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SAN JOAQUIN COUNTY - PUBLIC HEALTII SERVICES/ENVIRONMENIAL HEALTH DIV <br /> I <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # . 76717 <br /> ESITEDRESS � —� LEAD AGENCY <br /> AGENCY CQNTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # / f PROD/ELEMENT 2 BILLING CODE ASSIGNED TO <br /> TITLE OF BM T <br /> DATE RECEIVED _ ��J DATE ON SUBMITTAL l OT_RE04RST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN T PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK k/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART ;NFO 19 REVIEW FEE PD CK N/CASA DATE <br /> FINAL REMED PLN (FRP) 6 S <br /> QRTLY RPT/POST REMED MONITORING 9 f <br /> STAFF REVIEW DUE: _/�/ OT SCHEDULED: / _/ OT COMPLETED: <br /> ACTION DATE ACTION ! DATF. �� ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD fff SRP UUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORTMPLEIE �plL �� q� PAR DUE <br /> OTHER AGENCY APPROVAL FILF./HO ACTION �-a FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORrPLAN REVIEW COMPLETE COt1l4ENT LTR SENT PROJECT CC(4PLETE/FINAL DILL <br /> EN 29 03 (PLNLOG revised 5/91) <br />