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*i�J <br /> r fEALTH <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL DT <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG v' #�- <br /> SITE ADDRESS 5 / LEAD AGENCY D <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> / PHONE u/AREA CD <br /> CONTACT NAME PHONE /S—?;L-) <br /> OTHER CONTACT NAME or INFO �(/ T PHONE <br /> SITE CODE # I / /'I PROG/ELEMENT 2Z. BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL S� OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION NKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN W/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT u/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT u/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> QRTLY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: OT SCHEDULED: 1_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL 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/ADDTNL INFO RECVD DENIED • REID REVISION DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT II iiSUED 199 OTHER AGENCY DUE DATE <br /> 02 <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR �I PRECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />