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SAN 3(X101.11L'I.INTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAI�TIj�vi6,10N <br /> SITE MITIGATION/ASSESSMENT SUBMITIAL LOG - RE``` I <br /> SITE NAME - — -- -_ — <br /> � <br /> ADDRESS r <br /> AGENCY CONTACT <br /> CITY PHONE w/AREA CD <br /> CONSULTANT COMPANY -- _ CONTACT -- <br /> PIIONFS- <br /> OTHER CONTACT NAME r INFORMATI <br /> g;Nt <br /> SS—DNS / RW(1C8 22.`� ENVIRON ASSES 22 �A PILO 2J. I FUND SOUil' S / F TAO 3 DIST LOC CD O/ ASSIGNED 10—! � <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED /L/ DATE OF SUBMITT /LT�7 0 BILLING FORM INITIATED _/—/ OT REQST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) CODE FEE PD CK M/CA DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORKPLAN (SCWP) l PERMIT APPLICATION 10 1 — -_ — <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL A ASSESS REPORT/with WORKPLAN 14 <br /> PRORLEM ASSESSMENT REPORT (PAR) 5 QRTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPUIN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) g <br /> ORTLY REPORT/POST REMED MONITOR q <br /> STAFF REVIEW DUE OT SCHEDULED _/—/_ OT COMPLETED <br /> ACTION DATE ACTION DATE ACTION <br /> _ ((( DATE <br /> ACKNOWLG/COMMTMNT LTR REDSTD INCOMPLETE/ADOTNL INFO REDSTL SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWOCB COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION N- 4 <br /> ADDENDUM/ADDTNL INFO RECVD DENIED � UE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> f_N 2J-!ll 05-57(IV)12/09 PLNLOG — �'—'�� -' <br />