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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DI I <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG PW/AREACD <br /> SITE ADDRESS I -�..� TL. LEADAGENCONSULTANT CO �.. CJPIIONCONTACT NAME PHONEOTHER CONTACT NAME or INFO ll� � PHON <br /> SITE CODE # F� I(�5 FROG/ELEMEHTl:: ._L_ OILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED 2 DATE ON SUBMI TT TTAL �qZ OT REQUESTI OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN G OTHER AGENCY REPORT 1T S <br /> REMED ACTION PLH (RAP) 5 LETTER 10 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART tHro 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/^_ OT SCHEDULED: _/ / OT COMPLETED: <br /> ACTION DATE ACTION DAT F. ACTION DATE <br /> ACKNCWLG/COMMTMNT LTR REQSID INCCMPLETE/ADDINL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWOCB COMMENTS REPORT REVIEW CaMPLEIE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/AODTNL INFO REM DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CrYIMENT LTR SENT PROJECT CC14PLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />