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SAN JOAQUIN ILTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH OIVI I '0' I <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME jI l PHONE �jCf �S <br /> OTHER CONTACTINAME or INFO ( PHONE <br /> SITE CODE # l`�� PROD/ELEMENT r. BILLING CODE ^ ASSIGNED TO <br /> TITLE OF SUBMI�iTAL:&;Zjb�i <br /> ; <br /> DATE RECEIVEDAh3 DATE ON SUBMITTAL J- �3 OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SU13MITTAL CODE <br /> RE-EXCAVATIOW WKPLN I PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WtKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> l <br /> ASSESSMENT REiPORT 3 OTHER WRKPLH w/o PERMIT "ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PCM (RAP) 5 LETTER 1$ $ <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE P9 CK #/CAS11 DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RFT/POST REMED MONITORING 9 S <br /> $TAFF REV IENiDUE: / / OT SCIIEDULED;' -fes / OF COMPLETED: <br /> ACTION DATE ACTION - - Y DkTE� ACTION DATE <br /> I <br /> ACKNOW7LG/COMMTMNT LTR REQSTO INCL DTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT ETR RECVD REVISION R D PR DUE <br /> RNQCB COMMENTS REPUR TEV�l4 CQ�+IPLETE . - SPAR DUE <br /> _ - <br /> OTHER AGENCY APPROVAL FILE/f FRP DU <br /> Ji <br /> r - <br /> ADDENDUM/ADDTNL INFO RECVO DENIED REVISICN DUE <br /> PERMIT ISSUED ! WI / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIE41 COMPLETE CCHMENT LIR SEDT PROJECT CCd4PLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br /> } <br />