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SAN JOAQUIN COUNT- PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTIJ IVIS <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG 1 # <br /> SITE ADDRESS _ <br /> LEAD AGENCY <br /> CONSULTANT CO / AGENCY CONTACT l' <br /> PHONE w/AREA CD <br /> CONIACT NPME PHONE <br /> OTHER CONTACT NAME or INFO PHONE r <br /> J � <br /> SITE CODE # ' PROG/ELEMENT 2-2. 5-� BILLING CODE � . ASSIGNED TO L r <br /> TITLE OF SUBMITTAL:��� <br /> v <br /> DATE RECEIVED DATE ON SUBMITTAL / -7 OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERHIT APPLICATION W/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 E <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 Y <br /> ASSESS RPT w/11KPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 g <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _-/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL RP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINhL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />