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SAN JOAQUIN - MIC HEALTH SERVIMS/`�RO!#ElRAL�Z""t DIVISION <br /> �iTE NITIGATIONJASSESKNT SUBMITTAL LOG `,/ #��L <br /> SITE NAME OTHER LEAD AGM <br /> ADDRESS , AGENCY CONTACT <br /> CITY ZIP PHONE w/AREA CD <br /> CONSULTANT COMPANY / CONTACT01 Wl <br /> OTHER CONTACT NAME or INFORNATI <br /> UST SITE! <br /> I 23. " ASSESS--DHS / RWX3 22. ENVIRON ASSESE 22.48 PILO 23. FUND SOURCdgq f I TASK # <br /> SNEEPS #/SITE CODE # /yZ� �2 D1S 122-� <br /> LOC CD D 5 ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECFIV® 10/a/0DATE OF SUBMITT j/j�f/ BILLING FORM INITIATED _!/ OT RENT /—I— <br /> TYPE <br /> /_TYPE OF SUBMITTAL (PILOT) CODqTYPE OF SUBMITTAL (OTHER) FEE PD CK #/ DATE <br /> RE-EXCAV/SOIL CONTAMINATION WONXPLAN (SCWP) 1 PERMIT APPLICATION 10 s <br /> SAIL CONTAMINATION REPORT/REMEDIATION AM (SRP) 2 WORKPLAN for PERMIT ACTIVITY I1 <br /> Pf"INARY REPORT (PR) 3 AUSSESS REPORT 13 <br /> Mwith ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSF.SSNENT REPORT (PAR) 5 ORTLY/NONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPLAN w!o PERMIT ACTIVITY 16 <br /> ADDITIONAL SENT PROPOSRL 7 <br /> FIMiI REMEDIATION PLAN (FRP) 8 <br /> 10—my REPORT/POST REMED MONITOR 9 <br /> STAFF REVIEW DUE _!/_ OT SCHEDULED / /_ OT tXONPLETED_,/_/_, <br /> ACTION DATE ACTION. DATE ACTION DATE <br /> ACIOHDWWZICO K MNT LTR REOM INCONPLETE/ADDTNL INFO USTI SRR DUE <br /> ANXSICOMRTMNT LTR RECVD REVISION REOSTD PRM DUE <br /> (1W, <br /> mm COl17NTS REVIEW COMPLETE <br /> OTHER ABDO APPROVAL FILE/NO AWCTION FRP DUE <br /> ADDENDUK/AODTNL INFO RECVD DENIED j- REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED V1' OTHER AGENCY DUE DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> FN 23-117 W57(IV)12/89 PLMtOG <br /> � ,. <br />