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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV <br /> SITE METIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS _ LEAD AGENCY <br /> r <br /> AGENCY CONT;�Fh&., ', I <br /> CONSULTANT CO <br /> PHONE w/AREA CO <br /> } <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME: or INFO PHONE <br /> E <br /> CODE PROG/ELEMEN BILLING CODE ASSIGNED TO �S <br /> TITLE OF SUBMITTAL <br /> DATE RECEIVED DATE ON SUBMITTAL / T REQUEST JOT REQUEST DATE <br /> TYPE OF S BMITTAL CODE TYPE Ot SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION Wo NRKPLN 10 PERMIT FEE PD CK #/CASH DATE . <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER 41RKPLII w/o PERMIT ACTIVITY 16 S } <br /> ASSESS RPT x/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP b PUBLIC PART 411FO 19 REVIEW FEE PO CK :Y/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 4 S <br /> STAFF REVIEW DUE: �/w�/� OT SCHEDULED: r f�/� Or COMPLETED: <br /> ACTION DATE ACTION DATF, ACTION DATE <br /> ACKNOIILG/COMMTMNT CTR REQSTD INCCHPLETE/ADDINL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD R D <br /> RWQCB C014MENTS REPORT REVIE �Z,�o , R UE <br /> Z7 l2k <br /> OTHER AGENCY APPROVAL rILF/NO A TION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICH DUE <br /> PERMIT ISSUED �W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE. <br /> WORKPLAN REVIEW COMPLETE CUIMENT LTR SENT PROJECT CCl4PLETE/FINAL BILL i <br /> EH 29 03 (PLNLOG revised 5/91) <br />