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SAN JOAQUIN COUPY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEAP DIVIS <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # �T <br /> SITE ADDRESS 5� J LEAD AGENCY �0#5c- <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CO <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO �t PHONE <br /> S[TE CCOE # UG JI PROG/ELEMENT 2_2. 4:: BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: w /w„iw�� ic-f -k <br /> 61aK <br /> DATE RECEIVED 'h I(AZ DATE ON SUBMITTAL Zf''j[�Z 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 PO 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 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 s <br /> REMED ACTION PLN (RAP) 5 LETTER 18 s <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 s <br /> QRTLY 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 INCOMPLETE/ADOTNL INFO REOSTD SRP DUE <br /> ACKNCWLG/OCMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE - PAR DUE <br /> -77 <br /> OTHER AGENCY APPROVAL FILE/NO T 7FRP DUE <br /> ADOENOLM/ADOTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED F <br /> W-/ a <br /> SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />