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j SAN JOAOUI t TY • PUBLIC HEALTH SERVICES/ENVIRONMENTA LTH DIViSI <br /> NON-LOP SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # -� <br /> SITE ADDRESS LEAD AGENCY <br /> SITE CODE # S PROG/ELEMENT 122.�_ BILLING CODEn JASSIGNED TO <br /> TITLE OF SUBMITTAL: �vl TYPE CODE <br /> DATE RECEIVED DATE 9VSUBMITTAL OT REQUEST OT REQUEST DATE ; <br /> a <br /> PERMIT FEE PD Ck #/CASH DATE REVIEW FEE PD CK #/CASH it DATE STAFF REVIEW DUE: <br /> OT SCHEDULED: <br /> OT COMPLETED: / <br /> .r <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQ$TD [ SRP DUE <br /> ACKNOWLG/COMMTMNT LTR REM REVISION REOSTD PR DUE <br /> ISI <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION �f FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD 1;2-13Aw <br /> DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED I OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> FOR AGENCY USE ONLY �# <br /> SITE MITIGATION PROGRAM FEE BASE MINIMUM HOURS MINIMUM AMOUNT RECEIVED DATE RECEIPT AMOUNT <br /> SCHEDULE FEE FOR SERVICE FEE RECEIVED BY # DUE <br /> t <br /> UGT CORRECTIVE ACTION OVERSIGHT (CAP) $53.00/ i� <br />` #.OUR 5 HOURS $265.00 <br /> HAZARDOUS MATERIAL TRANSMISSION $53.00/ �1 <br /> PIPELINE ASSESSMENT OVERSIGHT HOUR 5 HOURS $265.00 I� <br /> i 111`` <br /> ENVIRONMENTAL ASSESSMENT WORKPLN/ $53.00/ f <br /> REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> it <br /> c OTHER GOVERNMENT AGENCY OVERSIGHT $53.00/ <br /> WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> 1} <br /> i� <br /> BASE AMOUNT RECEIVED DATE PERMIT ISSUANCE <br /> PERMIT ACTIVITY FEES FEE RECEIVED BY # DATE <br /> ,k <br /> WELL/BORING PERMIT APPLICATION $89.00 �f <br /> (monitoring/extraction/vapor wells, EACH <br /> soft borings, vapor surveys, etc.) APPLC <br /> a <br /> WELL DESTRUCTION PERMIT APPLICATION $60.00 IIS <br /> s, <br /> EACH <br /> APPLC <br /> I# <br /> EH 29 06 (BILFRMI2 revised 5/91) ;S <br />