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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONNENTAL;;A,H DIV i - Z <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> SITE ADDRESS l{i ' LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> - PHONE w/AREA CO. <br /> CONTACT NAME PHONE <br /> OTHER CONTACT or INFO PHONE <br /> SITE CODE # S PROG/ELEMENT 2 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVEDDATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUSMITT CODE TYPE 0 SUBMI TAL 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 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 f <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED ALN {FRP) $ S <br /> QRTLY RPT/POST REMED MONITORING 9 <br /> STAFF REVIEW DUE: _/_/� OT SCHEDULED: Tf� /� OT COMPLETED:: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL,INFO REQSTD SRP DUE. <br /> ACKNOWLG/COMMTMNT LTR REM REVISION REQSTD V PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED b REVISION DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT I UED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE fi COHME E Q HOJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised-5/91) <br />