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L y SRN 30AOU11 I- h' ' - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALT' VISION <br /> MITIGATION/ASSESSMENT SUBMITTAL LOG Y cil - ;277 <br /> SITE NAME OTHER LEAD AGENC <br /> ADDRESS �ciS AGENCY CONTACT 0. yy\ <br /> CITY �� IIP PHONE w/AREA CD <br /> CONSULTANT COKPIMY f CONTACT 1AME1 <br /> ri ti V <br /> OTHER CONTACT NAME or INFORMATI <br /> UGT SITE 23. ASSESS—DHS / RNDCB 22. ENVIRON ASSES 22.48 PTLD 23._ FUND SOUR S / F TASK t <br /> SWEEPS t/SITE CODE t �' �/ DIST LOC CD ASSIGNED TO <br /> TITLE OF SUBMITTAL: -- <br /> DATE RECE I YED If <br /> 4 DATE OF SIBMITTntl <br /> BILLING FORM INITIATED _/_/ OT REOST _/_/_ <br /> TYPE OF SUBMITTAL (PILOT) COO TYPE OF SUBMITTAL (OTHER) COD FEE PO CK t/CA DATE <br /> RE-EICAV/SOIL CONTAMINATION WOW(PL1M (SW) l PERMIT APPLICATION 10 f <br /> SOIL CONTAMINATION REPORT/REMEBIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT MAT (PAR) 5 ORTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRHPUM w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN IFRP) B <br /> ORTLY REPORT/POST REMED MONITOR 4 <br /> STAFF REVIEW DUE _/_/_ OT SCHEDULED _/_/_ OT COMPLETED— <br /> /-/-ACTION DATE AICTION DATE AICTIUN DATE <br /> ACKM(WLG/COMMTMAT LTR REDSTD INCOMPLETE/ADDTNL INFO REDSTI SRP DUE <br /> f0NOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCB COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVO DENIED REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DIE DATE <br /> WORHPLfPA APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> CAN 23-117 85-57(IV)l2/81 PLNLOG _ — <br />