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SAN J AQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE KITI GATION/AS ESSMENT_ SUB14ITTAL LOG # <br /> 'i <br /> SITE ADDRESS L�44 <br /> r LEAD AGENCY <br /> AGENCY CONTACTir <br /> -- <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME / PHONY <br /> OTHER CONTACT N or INFO ! PHONE <br /> SITE CODE # PROG/ELEMENT 2-2. BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: / " <br /> DATE RECEIVED DATlz /I A E ON SUBMITTAL LZ <br /> OT REQUEST OT REQUEST DATE <br /> ,3 <br /> TYPE OF SUBMITTA CODE TYPE OF SU YTAL 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 f <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o-PERMIT ACTIVITY 16 S <br /> i. <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEV FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/PO§T REMED MONITORING 9 _ <br /> STAFF REVIEW DUE: _/�/ OT SCHEDULED: �f� /,^- OT COMPLETED: <br /> ACTION DATE hi ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD 1NC0IPLETE/ADDTNL,INFO REOS7D SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISI°ON REOSTD , PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL IAF / T] FS .�y� ►+ 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 CCMMENT. LTR.SENT PROJECT CCMPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br /> 4 <br />