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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI �J _102 1D2 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG / # <br /> Ej:EADDRESS �/ / <br /> LEAD AGENCY. <br /> ,y <br /> CONSULTANT CO AGENCY CONTACT� <br /> PHONE w/AREA CD <br /> CONTACT NAME Z PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # &f2= <br /> PROG/ELEMEN BILLING CODE ASSIGNE1) TO ' <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL Z OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE 0 SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 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 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) g -FS <br /> QRTLY RPT/POST REMED MONITORING 79 S <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _f_/_ OT COMPLETED: <br /> ACTION DATE ACTION FDATE ACTION <br /> /� DATE <br /> fACKNOWLG/COMMT <br /> NOWIG/COMMTMNT LTR.REQSTD INCOMPLETE/ADDT F ST Q /¢�n S P DUE <br /> /$6(yp 3 <br /> A EVISION REQSTD PR DUE <br /> � 22 <br /> RWQCS COMMENTS REPORT REVIEW C .d�a )AR DUE <br /> 7 <br /> OTHER AGENCY APPROVAL FILE/NO ACTION ` <br /> FRP DUE <br /> ADOENDUM/ADOTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />