Laserfiche WebLink
Yy Gam: <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERV ICES/ENVIitONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMEHT SUBMITTAL LOG # rl ` <br /> SITE ADDRESS Ulf 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 # ' PROG/ELEMENT 2_. BILLING CODE ASSIGNED TO ,!�5 <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED 1r� 7J Lrj DATE ON SUBMITTAL 9__2)0_(?1 OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 19 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT I 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED ALN (FRP) 8 f <br /> RRTLY RPT/POST REMED MONITORING 9 s <br /> STAFF REVIEW DUE: _/_/�� OT SCHEDULED: �/, __/� OT COMPLETED: <br /> ACTION DATE ACTION I DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD:. PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION (^ P DUE <br /> ADDENDUM/AD DTNL INFO RECVD DENIED I !(� REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERHIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN,REVIEW COMPLETE COMMENT.;LTR,SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />