L CODE TYPE OF SU iTTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o WRKPLN 10PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRICPLN W/o PERMIT ACTIVITY 16 $ <br /> ASSESS RAT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PEM (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 E <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: ___-_/,_J_ OT SCHEDULED: �f- /� OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REGSTO 1NCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD . PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION �U r 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) <br />