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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVI f`SITE MITIGATION/ASSESSMCnT SUBMITTAL LUG # <br /> SITZ ADDRESS LEAD-AGENCY <br /> AGENCY CONT <br /> CONSULTANT CO <br /> PHONE u/AREA CID a, <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE - <br /> SITE CODE # PROG/ELEMENT BtltlHG CODE ASSIGNED T <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED / DATE ON SUBMITTAL l` OT REtJt�EST DT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT.APPLICATION w/o WRKPLII 10 PERMIT FEE PD CK N/CASH DATE. <br /> - <br /> SITE ASSESS WKPLN 2 WORKPLAIi for PERMIT ACTIVITY 11 f 1 <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/a PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/NKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 1f3 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART 1111`0 19 REVIEW FEE PD CK #/CAS11 DATE <br /> FINAL REMED PLN (FRA) B S <br /> ORTLY RPT/POST REMED MONITORING 9 ! <br /> A� <br /> STAFF REVIEW DUE: /�/� OT SCHEDULED: J�/ OT COMPLETED:" <br /> ACTION DATE ACTION DAT F, ACTION OA TE <br /> ACKNOWLG/COMMTMNT LTR REOSTO INCCFIPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCB C014MENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED til / 8 SPECIAL PERii1T SUE OTHER AGENCY DUE DATE. <br /> WORKPLAN REVIEW COMPLETE COP114E1 .S N RU CT CC14PLETE/FINAL BILL <br /> _J <br /> EH 29 03 (PLNLOG revised 5/41) <br />