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SAN JOAQUIN C -*� - PUBLIC HEALTH SERVICES/ENViIRONMIENTAL HEr') <br /> `jlTE MITIGATIONIASSESSMENT SUBMITTAL LOG NO <br /> SITE NAME — -OTHER MiN6 <br /> Izaz2 <br /> ADDRESS r---, A, <br /> AGENCY CONTACT <br /> CITY IIP MM w/AREA CD <br /> CONSULTANT COMPANY 12 CONTACT pHaNl <br /> OTHER CONTACT NAME or INFORMA <br /> I <br /> UGT SITE 23. ASSESS—DHS 1 flumoi 22. ENVIRON ASSESd 22.48 PILO 234 / F TASK 1 <br /> SWEEPS I/SITE CODE 1 � r DIST LOC CDASSIGNED TQ52- 2-- 5 <br /> i <br /> TITLE OF SUBMITTAL: <br /> I <br /> DATE RECEIVED /.ZQl 9j DATE OF Sl BILLING FOAM INITIATED _1_I OT RE IST —/—I <br /> TYPE OF SUBMITTAL IPILOTI COD TYPE OF SUBMITiTAL (OTHER) CAD FEE PO CK 1/CA DATE <br /> RE-EICAV/SOIL CONTAMINATION WORKPLAN ISCWP) I PERMIT APPLICATION 10 1 <br /> s <br /> SOIL CDNTANINA710M REPORT/REMEDIATION PIAN (SRP) 2 WORKPLAN for PERMITi ACTIVITY 11' { <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 , <br /> PR/with ADDTL ASSESS. PROPOSAL 4 ASSESS REPORT/withltiORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT IPARI 5 ORTLY/MONITORING REPORT 15 <br /> I <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRI" w/o PkRMIT ACTIVITY 16 <br /> I <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> i <br /> DRILY REPORTIPOST REMO MONITOR 9 <br /> I <br /> STAFF REVIEW QLD _/ 1� Of SCI DULED / l� Of COMPLETED—/—/— <br /> ACTION DATE ACTIONL DATE ACTION DATE <br /> ACKN(A LGICOMMITHNT LTR REDSTO 1NCOMPLETEJADOTNL INFO REQST I SRF DUE <br /> ACKNMLG/CQMMTKNT LTA RECVD REVISI jREQS 1 1 .� PR lu <br /> E <br /> RW0CB aNIENTS REVIEW CANE E `T r RR DUE - <br /> OTHER AGENCY APPROVAL f ANO A0.' FRP DUE <br /> ADDER"/ADDTNL INFO RECjv1 REVISION DUE <br /> PERMIT ISSUED q SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLIW APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> EH 23-117 89-57(IV)12/89 PLNLOG <br />