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SRN JOAQUIN CO!- PUBLIC HEALTH SERVICES/ENVIRONMENTAL FEf�pIVIS1ON <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE NAME -- ---_- --- �—F <br /> OTHER LEAD AGENC <br /> ADDRESS < AGENCY CONTACT <br /> CITY ZIP PHONE w/AREA CD <br /> CONSULTANT COMPANY --- CONTACT — <br /> � 2 <br /> OTHER CONTACT NAME or INFCRMATI <br /> UGT SITE 23. ASSESS-DHS / RWlTCB 22. ENVIRON ASSES 22.48 PILO 23. FUND SOUR S / F TASK 1 <br /> SWEEPS 1/SITE CODE t DIST LDC CD ASSIGNED TOl�l�C <br /> TITLE OF SUBMITTAL.: / J <br /> DATE RECEIVED /' ' /`3 DATE ON SUBMITT / /?' BILLING FORM INITIATED _/_/ OT REOST /�/ 0 <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) COD[ FEE PD CK //CA DATE <br /> RE-EXCAV/SOIL CONTAMINATION WOAI" (SEW) I PERMIT APPLICATION <br /> 10 t <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2l WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PA) 3 ASSESS REPORT <br /> 13 <br /> GA/with ADDTL ASSESS PROPOSAL A ASSESS REPORT/with WORI(pLAN <br /> 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 DATLY/MONITORING REPORT <br /> 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRIIAJUI w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN IFRP) D <br /> ORTLY REPORT/POST RM MONITOR 9 <br /> STAFF REVIEW DUE _/_/_ OT SCFEWD Of COMPLETED <br /> ACTION DATE --- -ACTION GATE <br /> _ - —I ACTION DATE <br /> RCKNOM.G/COMMTMNT LTR REDSTD 1NCOMPL.ETE/ADDTNL INFO REDSTI 'SRP DUE <br /> ACXNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> AWOCB COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION REtld FRP DUE <br /> Id. <br /> ADDENDUM/RODTtL INFO RECUD DENIED 4, FFR y9 REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSIED <br /> OTHER AGENCY DUE DATE <br /> WOR)" APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> EH 23-117 89-57(IV)12/09 PLNLOG --- — <br />