Laserfiche WebLink
SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVIS <br />SITE MITIGATION/ASSESSMENT SUBMITTAL: LOG # <br />SITE ADDRESS LEAD AGENCY % <br />1 ! AGENCY CONTACT <br />CONSULTANT C.0 { <br />,E PHONE w/AREA CD <br />CONTACT NAME PHONE <br />OTHER CONTACT NAME or INFO ' PHONE �20y z Zcf Z/ <br />a I! <br />SITE CODE # <br />1 <br />IPROG/ELEMENT 2_ <br />BILLING CODE <br />f ASSIGNED TO <br />ACTION <br />TITLE OF SUBMITTAL: <br />DATE RECEIVED <br />f <br />DATE ON SUBMITTAL OT REQUEST <br />, <br />OT REQUEST DATE <br />ACTION <br />DATE <br />ACTION DATtoE <br />'t I <br />ACTION <br />{r <br />ACKNOWLG/COMMTMNT LTR REQSTD <br />TYPE OF 56SM14AL <br />CODE <br />TYPE OF SUBMITTAL <br />CODE <br />! <br />RE -EXCAVATION WKPLN i <br />1 <br />PERMIT APPLICATION w/o WRKPLN <br />:} <br />10; <br />1i <br />PERMIT FEE PD <br />CK #/CASH <br />DATE <br />SITE ASSESS WKPLN <br />2 <br />WORKPLAN for PERMIT ACTIVITY <br />11.E <br />REPORT REVI 4 <br />$ <br />OTHER AGENCY APPROVAL <br />FILE/NO ACTION <br />'FRP DUE <br />I <br />.Y <br />DENIED '?REVISION <br />ASSESSMENT REPORT <br />3 <br />OTHER WRKPLN w/o PERMIT ACTIVITY <br />161# <br />DUE <br />S <br />PERMIT ISSUED <br />W / B <br />ASSESS RAT w/WKPLN <br />4 <br />OTHER AGENCY REPORT <br />0 <br />1i,1 <br />S <br />COMMENT LT E 4 ROJECT CCMPLETE/FINAL BILL <br />REMED ACTION PLN (RAP) <br />5 <br />LETTER <br />1$� <br />$ <br />ASSESS RPT WRAP <br />6 <br />PUBLIC PART INFO <br />19 <br />REVIEW FEE PD <br />CK #/CASH <br />DATE <br />4 <br />FINAL REMED PLN (FRP) <br />� <br />r <br />QRTLY RPT/POST REMED MONITORING <br />9 <br />S <br />STAFF REVIEW DUE: /��OT SCHEDULED: - rf�/ }� OT COMPLETED: <br />EH 29 03 (PLNLOG revised 5/91) <br />ACTION <br />DATE <br />ACTION DATtoE <br />'t I <br />ACTION <br />DATE <br />ACKNOWLG/COMMTMNT LTR REQSTD <br />INCCMPLETE/ADDTNL INFO REOSTD i� �:pSRP <br />DUE <br />' <br />ACKNOWLG/COMMTMNT LTR RECVD <br />REVISION l <br />REQSTD i� <br />. IpPR <br />DUE <br />RWQCB COMMENTS <br />{ <br />REPORT REVI 4 <br />3,�� DUE <br />OTHER AGENCY APPROVAL <br />FILE/NO ACTION <br />'FRP DUE <br />I <br />.Y <br />DENIED '?REVISION <br />ADDENDUM/ADDTNL INFO RECVD <br />r� I' <br />DUE <br />PERMIT ISSUED <br />W / B <br />SPECIAL PERMIT IS ED i� !IOTHER <br />AGENCY DUE DATE <br />WORKPLAN REVIEW COMPLETE <br />COMMENT LT E 4 ROJECT CCMPLETE/FINAL BILL <br />EH 29 03 (PLNLOG revised 5/91) <br />