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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVtA4 <br /> SITE MITIGATIONSSESSMENT SUBMIITAL LOG <br /> /A # '! <br /> `i <br /> LEAD AGENCY <br /> ,j SITE ADDRESS i <br /> AGENCY CONTACT ` <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE M <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # PROG/ELEMENT 3 2 �1s BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL; <br /> DATE RECEIVED DATE ON SUBMITTAL1 3Z <br /> OT REQUEST OT REQUEST DATE <br /> i TYPE OF HMIT AL CODE TYPE 4 SUBMITTAL CODE <br /> .i <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS 4ACPLH 2 WORKPLAN";for PERMIT..ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o. PERMIT ACTIVITY 16 S <br /> ASSESS RAT w/WKPLN 4 OTHER AGENCY REPORT 17 ' S <br /> i <br /> '.. REMED ACTION PLM (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAF 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH' DATE <br /> FINAL REMED PLN (FRP) $ S <br /> I? QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: OT COMPLETED:J777777 <br /> C <br />` ACTION DATE ;:� ACTION DATE ACTION DATE <br /> i1 <br /> ACKNOULG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL.INFO REQSTD SRP DUE <br /> !� ACKNONLG/COMMTMNT LTR RECVD REVISION REQSTD.W PR DUE <br /> Rf10C6 COMMENTS REPOR RE '/�Q�' AR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVO DENIED REVISION DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ! SUED OTHER AGENCY DUE DATE <br /> ;r <br /> J <br /> WORKPLAN REVIEW COMPLETE CORM T L 5E PROJECT COMPLETE/FINAL BILL <br /> A <br /> EH 29 03 (PLNLOG revised 5/91) <br />