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431gg� <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRCNMENTAL HEALTH <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG _q <br /> SITE ADDRESS a�`� OC) n \A M ✓I _ LEAD AGENCY -Tv'- <br /> / v v IJC _ AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CO <br /> CONTACT NAME '�/ / _ _ PHONE <br /> OTHER CONTACT NAME orINFOPHONE <br /> SITE CODE # q O I PROD/ELEMENT I2q.•S T" BILLING CCO J ASSIGNED TO <br /> TITLE OF SUBMITTAL: r/ _ _ I - /1 —_— A � <br /> DATE RECEIVED G�' � DATE ON SUB (J OT REQUEST I OT REQUEST DATE <br /> TYPE OF SUBMITTAL 1 CODE TYPE OF SUBMITTAL CODE <br /> L <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION u/0 WRKPLiI 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY ( Y C) qlo AJ/ <br /> 11 c� 1a 42 <br /> ASSESSMENT REPORT 3 OTHER WRKPLH W/o PERMIT ACTIVITY IG �O�` <br /> ASSESS RPT N/WKPLN 4 OTHER AGENCY REPORT 17 S J <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPP N/RAP 6 PUBLIC PART 1111`0 19 REVIEW FEE PD CK #/CASA 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 INCCMPLETE/ADDTNL INFO RECSTD SRP UUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTO PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADOTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT C.CMPLETE/17INAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />