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4� SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH 0I 1 1 <br /> :# <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> LEAD AGENCY <br /> i <br /> SITE ADDRESS" <br /> i <br /> AGENCY CONTACT 4" 1 <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME FPONE <br /> OTHER CONTACT ;NAME =lRF0 PHONE <br /> il3 <br /> SITE CODE N PROG/ELEMENT 2la BiLLI11G CODE i ASSIGNED TO j/f/r nA l� <br /> ------------------- <br /> %1 <br /> TITLE OF SUBMITTAL: l <br /> DATE RECEIVEDDATE ON SUBMITTAL C.�2 QT REQUEST OT REQUEST GATE �! <br /> TYPE OF SUBMITTAL {ODE TYPE OF SUBMITTAL CODE lj <br /> RE-EXCAVATION::WKPLN T PERMIT APPLICATION W10 WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLH 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT RE,ORT 3 OTHER WRKPLII w1o, PERMIT ACTIVITY 16 S 1 �' <br /> it <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 1T S ±' <br /> REMED ACTION LN (RAP) 5 LETTER -T IS $ I <br /> ASSESS RPT WRAP 6 PUBLIC PART illfO 19 REVIEW fEE PD CK #/CASH DATE <br /> ill <br /> FINAL REMED PLIN (FRP} 8 <br /> ORTLY RPT/POST REMED MONITORING 9 _ <br /> STAFF REVIEW'IDVE: ._,._/—/— OT SCHEDULED: /w /T_ Of COMPLETED: <br />* ACTION DATE :A(:TIO ACTION DATE <br /> ACKNOWLO/CCMMTMNT LTR REOSTD 1NCCMPL TE 0 L IFS TD _�-g•�� �J- DUE ! <br /> ACKNOWLG/CONMTMNT LTR RECVD REVISION REOSTO FR DUE' <br /> RWOCB COMMENTS -REPORT- EVI I'L y J2 g•q DUE Ij <br /> ; <br /> OTHER AGENCY APPROVAL FILE/IID ACTION FRP DUE II <br /> II <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> • u! <br /> PERMIT ISSUED W / 9 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> PROJECT CCt4PLETE/FINAL DILL <br /> WORKPLAII REVIEW COMPLETE COMMENT LIR SENT <br /> EH 29 03 (PLNLOG revised 5191) !; <br />