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SAN JOAQUIN 0 NTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL iIEALTH DIV1S <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG golo 0.- <br /> SITE ADDRESS ) —� LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE u/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO ' PHONE <br /> SITE CODE # PROD/ELEMENT ' f, BILLING COME I ( ASSIGNED TO - <br /> TITLE OF SUBMITTAL: 14 ok' <br /> DATE RECEIVED x_7/3 DATE ON SUBMITTAL �, OT REQUEST E70T <br /> REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY (Ti Y7-1 p <br /> ASSESSMENT REPORT 3 OTHER WRKPLIf w/o PERMIT ACTIVITY 16 S f� <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/ /^_ OT SCHEDULED: /�/__ , j OF COMPLETED: <br /> ACTION DATE ACTION DA7r 1� ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDINL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE./NO ACTION FRP DUE <br /> ADDENDUM ADDTNI. INF ENIED REVISICN DUE <br /> PERMIT ISSUE W / B gZ PECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPL COMMENT LTR SENT PROJECT CCI4PLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />