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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVT / �J I <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # _�// <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE W/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # IV'1� PROG/ELEMENT . , BILLING COOS ASSIGNED TOC, <br /> ___j <br /> TITLE OF SUBMITTAL: —J <br /> DATE RECEIVED �L �v q Z DATE ON SUBMITTAL LCA q.v OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION sr/o WRKPLH 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT u/WKPLN 4 OTHER AGENCY REPORT '17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: /�/ OT SCHEDULED: ^/T/ OF COMPLETED: <br /> ACTION DATE ACTION � DA7F. _ ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO RECSTD !!! SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWQCB COMMENTS R UR1 RE 11 ,09 ETE �A)DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RE= DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CC1114ENT LTR SENT PROJECT CCI4PLETE/FINAL DILL <br /> EN 29 03 (PLNLOG revised 5/91) <br />