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! <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI�\q,# n/ - /) <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG d" ``G <br /> SITE ADDRESS �^.� LEAD AGENCY <br /> AGENCY CONTACT +C/ <br /> CONSULTANT CO <br /> PHONE u/AREA CO <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # ;� PROG/ELE ENT 2_. ILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> yz <br /> DATE RECEIVED 2��7 DATE ON SUBMITTAL Cl OT REO ST OT REQUEST DATE <br /> TYPE OF SUBM TTAL 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 /> ASSESSMENT REPORT 3 OTHER WRKPLN u/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT u/WKPLN 4 OTHER AGENCY REPORT 17 S <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 S <br /> DRILY RPT/POST REMED MONITORING 9 8 <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: �_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD 1NCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLET PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION �1�� F DUE <br /> ADDENDUM/ADDTNL INFO RECVO DENIED REVISION DUE <br /> PERMIT ISSUED W / B 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 />