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� N, w J <br /> % <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI �/ <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG /# <br /> SITE ADDRESS ! yam LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO n/ <br /> 7' PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # 1. PROVELEMENT 2,22,2.-2---?— BILLING CODE ASSIGNED TO��.. 1V � �� <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED /_ DATE ON SUBMITTAL oT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF 5 9MIT7AL CGDE <br /> R£-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 1WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLH W/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT K/WKPLN 4 OTHER AGENCY REPORT '17 $ <br /> REMED ACTION PL1I (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP 6 PUBLIC PART I11F0 19 REVIEW FEE PO CK #/CASII DATE <br /> FINAL REMEO PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: OT SCHEDULED: 1 / OT COMPLETED: __/_ <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO INCCMPLETE/ADDTNL INFO RECSTO SRP DUE <br /> ACKNOWLG/COMMTMNT LTR REM REVISION RECSTD PR DUE <br /> RWGCD COMMENTS R R I MPLLTE®t f� 7/70 <br /> / 7 P R DUE <br /> OTHER AGENCY APPROVAL �7 FRA DUE <br /> ADDENDUM/ADDTNL INFO REM DENIED REVISICN DUE <br /> PERMIT ISSUED W / 9 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> CO14 <br /> WORKPLAN REVIEW COMPLETE 4EN7 LTR SENT PROJECT Cr14PLETE/FINAL DILL <br /> EN 29 03 (PLNLOG revised 5/91) <br />