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SAN JOAOUIN QTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL i H DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE NAME DT;ffLEAD� <br /> ADDRESS A 'CONTACT <br /> _ -- <br /> CITY IIP PHONE w1RREA CD <br /> CONSULTANT COMPANY �S `J CONTACT <br /> OTHER CONTACT NAME or INFORMRTI <br /> UGT SITE 23. ASSESS—DNS / RWOCB 22. ENVIRON ASSES 22.48 PILO 23. FUND SOUR S / F TASK I <br /> SWEEPS 1/SITE CODE 1 �� DIST —LOC <br /> C➢ ASSIGNED TO JJJJJJ �S <br /> TITLE OF SUBMITTAL: - <br /> DATE RECEIVED zZ/fQ/ DATE OF SU BMITT fLl,�l BILLING FORM INITIATED `/_/ OT REST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL IOTHEA) C00 FEE PD CK I/CA9 DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORHPIAM (SW) 1 PERMIT APPLICATION 10 t <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROP09L 4 1 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 ORTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PRWdll 1 <br /> FINAL REMEDIATION PLAN IFRP) B <br /> ORTLY REPORT/POST REMEO MONITOR g <br /> STAFF REVIEW DUE _/ /_ OT SCHEDULED _/_/_ OT COMPLETED <br /> ACTION DATE — 'ACTION DATE `ACTION DATE <br /> ACKNOIA-G/COMMTMNT LTR REDSTD INCOMPLETE/RDDTNL INFO REOST _ 11lSRP DUE <br /> ACHNONLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWOCB COMMENTS REVIEW COMPLETE 2� l PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION , REI® FRP DUE <br /> ADDENDUM/ADDTN. INFO RECVD DENIED �, FEB 2 1991 REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKIXJW APPROVED COMMENT LTR SENT l BILLING FORM SUBMITTED <br /> EH 23-117 81-57(I012/01 PLNLOG -- <br />