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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION # <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS a�-S -� s LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA/ED� <br /> CONTACT NAME > //? PHONE � o.JG /,/� - <br /> OTHER CONTACT NAME Or INFO / �uv PHONE <br /> G <br /> SITE CODE # %✓ PROG/ELEMENT 2��8ILLING CODE ASSIGNED TO �� <br /> TITLE OF SUBMITTAL: ,/f! <br /> DATE RECEIVED �" DATE ON SUBMITTAL �' S 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 $ <br /> 6 L � <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S / r <br /> ASSESS RPT WWKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 E <br /> ASSESS RPT u/RAP 6 PUBLIC PART INFO 19 REVIEN FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> GRTLY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: _/ / OT SCHEDULED: _/_/-_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADDTNL 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 of. <br /> FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED I REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED ` OTIIIER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT l�f�l PROJECT COMPLETE/FINAL BILL <br /> EN 29 03 (PLNLOG revised 5/91) <br />