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SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 0IV1 V O[ <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS _ r— LEAD AGENCY b <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE u/AREA CO <br /> CONTACT NAME `�' PHONE <br /> ^ <br /> OTHER CONTACT NAME or INFO / PHONE <br /> SITE CODE # f Sys/�3 PRO;/ELEMENT }� BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: �-� <br /> DATE RECEIVED I (C� DATE ON SUBMITTAL l7f�2� GJ1 OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLH 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 w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART iNrO 19 REVIEW FEE PO CK #/CAS11 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 hDATF.� ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD 1NCCMPLETE/ADDTNL INFO REQSTD 111111 SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW CaMPLETE . 4, PAR <br /> DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED T <br /> W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORrPLAN REVIEW COMPLETE CUINENT LTR SENT PROJECT CJIPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br /> y <br />