Laserfiche WebLink
* SAN JOAQUIN C Y - PUBLIC HEALTH SERVICES/ENVIROia!' LOG i D1y{��N <br /> NON-LOP SITE MITIGATION/ASSESSMENT SUBMITTAL LOG 3 1 <br /> 511E ADDRESS �Q y LEAD AGENCYCA <br /> l ( PROG/EL � ASSIGNEDTO <br /> SITE CODE # /—T <br /> TITLE OF SUBMITTAL: TYPE CODE <br /> DATE RECEIVED DATE ON SUBMITTAL f OT REQUEST OT REQUEST DATE <br /> PERMIT FEE PD CK #/CASH DATE REV1 W FEE PD CK #/CASH jDATEjdSTAFF REVIEW DUE;OT SCHEDULED:$ SJ P '7 , OT COMPLETED: <br /> est(G[o, e <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> 1 - <br /> ACXNDWLG/COMMTMNT LTR RECVD REVISION REQSTD 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 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 /> FOR AGENCY USE'ONLY <br /> SITE MITIGATION PROGRAM FEE" BASE MINIMUM HOURS . MINIMUM AMWNT RECEIVED DATE RECEIPT AMOUNT <br /> SCHEDULE FEE FOR SERVICE FEE RECEIVED BY # DUE <br /> UG? CORRECTIVE ACTION OVERSIGHT (CAP) $53.00/ <br /> IP <br /> HOUR 5 HOURS $265. <br /> .719 <br /> HAZARDOUS MATERIAL TRANSMISSION $53.00/ <br /> PIPELINE ASSESSMENT OVERSIGHT HOUR 5 HOURS $265.00 f <br /> ENVIRONMENTAL ASSESSMENT WORK?LN/ $53.00/ <br /> REVIEW AND INSPECTIONS HOUR 3 HOURS S159.00 <br /> OTHER .GOVERNMENT AGENCY OVERSIGHT $53.00/ <br /> WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> BASE AMOUNT RECEIVED DATE PERMIT ISSUANCE <br /> PERMIT ACTIVITY FEES FEE RECEIVED BY # DATE <br /> WELL/BORING PERMIT APPLICATION $89.00 <br /> (monitoring/extraction/vapor wells, EACH <br /> soft borings vapor surveys, etc.).. APPLC" „ <br /> WELL DESTRUCTION PERMIT APPLICATION $60.00 <br /> EACH <br /> APPLC <br /> ER 29 06 (BILFRMI2 revised 5/91) <br />