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�s <br /> Page ND. -186 <br /> 12/12189 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL INFO <br /> SUBMITTAL #: —3� i <br /> SITE NAME -- — CHEVRON—^------- <br /> -- OTHER LEAD AGENCY: <br /> ADDRESS 1347 S EL DCiftADD'ST AGENCY CONTACT: <br /> CITY S( `v� : AGENCY PHONE: <br /> CONSULTANT/CONTACT: CONTACT NAME: N— 415 671-2387 <br /> OTHER CONTACT/INFO: <br /> — , <br /> PROGRAM/ELEMENT: 23 ASSIGNED TO: (� DIST: j�1 11 TASK <br /> SWEEPS #/SITE CODE #: 1080 LOC CD: C> r <br /> TITLE OF SUBMITTAL: ` '� DATE RECEIVED: 11113189 <br /> TYPE OF SUBMITTAL: SC WRKPLAN DATE ON SUBMITTAL: I 1 <br /> TYPE CODE: ,Ar <br /> ---------�--------------------------------------__---- <br /> ------__----------_�-____ r------------ <br /> OT REQUEST: N i BILLING FORM: / 1 <br /> STAFF REVIEW DUE: / I OT SCHEDULED: I f PERMIT FEE PD: 64 <br /> OT COMPLETED: I I REVIEW-FEE PD: I <br /> ---------..__r------—---------------------------------- --,------------------------ — <br /> ACTION: .ACTION. i -ACTION- <br /> ---------------------—----——---—---------------- -------- ---—--- <br /> ACTION:--------------------------------------+------------___---------------- --------------- <br /> ACKNOWICOMMITKNT LTR REOSTED: / / ':INCMPLT/ADDTNL INFO REGSTD: I ! :SRP DUE: I 1 <br /> ACKNOW/COMMITMNT LTR RECVD: I l :REVISION REUSTD: #: / / :PR DUE: / I <br /> RWOCB COMMENTS: Is / =:REVIEW COMPLETE: 9 / 1 :PAR DUE: f ! <br /> OTHER AGENCY APPROVAL: I l ;:FILE/NO ACTION: I l :FRP DUE: / I <br /> ADDEN/ADDTNL INFO RECVD: I I ':DENIED: , I I :REVISION DUE: f 1 <br /> PERMIT ISSUED: I 1 :SPECIAL PERMIT ISSUED: ? N :OTHER AGENCY DUE DATE: I f <br /> WORKPLAN APPROVED: / / :COMMENT LTR SENT: / / :BILLING FRM SUBMITTED: I / <br /> i <br /> i� <br /> e <br /> - Ef <br /> f'- <br />