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• w 'A` <br /> SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI 1 / - e E <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG 4�# _L•.�' 15�G. <br /> i <br /> SITE ADDRESS � � LEAD AGENCY <br /> L <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE W/AREA CD <br /> CONTACT NAME PHONE VY-f-6) <br /> OTHER CONTACT NAME or INFO / PHONE <br /> SITE CODE # PROG/ELEMENT 22. [o D BILLING CODE 561 ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED �/ 5� DATE ON SUBMITTAL / Q OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN W/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING Lgy <br /> $ <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTO INCCMPLETE/ADOTNL INFO REOSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCS COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION I Z Z II FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED 1 REVISION DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />