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a� <br /> SAH JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAO LOG �/. J(G �•{/L_ } <br />'r SITE ADDRESS ZZ <br /> I LEAD AGENCY <br /> ' AGENCY CONTACT f <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> t CONTACT NAME PHONE <br /> OTHER CONTACT NAM r INFO i jPHONE <br /> J <br /> SITE CODE # PROG/ELEMENT 2��'. _ BILLING CODE !S ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUESTT F <br /> OT REQUEST DATE <br /> TYPE OF ZBMITTAL CODE TYPE Of SUBMITTAL CODE <br /> RE•EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 i PERMIT FEE PD CK #/CASH DATE 4 <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 j S <br /> ASSESSMENT REPORT 3` OTHER WRKPLN w/o PERMIT ACTIVITY 16 � S <br /> �r <br /> ASSESS RPT w/WKPLN 6 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) S LETTER 1$ S <br /> r � <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> i <br /> FINAL REMED PLN (FRP) 8^ I f { <br /> yff} <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: OT SCHEDULED: ��/ OT COMPLETED: <br /> f <br /> ACTION DATE ACTION d <br /> ACTION DATE r <br /> ACKNOWLG/COMMTMNT LTR REQSTD � 4IHCCMPL .TN ,INFO•REQSTD 3� " ARp�DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD �' <br /> PR DUE I <br /> I <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> I � { <br /> OTHER AGENCY APPROVAL FILE/NO ACTION ' FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED i1 REVISION DUE <br /> f <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EN 29 03 (PLNLOG revised 5/91) <br /> I <br />