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'I <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 01 IS <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG SQ� <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO - V_ - &e4 <br /> PHONE u/AREA CD <br /> CONTACT NAME { PHONE <br /> OTHER CONTACT NAME or INFO J v PHONE <br /> SITE CODE # U PRO./ELEMENT 2_?rn UiLLIHG CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED L 2y DATE ON SUBMITTAL QT REOUES'F OT REQUEST DATE <br /> TYPE OF SUBMITT L CODE TYPE OF SU KITTAL CWE <br /> RE-EXCAVATION WKPLN I PERMIT APPLICATION 1410 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/0 PERMIT ACFIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION ALN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PARI iNFO 19 REVIEW FEE PD CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 f <br /> STAFF REVIEW DUE; / / OT SCHEDULED: �J_.__/� OF COMPLETED: <br /> ACTION DATE ACTION DATr ACTON BATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO INCCMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> J ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTO PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILF/NO ACTION FRA DUE <br /> ADDENDUM/ADDTNL FO RECVD DENIED REVISICH DUE <br /> PERMIT IS / C/,*) PECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVEW L l !' CC1114ENT LTR SENT PROJECT CC14PLETE/FIIIAL BILL <br /> EN 29 03 (PLNLOG revised S/91) <br />