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SAN JOAQUIN(-�44TY - PUBLIC HEA N DIVI51 ) <br /> NDN•LOP 51iE MITIGATION SSES <br /> I <br /> SITE ADDRESS J/ LEAD AGENCY <br /> SITE CODE # S PROG/ELEMENT 2,2 _ BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> TYPE CODE <br /> DATE RECEIVED DATE SUBMITTAL / OT REQUEST OT REQUEST DATE LJ <br /> j. <br /> PERMIT FEE PD #/CASH PATE REVIEW FEE PD CK #/CASH DATE STAFF REVIEW DUE: <br /> $ <br /> c/ y / OT SCHEDULED: <br /> $ ��p�'Q�J �� OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> { r <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE I PAR DUE f <br /> it <br /> OTHER AGENCY APPROVAL FILE/NO ACTION � FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD /';Z 3 DENIED REVISION DUE I <br /> } f <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED i OTHER AGENCY DUE DATE <br /> LWORKPLAN REVIEW COMPLETE COMMENT LTR SENT 4 PROJECT COMPLETE/FINAL BILL <br /> FOR ASENCY USE UNIT <br /> L <br /> SITE MITIGATION PROGRAM FEE BASE MINIMUM HOURS MINIMUM AMOUNT RECEIVED DATE RECEIPT AMOUNT <br /> SCHEDULE FEE FOR SERVICE FEE RECEIVED BY # DUE <br /> I <br /> UGT CORRECTIVE ACTION OVERSIGHT (CAP) $53.00/ <br /> HOUR 5 HOURS $265.00 <br /> HAZARDOUS MATERIAL TRANSMISSION $53.00/ <br /> PIPELINE ASSESSMENT OVERSIGHT HOUR 5 HOURS $265.00 <br /> v <br /> ENVIRONMENTAL ASSESSMENT WORKPLN/ $53.00/ <br /> REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> OTHER GOVERNMENT AGENCY OVERSIGHT $53.00/ <br /> F WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS £159.00 i <br /> i� <br /> I <br /> BASE AMOUNT RECEIVED DATE PERMIT ISSUANCE <br />` PERMIT ACTIVITY FEES FEE RECEIVED BY # DATE <br /> WELL/BORING PERMIT APPLICATION $89.00 <br /> (monitoring/extraction/vapor welts, EACH <br /> soil borings, vapor surveys, etc.) APPLC <br /> i <br /> WELL DESTRUCTION PERMIT APPLICATION $60.00 <br /> EACH <br /> APPLC <br /> EH 29 D6 (BILFRMI2 revised 5/91) I r <br />