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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL110EALTH DIVISI - <br /> SITE MITIGATION/ASSESSMENT SUBMITTAFL LOG <br /> 4 <br /> SITE ADDRESS LEAD AGENCY <br /> Lzs <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> ii PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT RAKE or INFO k PHONE # <br /> ' <br /> E <br /> CODE # 3 PROG/ELEMENT 2�n".. ,� BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> 1 M <br /> DATE RECEIVED 1� C,� DATE ON SUBMITTAL / OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> :t ;F <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 1Di PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> t <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 161 $ 'e <br /> u E�: <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17.1 t <br /> REMED ACTION PLN {RAP) 5 LETTER 18i S <br /> l •E <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19� REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLM (FRP) 8... �} $ <br /> ORTLY RPT/POST REMED MONITORING M9 <br /> } $..yl. <br /> r <br /> STAFF REVIEW DUE; /_/ OT SCHEDULED: OT COMPLETED: _/ /�• <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADOTNL INFO REQSTD ! � RP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD I PR DUE <br /> RWQCB COMMENTS REPORT+ VIE!! _.... 1r•yZ PA DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION i� FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED [ REVISION DUE <br /> PERMIT ISSUED W. / B SPECIAL PERMIT ISSUED �i ,ETHER AGENCY DUE DATE <br /> E WORKPLAN REVIEW COMPLETE CCMMENT.LTR SENT ! PROJECT COMPLETE/FINAL BILL <br /> _ E <br />{, 6 <br /> Eli 29 03 (PLNLOG revised 5/91) <br /> V <br /> i <br /> I. <br />