Laserfiche WebLink
SRN JOUIN I 'Y - PUBLIC HEALTH SERVICES/ENVIRONMENIAL HIIS10N <br /> -^SITE MIT IGATIUN/ASSESSMENT SUBMITTAL LUGS]. 1 �G- Llqc <br /> SITE NAME / -- -- - IE�L�IOIIIWNC l\ <br /> ADDRESS s' <br /> (IGENCY CONTACT <br /> CITY IIP PRONE w/AREA CD <br /> CONSLLTANT COMPANY CONTACT — <br /> OTFIER CONTACT NAME or INFOAM1Tl <br /> UGT SITE 23. ASSESS—DHS / RWOCB 22. ENVIRON ASSES 22.18 PILO <br /> 23 _ FUND SUUR S F TASK 1 <br /> SNFEJS 1/SITE CODE t DIST ��� c/ LOC CD �: D TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED _/_/ ' DATE OF SUBMITT BILLING FORM INITIATED OT REOST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) CODFEE PO CK 1/CASI DATE <br /> RE{JICAIV/SOIL IINTAMINATION WORKPLAN ISCWPI t j:PEPJ:l�lTn:fiPPLICRTIONSOIL CONTAMINATION REPORT/REMEDIATION PLIN (SRP) 2 WORKPLN for PERMIT ACTIVITY Il <br /> PRELIMINARY REPORT IPR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 1 ASSESS REPORT/with WORKPLAN 11 <br /> PROBLEM ASSESSMENT REPORT IPRR) 5 DRILY/MONITORING REPORT 15 - <br /> PfIR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPLN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL. REMEDIATION PLAN (FRP) 8 <br /> ORTLY REPORT/POST REMED MONITOR q <br /> STAFF REVIEW DOE _/_/_ OT SCHEDILED _/_/_ OT Llh()LETED /_/ <br /> ACTION DATE - —'ACTION DATE ACTION DAIE <br /> ACKNOWLG/COMMTMNT LTR REOSTO INCOMPLETE/ADDTNL INFO REUSTI SRP DUE <br /> (1CKNOWLG/CDMMTMNT LTR RECVD REVISION REDSTO PR DUE <br /> RWOCB COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DLL <br /> ADDENDUM/fIDDTNL INFO RELVD DENIED REVISION DUE <br /> PERMIT 1SSM SPECIAL PERMIT ISSUED OTHER AGENCY DIE DATE <br /> WOR)" APPROVED COMMENT LTR SENT BILLING FOAM SUBMITTED <br /> CH 23-117 89-571IV112/89 PLALOG -- —--- <br />